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This intake form is for individuals seeking legal help with immigration, civil rights or hate crimes, or economic (employment/banking) discrimination issues. Please fill it out as completely and truthfully as possible. Anyone may fill it out – whether you are the individual affected, a family member or friend, or a legal representative. Your information will be kept confidential. See our privacy disclaimer below at the end.
Please note: Completing this form does not guarantee legal representation and does not create an attorney-client relationship (see disclaimers below). We will review your submission and, if we cannot assist directly, may refer your case to an appropriate lawyer or organization.
Please select the appropriate intake form below based on your legal issue:
For immigration-related legal matters including visa issues, deportation defense, asylum, and other immigration concerns.
For civil rights violations, hate crimes, discrimination based on national origin, and related legal matters.
For employment discrimination, banking discrimination, and other economic discrimination matters.