Fillable MATTERS SERVICE REPORT STATISTICAL PORTION I -- Community (Legal Services Corporation)

Fill Online, Printable, Fillable, Blank MATTERS SERVICE REPORT STATISTICAL PORTION I -- Community (Legal Services Corporation) Form

Use Fill to complete blank online LEGAL SERVICES CORPORATION (DC) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

MATTERS SERVICE REPORT STATISTICAL PORTION I -- Community (Legal Services Corporation)

On average this form takes 21 minutes to complete

The MATTERS SERVICE REPORT STATISTICAL PORTION I -- Community (Legal Services Corporation) form is 17 pages long and contains:

  • 0 signatures
  • 10 check-boxes
  • 81 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Legal Services Corporation

BROWSE LEGAL SERVICES CORPORATION (DC) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
“MATTERS” SERVICE REPORT
STATISTICAL PORTION
I -- Community Legal Education A
YEAR:
Grantee Number
Grantee Name
Number of People Directly Receiving
Service
Models Used
(a) Measured (b) Estimated
(c)
Total
1 Presentations to community groups
Total number of people in audiences
2 Legal education brochures
Total number of copies distributed
3 Legal education materials posted on Web sites
Total number of page views
4 Newsletter articles addressing Legal Ed topics
Total number of copies distributed
5 Video legal education materials
Total number of people in audiences
6 Other-describe in Narrative section
Total number of people receiving service
Total number of people directly receiving service
Also provide a breakdown of this
number, by type of matter, in “B” on
next page.
To avoid losing data, Make sure to Click SAVE first before clicking other buttons.
SAVE
EXIT
“MATTERS” SERVICE REPORT
I -- Community Legal Education B
YEAR:
Grantee Number
Grantee Name
B. Subject Matter Categories
Number of People Directly
Receiving Service
1 Consumer/Finance
2 Education
3 Employment
4 Family
5 Juvenile
6 Health
7 Housing
8 Income Maintenance
9 Individual Rights
10 Other/Multiple Topics
Total number of people directly receiving service
Should be
same as “A”
on previous
page.
To avoid losing data, Make sure to Click SAVE first before clicking other buttons.
SAVE
EXIT
MATTERS SERVICE REPORT
I -- Community Legal Education C
YEAR:
Grantee Number
Grantee Name
Models Used
Number of Media Items
Measured
1 Newspaper Items
please list the number of legal education articles or other items
that appeared in newspapers or magazines during the year
(including repeats or reprints)..
2 Radio Spots/PSA's
please list the number of legal education spots or
announcements aired on radio during the year. Each airing
counts as one Matter, even if it is a re-airing of the same spot
3 Video Spots/PSA's
please list the number of legal education spots or
announcements aired during the year. Each airing counts as
one Matter, even if it is a re-airing of the same spot.
Total number of media community legal education media
items
Note: this form is different from other numeric forms in that it does not measure number of
persons served, but only the number of times a community legal education item appeared in
media that reach residents of the program's service area
To avoid losing data, Make sure to Click SAVE first before clicking other buttons.
SAVE
EXIT
“MATTERS” SERVICE REPORT
II --Pro Se Assistance, not included in “case service” statistics A
YEAR:
Grantee Number
Grantee Name
Number of People Directly Receiving
Service
Models Used
(a) Measured (b) Estimated
(c)
Total
1 Workshops or clinics
Total number of participants
2 Help desk at court
Total number of people assisted
3 Self-help printed materials (e.g., Divorce kits)
Total copies distributed
4 Self-help materials (e.g., forms) posted on web sites
Total number of copies distributed
5 Self-help materials (e.g., forms) posted on web kiosks
Total page views on these materials
6 Other-describe in Narrative section
Total number of people receiving service
Total number of people directly receiving service
Also provide a breakdown of this
number, by type of matter, in “B” on
next page.
To avoid losing data, Make sure to Click SAVE first before clicking other buttons.
SAVE
EXIT
“MATTERS” SERVICE REPORT
II -- Pro Se Assistance B
YEAR:
Grantee Number
Grantee Name
B. Subject Matter Categories
Number of People Directly
Receiving Service
1 Consumer/Finance
2 Education
3 Employment
