Request for Assistance Form

Do you have an attorney assisting you with this matter?

If so, they must contact us directly.

Please fill out this form as completely as possible.

LDF is an organization with limited resources, and we can only accept a small percentage of the many requests for assistance that we receive. We will respond to you if we may be able to assist you.

All legal claims have deadlines. For some civil rights violations, you may be required to file a notice or pursue options with a government agency before you can file a lawsuit in court. If you do not comply with time deadlines or notice requirements, you could be legally prevented from pursuing your claim in court. Contacting LDF for legal assistance does not stop these deadlines or eliminate the need to file notices. If you have an urgent need or must meet a deadline, contact a private attorney, your local public defender, or your state’s bar association. DO NOT WAIT for a response from LDF.

Nothing on this website should be considered legal advice. Contacting LDF for legal assistance, including the completion of this form, does not create an attorney- client relationship. LDF is not your lawyer.

FIRST NAME*
First
LAST NAME*
EMAIL ADDRESS*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
PHONE NUMBER*
BEST TIME TO CALL*
Are you involved in a current LDF case?*
- YES
- NO
if yes, please explain:
Please provide a complete and detailed description of the events giving rise to your request for assistance, including:
1. What happened? 2. Dates, places, and the names of the people directly involved. 3. What explanation, if any, was given for what happened? 4. Why do you think this happened to you? 5. What steps, if any, have you taken (filed a complaint or appeal with the parties involved, any public agency or official, or any other organization)? 6. To whom did you complain and what is the status of the complaint? 7. What documentation do you have on the matter?
Please state clearly what you would like NAACP Legal Defense Fund to do for you.*
List any other agencies from whom you have requested assistance.*
AGREEMENT*
Please check this box to indicate that the information you have provided is true and correct; that you understand that, by accepting this complaint form, the NAACP Legal Defense Fund is not agreeing to represent you; and that you understand that the NAACP Legal Defense Fund is not responsible for ensuring that any statute of limitations requirement or other deadline is met in your case.
- YES, I UNDERSTAND
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Phone
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25224

Legal Assistance

Request for Assistance Form

Do you have an attorney assisting you with this matter?

Nothing on this website should be considered legal advice. Contacting LDF for legal assistance, including the completion of this form, does not create an attorney- client relationship. LDF is not your lawyer.

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