Small Business Legal Advice Project Client Questionnaire

You must completely fill out this questionnaire prior to your meeting(s) with a volunteer attorney.

Spanish Only?

First Name (required)

Last Name (required)

Gender (required)

Telephone Number (required)

Email Address (required)

Address (required)

City (required)

State (required)

Zip (required)

Has your projected business profit decreased by 25% or more since March 12, 2020?

If so, by how much? (percentage)

Total number of employees in your business on March 1, 2020 (must be 25 or fewer to be eligible)

Do current economic conditions deprive you of the financial means to hire an attorney for your matter? (required)

Structure of Your Business

If other, please describe:

Business Name

State of Incorporation (if any)

Business Address (if different than above)

Are you currently represented by an attorney?

Do you have an attorney assisting you with the matter you are
seeking help with today?

Does your matter involve a court case? Has a lawsuit already been filed in this matter?

Description of concern/question

Name of Adverse Party

DISCLAIMER: Participation in this program does not establish an Attorney/Client relationship. You will meet with a volunteer attorney for a more in-depth interview and then another volunteer attorney to discuss your matter but neither of these volunteer attorneys are offering or agreeing to represent you in any legal matter. Assistance provided under this program is based only on a brief interview of the facts disclosed. Additional facts or disclosures might result in different legal information being provided. Legal Aid Center of Southern Nevada and its pro bono volunteers are not responsible for the outcome of your matter.

CERTIFICATION: By submitting this online application for this program, you hereby certify that you provided the information in the online application in good faith and it is true and correct to the best of your knowledge. You understand that if the information is incorrect, you may be ineligible to receive counsel and advice services through the Small Business Legal Advice Project. Your submission constitutes your agreement to these terms.