TA Request Form

The Victim Rights Law Center National Training and Technical Assistance Program has been established to offer legal resources and professional support. The VRLC 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 72 business hours.

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. The VRLC will not use or redistribute information provided for any other purpose without your express consent.

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 VRLC with any individually identifiable information when framing the issue.

What type of assistance do you want? Please do not provide VRLC with any individually identifiable information when framing the issue.

Depending upon your needs, VRLC 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 VRLC have permission to share your information?
Yes No

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