Step 1: Eligibility Form
This form will help us determine if you are eligible for our services. Please note, this form is not the complete application. If you are found to be eligible, the full Application For Representation will be sent to you. This form takes most people about 15 minutes to complete. If you have any questions, or prefer to complete a paper Eligibility Form, please contact the Intake Coordinator at 801-328-8849.
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