Pro Bono Enrollment Form


Name:
County:
Type of Practice:
Foreign Language:
*Year Admitted to Practice:
*Year Admitted to Florida Bar:
FL Bar Number:
Firm Name:
Firm Address:
City:
State:
Zip:
Phone:
Fax:
Email:

I will fulfill my pro bono hours in the areas of law and/or projects checked below:

Areas of:
Family
Landlord / Tenant
Real Property
Bankruptcy
Consumer
Tort Defense
Collections
Employment
Tax Assistance
Social Security
Estates Probate
Wills
Projects:
Pro Bono Helpline
Case Referrals
Pro Se Divorce or Modification Workshops
Legal Advice Clinics
Family / Civil Mediations
Presentations for Community Education
Fifth Circuit Public Guardian Corporation
Mentoring Legal Services Attorney or new Pro Bono Attorney
Guardian Ad Litem or Family Law Center
Foreclosure Mediation Representation

* Information required by CLSMF Malpractice Insurance Policy that covers attorneys who accept Pro Bono cases.

        


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