Law Firm Pro Bono Reporting Form

www.dadelegalaid.org

(305) 579-5733
Law Firm Pro Bono Reporting Form

2024
Please complete the form below and include all of the cases the firm handled or completed in 2024 in order to be included in our circuit report.

Thank you!

Stephanie Grosman, Esq.
Law Firm Coordinator
Law Firm Name*
Pro Bono Coordinator*

First NameLast Name
E-mail*
example@example.com

Please fill out information below.

	Attorney Name	Bar#	Client Name	Type of Case	Date Opened	Date Closed	Pending	Closing Code
1
2
3
4
5
6
7
8
9
10

Please attach any additional documentation regarding your firm's Pro Bono hours. Thank you for your participation in Put Something Back.

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Should you have any questions, please contact Stephanie Grosman at sgrosman@dadelegalaid.org
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