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Case Questionnaire Form

Although we keep our files confidential, submitting cases via e-mail and fax are not a secure means of transmission. Please print this form, fill it out and mail this form to the postal address listed on the form.

If we need information in addition to what is on this form, we will call or write you. We will respond as quickly as possible. However, please be aware that our limited resources mean that we can accept very few cases. Also, because there may be some delay in an initial response, you should seek advice from an attorney about time deadlines that might apply to your case. Do not wait to hear from us before taking action with regard to your case, or finding out about time deadlines that might be applicable. We cannot give you any advice about your case, and you are responsible for meeting all deadlines.

PLEASE DO NOT ENCLOSE ANY ORIGINAL DOCUMENTS WHEN YOU RETURN THIS FORM. Because we receive so many requests for assistance, we cannot return any materials that you submit to us with your intake questionnaire.

PLEASE PRINT CLEARLY AND BE SURE TO READ INFORMATION ABOUT HOW THE ACLU ACCEPTS CASES BEFORE FILLING OUT THIS FORM.

 

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