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Main
About Us
Put Something Back
Accomplishments
News & Notes
Newsletters
Volunteer
Chief Judge Letter
Pro Bono Attorney Enrollment
Law Firm Enrollment
Law Firm Reporting Form
Emeritus Attorneys
The Robert C. Josefsberg Leadership Academy
Leadership Academy Past Fellows
Frequently Asked Questions
Pro Bono
Pro Bono Team
Volunteer Spotlight
Child Advocacy
PSB – Fees/Costs Memorandum
Forms
Pro Bono Reporting Form
Case Disposition Form
PSB AAL Request
PSB GAL Request Form
Donate
Charitable Giving
Leave a Legacy
Child Advocacy Project
Cy Pres Awards
Law Firm Sponsorships
Events
Galleries
Blog
Civil Law Application
Civil Litigation Application
09042026-MI
Are you applying on behalf of someone else?
(Required)
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Your Name
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Last
Applicant Information
Contact Information
Applicant Name
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Last
Applicant Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Applicant Email
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Applicant Phone
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Do you Consent to receiving text messages from Dade Legal Aid?
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No
Text Messaging Communication Policy
Case Information Only:
Text messages from our firm will be used exclusively to communicate vital updates, reminders, and information directly impacting your active case.
No Unrelated Outreach:
We respect your privacy and will not use your phone number for any other purpose, including marketing or non-case correspondence.
Do you have an emergency or deadline, including a hearing within the next 6 weeks?
(Required)
Yes
No
Do you reside in Miami-Dade county?
(Required)
Yes
No
Section Break
Are you applying for legal assistance for a small business?
(Required)
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No
If yes, What is the Name of your Business?
Your Title at the Business
What is the best time for us to call you for follow-up?
D.O.B.
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Year
Preferred Language
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Are you disabled?
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Employment Status
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Race
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How did you hear about us?
Financial Information
We need to know financial information about your household to determine if we may be able to help you. Please provide income details for yourself and your spouse or partner. If you have no source of income, please select “No Income.”
Number of people under 18 in your household
Number of people 18 and over in your household
Do you have a bank account?
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If yes, how much money is in that/those account(s), including both savings and checking?
Case Information
List the people or businesses, if any, you are having trouble with.
Have you already been sued?
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If yes, please provide the case number for your case.
Have you been served?
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No
If yes, what day were you served?
Month
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Do you have a court hearing set?
Yes
No
If yes, when is that hearing?
Month
Day
Year
Have your wages or accounts been garnished?
Yes
No
If yes, how much is being held in garnishment?
If yes, when did you receive notice of the garnishment?
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