Three Rivers Legal Services, Inc.
Volunteer Attorney Enrollment Form
Your full name:
Florida Bar Number:
Firm Name:
Your Office Address:
Your Mailing Address:
Your email address:
Office phone no.
Fax no.
Alternate phone no. (e.g. mobile)
Please check the counties where you regularly practice in our service area.
3rd Circuit
4th Circuit
7th Circuit
8th Circuit
Columbia
Clay
St. Johns
Alachua
Dixie
Duval
Baker
Hamilton
Nassau
Bradford
Lafayette
Gilchrist
Madison
Levy
Suwannee
Union
Taylor
I prefer referrals in the following practice areas (check all that apply)
Bankruptcy
Collection Defense
Contracts and Warranties
Truth in Lending
Special Education
School Discipline
Wage Claims
Employment Discrimination
Unemployment Comp
Adoption
Custody and Visitation
Divorce
Paternity
Injunctions for Protection
Guardian Advocacy
Medicaid
Medicare
Private Health Insurance
Landlord Tenant
Foreclosure
Mobile Homes
Real Property Litigation
Real Property Transaction/Deed Prep
Social Security/SSI
Veteran's Benefits
Retirement Income
Immigration
Expunction/Record Sealing
Civil Rights
Non-Profit Corporation
Wills and Advanced Directives
Probate
Taxes
Small Claims
Insurance (life, property, auto)
Other legal issues not listed:
I am willing to participate in Community Legal Education programs in the following areas:
Contracts, Warranties, Loans, Collections
Education Law
Employment Law
Tax Law
Family Law
Landlord Tenant Law
Real Property Law
Foreclosure Law
Medicaid/Medicare Law
Social Security/SSI Law
Veteran's Benefits Law
Immigration Law
Expunction and Record Sealing Law
Wills/Estate Planning
Probate Law
Other CLE Topics not listed above:
I am interested in participating in an Advice Clinic
I am interested in a project for my firm in the following area(s):
Comments or Questions: