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Legal Advice Intake Form
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1.
General Information
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2.
Family or Civil
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3.
Disclosure Statement
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General Information
Washington County Legal Advice Clinic Intake Form
Clinic Services are available to litigants with cases pending in Washington County. Complete this entire form, and sign the Disclosure Statement. It is very Important that you bring/share any court orders or court documents to the Clinic so the Attorney can review your case and give you correct legal advice. Once you submit your form a law librarian will contact you and set up an appointment.
Court File Number (if Applicable)
Your Information
First Name
*
Last Name
*
Previous Name/Maiden Name (Optional)
Date of Birth (Optional)
Address
City
State
Zip Code
Phone Number
*
Email Address
Other Party's Information (Required)
Name (Person's or Business)
*
Previous Name/ Maiden Name
Does the party have legal representation?
Yes
No
Unknown
If yes, by whom?
Third Party's Information (Optional)
Name (Person's or Business)
Previous Name/ Maiden Name
Do you have legal representation for this issue?
*
Yes
No
The Minnesota Rules of Professional Responsibility states Rule 4.2 “ In representing a client, a lawyer shall not communicate about the subject of the representation with a person the lawyer knows to be represented by another lawyer in the matter, unless the lawyer has the consent of the other lawyer or is authorized to do so by law or a court order.”
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Family or Civil
Family
Only fill this section out if you are registering for Family Legal Advice.
Check each box that applies.
Establishing or Modifying Child Custody
Third Party Custody/Visitation
Establishing Paternity
Divorce with or without Children
Parenting Time
Domestic Abuse (Order for Protection)
Child Support/Spousal Maintenance
Contempt of Court
Civil
Only fill this section out if you are registering for Civil Legal Advice.
Check each box that applies.
Conciliation Court
Housing/Eviction
Eviction Expungement
Default Judgment
Automobile Title Issues
Bankruptcy
Harassment (Harassment Restraining Order)
Judgment Collection
Probate
Description of Legal Issue
*
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Disclosure Statement
Disclosure Statement
*
I understand that the volunteer attorney is providing only limited advice and information and does not represent me in my case. The attorney will not be my attorney of record or go to court with me.
I understand that I remain responsible for all aspects of my legal matter.
I understand that a student or library staff may be present at the clinic to aid in the process and that person will not be providing legal advice.
I understand that the Washington County Law Library is hosting the clinic and that they do not endorse the volunteer or is not liable for the legal advice or assistance given.
I have read and understand this disclosure statement and I agree to it's terms.
By typing my name below I have read and agreed to the terms above and that my typed name will be considered an electronic signature.
First Name
*
Last Name
*
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Email address
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