4 Family
5 Juvenile
6 Health
7 Housing
8 Income Maintenance
9 Individual Rights
10 Other/Multiple Problems
Total number of people directly receiving service
Should be
same as “A”
on previous
page.
To avoid losing data, Make sure to Click SAVE first before clicking other buttons.
SAVE
EXIT
“MATTERS” SERVICE REPORT
III -- Referred, not included in “case service” statistics A
YEAR:
Grantee Number
Grantee Name
Number of People Directly Receiving
Service
Models Used
(a) Measured (b) Estimated
(c)
Total
1 Referred to other provider of civil
Legal services to low income people
2 Referred to private bar (LRS or individual
private lawyers not affiliated with program)
3 Referred to provider of human or social
Services (non-legal)
4 Referred to other source of assistance,
None of the above--
If more than 10 percent of total, please describe in Narrative and
more detailed breakdown.
Total number of people directly receiving service
Also provide a breakdown of this
number, by type of matter, in “B” on
next page.
To avoid losing data, Make sure to Click SAVE first before clicking other buttons.
SAVE
EXIT
“MATTERS” SERVICE REPORT
III -- Referred Matters B
YEAR:
Grantee Number
Grantee Name
B. Subject Matter Categories
Number of People Directly
Receiving Service
1 Consumer/Finance
2 Education
3 Employment
4 Family
5 Juvenile
6 Health
7 Housing
8 Income Maintenance
9 Individual Rights
10 Other Civil Legal Problems
10 Criminal Legal Problems
10 Other Problems (Non-Legal)
Total number of people directly receiving service
Should be
same as “A”
on previous
page.
To avoid losing data, Make sure to Click SAVE first before clicking other buttons.
SAVE
EXIT
“MATTERS” SERVICE REPORT
IV -- Outreach
YEAR:
Grantee Number
Grantee Name
Models Used
Check All Applicable Methods Used
Check only the methods your program has
employed during the reporting period.
1 Informational notices published in print media
2 TV spots or PSAs
3 Radio spots or PSAs
4 Newsletter(s)-external to program
5 Referral agreements with other agencies
6 “How to reach us” pages on web sites
7
Other-Please describe in Narrative.
To avoid losing data, Make sure to Click SAVE first before clicking other buttons.
SAVE
EXIT
“MATTERS” SERVICE REPORT
V -- “Indirect Service” Matters
YEAR:
Grantee Number
Grantee Name
Models Used
Check All Applicable Methods Used
Check only the methods your program has employed
during the reporting period.
1 Legal education for lay service providers.
2 Collaborative service delivery models
3
Other indirect service matters
Please describe in Narrative.
To avoid losing data, Make sure to Click SAVE first before clicking other buttons.
SAVE
EXIT
“MATTERS” SERVICE REPORT
VI --Other Matters-Mediation/ADR & Direct Service A
YEAR:
Grantee Number
Grantee Name
Number of People Directly Receiving
Service
Models Used
(a) Measured (b) Estimated
(c)
Total
1 Mediation/alternative dispute resolution
services not included in “case service” statistics
2 Direct Services not included in case
service statistics
Total number of people directly receiving service
Also provide a breakdown of this
number, by type of matter, in “B” on
next page.
Note - if you have any other Matters that do not fit into any of the categories in
Sections I-VI, please report on them in your Narrative under VI, Other, but
do not attempt to report on them in these forms. If you have Matters that
could be reported in more than one of these sections, please use whatever
section best describes them, even if the fit is not perfect.
To avoid losing data, Make sure to Click SAVE first before clicking other buttons.
SAVE
EXIT
“MATTERS” SERVICE REPORT
VI - Other Matters - Mediation/ADR & Direct Services B
YEAR:
Grantee Number
Grantee Name
B. Subject Matter Categories
Number of People Directly
Receiving Service
1 Consumer/Finance
2 Education
3 Employment
4 Family
5 Juvenile
6 Health
7 Housing
8 Income Maintenance
9 Individual Rights
10 Other/Multiple Problems
Total number of people directly receiving service
Should be
same as “A”
on previous
page.
To avoid losing data, Make sure to Click SAVE first before clicking other buttons.
SAVE
EXIT
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

MATTERS SERVICE REPORT STATISTICAL PORTION I -- Community (Legal Services Corporation)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 19 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document