CSI Legal Clinic Interview Questionnaire
FIRST NAME MI LAST NAME
ADDRESS CITY STATE ZIP
INTAKE WORKER ASSIGNED ATTORNEY
General nature of your legal problem:
ALTERNATE TELE. #
Briefly describe your legal problem:
(Select as many that apply.)
Has a case been filed?
Who is/are the opposing party(ies)?
Is/are the opposing party(ies)represented by an attorney?
Have you previously seen an attorney on this matter?
If you have access to the Internet, please attach a copy of the court record in the same email.