Law Firm Reporting Form

Put Something Back serves as the clearinghouse for pro bono opportunities and reporting in the Eleventh Judicial Circuit. To report your firm’s annual pro bono hours, please fill out the form below and return with any additional documents to: Stephanie Grosman, Esq., Law Firm Coordinator sgrosman@dadelegalaid.org.

Thank you for helping to provide Greater Access to Justice for All!

Pro Bono Coordinator(Required)
Please fill out information below.
Attorney Name
Bar#
Client Name
Type of Case
Date Opened
Date Closed
Pending
Closing Code
Time on Case
 
Click the "+" at the end of the row to add additional attorneys.
Max. file size: 10 MB.
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