Attorney Volunteer Form

    Full Representation

    Yes, I am interested in providing full legal representation to a low-income senior to handle their legal matter (both litigation and transactional matters) in the following areas: (please check all appropriate boxes)

    Help seniors facing domestic violence and abuseHelp seniors facing a threat or potential threat to their home ownershipHelp grandparents raise grandchildren in custody actionsAdvocate for seniors who have been victims of financial exploitation or consumer fraudEnable seniors to stay in their homes by helping to fight eviction in landlord/tenant actionsHelp seniors get title to their homes through probate of a small estateHelp seniors plan for their futures by writing advance planning documents: simple wills, living wills, and/or powers of attorney

    YesNo

    NortheastS. Phila.W. Phila.OlneyGermantownN. Phila.Center CityOther

    Limited Representation through Pennsylvania
    SeniorLAW HelpLine

    Yes, I am interested in providing limited representation to Pennsylvania seniors, to provide legal advice, counsel, information and/or referral services through the Pennsylvania SeniorLAW HelpLine. Please indicate the areas of law in which you have experience and expertise to counsel and advise Pennsylvania SeniorLAW HelpLine callers. Please check as many as appropriate.

    Torts

    Auto AccidentsMalpracticeOther Torts

    Consumer

    Bankruptcy/Credit ProblemsLoans/Debt CollectionContracts/Contractor ProblemsUnfair Trade PracticesWarranties

    Family

    Divorce/SeparationCustody/Visitation/SupportDomestic ViolenceName ChangeAdoptionQualified Domestic Relations Order

    Tax

    FederalStateLocalTransferInheritance

    Health

    Medicare and MedigapPrivate Health InsuranceNursing Home IssuesAssisted Living IssuesLiving Wills andHealth Care Powers of AttorneyMedicaid Benefits

    Housing

    Landlord/TenantSubsidized HousingUtilitiesMortgage ForeclosuresReverse MortgagesReal EstateZoningTitle Issues and Deed TraCode EnforcementTime SharesMobile HomesReal Estate Tax Sales

    Estates

    ProbateGuardianshipEstate PlanningJoint OwnershipWillsTrustsPOAs - General/FinancialMedicaid Estate RecoveryMedicaid Estate Planning

    Other

    Life and Auto InsuranceAge DiscriminationNeighbor DisputesImmigration IssuesDrivers LicensesEmployment LawCriminal LawVA BenefitsAutomobile Sales and Leases

    HelpLine volunteers are provided with training and materials before taking calls to advise and counsel senior clients.

    For All Volunteers

    YesNo

    YesNo

    YesNo

    YesNo

    YesNo

    YesNo

    YesNo

        I agree that all services provided to SeniorLAW Center clients will be on a pro bono basis.

    Contact Dana Goldberg, Legal Director, at (215) 701-3202 or dgoldberg@seniorlawcenter.org with any questions.

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