Section Navigation
  • Please fill out the intake form so an attorney can be contacted regarding your legal problem.

 

Public & Legal Services Department


State Bar Referral Program - Intake Sheet - Thirty-Minute Consultation


The referral program offers a 30-minute consultation/case assessment with a private attorney for a cost of only $30.  The information collected will determine the area of law and county needed for the referral.  A paralegal will then contact attorneys and find one to consult with you for 30-minutes.   During the 30-minute consultation, you will receive legal advice, have documents reviewed and have questions answered by an attorney.  Any representation or time beyond the 30-minute consultation/case assessment must be negotiated with the attorney.  You may pay for the consultation online after you complete this form.

In two (2) business days a representative from the State Bar referral program will call you at the telephone number provided to give you the attorney's name and contact information.

If information is incomplete or unclear, the referral process will be held up until we reach you for clarification.


Client Information
*required
*First:
Middle:
*Last:
*Mailing Address:
*City:
*State/Province:
*Zip Code:
*County:
*Phone: Home, Cell, Work, Message or Other is Required
Fax:
*E-mail:

If we are unable to find an attorney in your area, are you willing to travel to a nearby county or have a telephonic consultation?
Yes
No
 
Language Spoken:
English
Spanish
Navajo
Other Language
 
Legal Problem (description of case/facts, deadline dates/hearing date/time, court/judge and filing deadlines)