Appointment Form
Clients who have been appointed Elkhart Legal Aid by a Court Judge
Please be advised that Elkhart Legal Aid cannot assist with Child Support and Goshen City Criminal Misdemeanor cases unless appointed by a Court Judge.
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Employer Info
Are you currently employed?
*
Yes
No
Employer Name
Employer Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Employer Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
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What type of case has Elkhart Legal Aid been Appointed to?
*
Goshen City Criminal Misdemeanor
Child Support (Title IV-D)
What is your cause number?
*
When is your next scheduled hearing?
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please upload any documents you wish your attorney to review during your appointment.
Browse Files
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Choose a file
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Please verify you are human.
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