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Civil Law Intake Form

Please complete the information below as best as you can. All fields marked with * are required and must be filled.

First name*

Last name*

Email*

Phone*

Do you text?*

Is it ok to leave a message?

Primary language*

Do you need an interpreter?*

If yes, which language?

If the matter involves a conflict or dispute, please provide names of all people on the other side of the dispute:

Senior (60+)*

Do you receive SSI?*

Homeowner?*

Renter?*

Please mark the area(s) of law you need help with:*

Tenant with eviction related matter

Landlord with eviction related matter

Other Landlord-Tenant issue

Foreclosure prevention

Conservatorship

Guardianship

Elder Abuse Restraining Order

Durable Power of Attorney

Advanced Health Care Directive

Consumer Debt

Government benefits

Which one matches your household and monthly income:*

I claim one person on my taxes and do not make more than $2,430

I claim two persons on my taxes and do not make more than $3,287

I claim three persons on my taxes and do not make more than $4,143

I claim four persons on my taxes and do not make more than $5,000

I claim five persons on my taxes and do not make more than $5,857

I claim six persons on my taxes and do not make more than $6,713

I claim seven persons on my taxes and do not make more than $7,570

I claim eight persons on my taxes and do not make more than $8,427

None of the above

Briefly explain the problem:*

Please upload any important documents (optional) such as summons and complaint, and notices

I am requesting legal services for myself or for someone who has authorized me to provide their information. I understand that completing this form does not guarantee that services will be provided and does not create an attorney-client relationship.

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SLOLAF is a 501(c)(3) non-profit organization, so your gift is tax deductible.

Our Federal Tax ID# is 77-0335048

Main office:

3232 S. Higuera St., Suite 101D
San Luis Obispo, CA 93401

Phone: (805) 543-5140

info@slolaf.org

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