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SCCLS Online Inquiry Form

The form you are about to fill out and submit is an INQUIRY for legal services. In order to determine your eligibility and whether you have a legal problem we handle, we will contact you by telephone to complete your application. Since submitting an online inquiry does not establish your eligibility, we can not guarantee that you will receive services.

DO NOT USE THIS ONLINE INQUIRY FORM IF YOU HAVE A COURT DATE, HEARING DATE, OR DEADLINE OF ANY KIND WITHIN THE NEXT 14 DAYS!! INSTEAD, PLEASE CALL US AT

1-800-244-9023

Before you complete this form, review eligibility requirements here.

While SCCLS will keep your information confidential, submission of this form does not create an attorney-client relationship between SCCLS and you.

SCCLS Online Inquiry Form

To fill out this form in your preferred language, click on the TRANSLATE THIS PAGE link at the top of the screen.

Enter your information below. An asterisk (*) indicates an answer is required.

"*" indicates required fields

Do you have a DEADLINE or COURT DATE?

Yes

If yes, please enter the date here.

Month

Day

Year

IMPORTANT: If your deadline or court date is in the next 14 days, please apply by phone at 800-244-9023.

If you prefer to be assisted in a language other than English, please provide your language preference.

City or town in Massachusetts where you live*

Name*

First Middle Initial Last

Email*

Enter Email Confirm Email

We will use your email address to contact you unless you tell us otherwise. By entering an email address here you consent to the use of email for communication from us.

Best way to reach you in writing:

Mailing address

Address*

Street Address City State ZIP Code

Mailing address (if different from street address)

Street Address City State ZIP Code

Date of birth*

Month

Day

Year

Phone*

Best phone number to reach you during business hours

Alternative safe numbers or special instructions concerning contacting you.

How did you hear about South Coastal Counties Legal Services or the Justice Center of Southeastern Massachusetts?

Court staff person

Social service agency

Past SCCLS client

Government agency or representative

Other

What type of legal problem do you have?*

Select the best description of your legal problem.

Custody problem between me and my child's other parent

Divorce

Eviction

Bankruptcy

Social Security

Food Stamp or Cash benefits (TAFDC, EAEDC, or EA)

Public Housing or Subsidized Housing

Unemployment Benefits

Emergency Shelter

Utility

Access to Education

MassHealth or Medicare

Veterans Benefits

Other

Describe your legal problem.*

Is your legal problem the result of being a victim or survivor of a crime?

Yes

Name of opposing party (person, business or government agency) with whom you have a dispute:*

Nature of your relationship to opposing party:

Date of birth of opposing party, if known

Month

Day

Year

Confirm your entries and submit your Online Inquiry.

You may help someone submit this inquiry form, but to ensure proper consent, the SCCLS paralegal who follows up will have to speak with the person who needs the legal assistance, unless you are that person’s legal guardian.

When you click the Submit button, your info will be sent to our Intake staff and you will be contacted by phone for more information. We will do our best to contact you within one week.

We will make two attempts to contact you by phone. If we are unable to reach you after two attempts, we will send you an email (or letter if you did not give us an email address) informing you that we will close your inquiry if you do not contact us within 10 days. To assist us in contacting you, please be sure to have voice mail or an answering machine available where we may leave a message.

Date

Month

Day

Year

What Happens Next

You will receive a confirmation email that your inquiry was successfully submitted. You will be directed to a website where you may find some helpful information to review. Our intake staff will contact you via email or telephone, usually within one week.

Thank you for contacting SCCLS.

Client Stories

Housing
Public Benefits
Family Law
Immigration
Education
Senior Law Project
Consumer Debt
Employment
Civil Legal Aid for Victims of Crime

Housing
Public Benefits
Family Law
Immigration
Education
Senior Law Project
Consumer Debt
Employment
Civil Legal Aid for Victims of Crime

Get Help

REQUEST HELP ONLINE

REQUEST HELP BY PHONE

800-244-9023

Telephone intake hours:
Monday – Thursday
9:00 am – 2:00 pm

Victims of crime who have a legal need related to the crime, may call our Civil Legal Aid for Victims of Crime (CLAVC) intake line at 774-488-5958. To learn more about CLAVC, click here.

Are you facing eviction or housing instability?

Because of special funding, we may be able to help. Please call 800-244-9023 for assistance.

Intake Line: 800-244-9023

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Pursuant to the policies of the Legal Services Corporation with respect to Disclosure of Information (45 CFR 1619) and SCCLS adoption of said policy/procedure, you are hereby notified that you may access the LSC Act, LSC rules and regulations at http://www.lsc.gov/about/lsc-act-other-laws; should you wish to access SCCLS’ written policies, procedures, and guidelines, and the names and addresses of the members of its governing body, you may do so by sending an email to Jeanne Marcotte, Assistant to the Executive Director or by calling her at 774-488-5942.

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