Inquiry Form for Attorneys

REQUEST FOR TECHNICAL ASSISTANCE
Attorneys Only

If you are a member of the NCVLI-Clinic Network (a subgrantee of NCVLI) please submit your request for technical assistance here.

NCVLI provides technical assistance only. It does not provide legal advice or legal representation to attorneys or other individuals. Technical assistance does not substitute for independent research, analysis or determination of the facts of any particular situation or the law. Do not provide any confidential or private information. You will receive a response to your inquiry within two weeks.

By answering the questions in the form below, you are acknowledging receipt and acceptance of the legal disclaimer.

The information you provide is collected solely for the purpose of facilitating a response to your request. NCVLI will not use or redistribute information provided for any other purpose without your express consent.

Are you a NAVRA member?

Yes No

The National Alliance of Victims' Rights Attorneys has been established to offer legal resources and professional support to its members. If you are interested in learning more about NAVRA, click here.

CONTACT INFORMATION
Name:
Bar Number:
Law Firm or Agency:
Street address:
City:
State:
ZIP code:
Phone number:
Fax number:
E-mail address:
PURPOSE FOR REQUEST
How did you find out about us?

Attorney	Brochure/Newspaper
Training	Web Search
Law School	Other
Non-Profit/Service Organization

Are there any deadlines coming up?
Do you need assistance in trial court or with an appeal? Yes No
What is the legal issue? Please do not provide NCVLI with any individually identifiable information when framing the issue.
What type of assistance do you want? Please do not provide NCVLI with any individually identifiable information when framing the issue.
Depending upon your needs, NCVLI may not be able to assist you, but might know of another organization that may be able to work with you. In those circumstances, does NCVLI have permission to share your information? Yes No

REQUEST FOR TECHNICAL ASSISTANCEAttorneys Only

REQUEST FOR TECHNICAL ASSISTANCE
Attorneys Only