PSB Disposition Checklist

Disposition Form

  • The client named below was referred to you for legal representation because of your participation in PSB. Please complete and return this form to our office upon acceptance of the referred case in order to receive pro bono credit and be covered by our malpractice insurance.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • Drop files here or
  • If CASE CLOSED, provide date and reason:

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY