CLI of MN Sliding Scale Fee Program

IMPORTANT: This program is for divorcing couples and separating parents who have low conflict and can cooperate and work together with professionals out of court. We will not be able to help you if there is a lot of conflict or if there are court hearings or if there is a restraining order or a criminal case involved.

We are not able to accept all applications to this program.

If you have questions about this form or about the sliding fee program, please email us at slidingscalefees@collaborativelaw.org.

If you don't know the answer to a question, it's OK to leave it blank.

Information about you:

Name

First NameMiddle NameLast Name

E-mail

Phone Number

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry

County

What county do you live in?

Your income:

Are you paid hourly or on a salary?

Paid hourlyI have a salaryI don't work or don't have income myselfIt's complicated or I don't know

What is your hourly wage or annual salary?

Information about your children (if any):

How many children do you have?

What are their ages? (leave blank if no children)

Information about your spouse or the other parent if not married:

(leave unknown information blank)

Name

First NameMiddle NameLast Name

E-mail

Phone Number

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry

County

What county does your spouse or the other parent in this case live?

Are they paid hourly or on a salary?

Paid hourlySalaryDoesn't work or no incomeIt's complicated or I don't know

What is their hourly wage or annual salary?

Contact preference:

Is it OK for us to contact you and your spouse or the other parent in this case at the phone numbers and emails provided:

Yes, it's OK to contact both of us at any of the phone numbers, email addresses and mailing addresses provided.No, it's more complicated than that and I have some questions or concerns which I'll explain in the answer box below.

If you have any concerns about us contacting you or the other person, explain that here:

What is the best way to contact you?

How did you hear about us?

Is there other information that you'd like us to know as we review your application?

IMPORTANT - By submitting this form I am not guaranteed to be accepted into the Sliding Scale Fees Program and there are further steps to complete the application process and to hire any professionals.

QUESTIONS - If you have questions about this form or about the Sliding Fee Program, please email us at slidingscalefees@collaborativelaw.org.

We expect to follow up with you within approximately 3-5 days to move forward with your application. This form is made using "Jotform" and you may receive a response from us through a noreply@jotform.com email address. We will not receive your email unless you respond by email to slidingscalefees@collaborativelaw.org.

Sliding Scale Fees Program - Initial Intake Form