Domestic Violence Application

If you or someone you know are a victim of domestic violence and are seeking assistance for your domestic violence case, please complete the form below.  If you do not know the answer to a question please type N/A.  If you need assistance completing the application please contact  Wendy Arauz warauz@dadelegalaid.org or Luisa Pena lpena@dadelegalaid.org.

If you feel that you are in immediate danger call 911. 

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