Registro - consulta telefónica - Centro San Juan Diego

Skip to main content

Hit enter to search or ESC to close

Acerca
Clases
Educación Superior
Formación y Apoyo Familiar
Involucrarse
Servicios
Contáctanos
- ¡Envíanos un mensaje!
- La Tilma
Donar

Inscripción para la Noche Legal Virtual / Legal Night Registration Virtual 4/15

First Name*
Last Name*
Phone Number*
Type of telephone / Tipo de teléfono*
- Cell phone / celular
- Landline / fijo
Email
Do you speak English or do you need an interpreter? / ¿Hablas inglés o necesitas intérprete en español?*
- I speak English.
- Necesito intérprete en español.
Have you been to Legal Night at Centro San Juan Diego before? / ¿Ha participado en la noche legal de Centro San Juan Diego antes?*
- Yes / Sí
- No
How did you hear about Legal Night?*
Which date would you like to have your legal consult?*
What type of case would you like to discuss? (You may only choose one type of case per consultation.)*
Please identify the area of focus of your case.*
Has the divorce process already been started? / ¿Ya se inició el proceso del divorcio?*
- Yes / Sí
- No
Are you seeking child support? / ¿Busca manutención ?*
- Yes / Sí
- No
Please briefly explain what has been resolved so far? / Por favor explique brevemente ¿qué se ha resuelto hasta ahora?*
Do you and your partner own any property? / ¿Usted y su pareja son propietarios?*
- Yes / Sí
- No
Do you have a common law marriage? / ¿Su relación es de unión libre?*
- Yes / Sí
- No
How many years have you been married?
How old are your children, if you have any?
Please identify the area of focus of your case.*
How long have you lived at your current residence?
In what county is the property located?
What type of lease do you have (if applicable)?
Please identify the area of focus of your case.
Do you have a Public Defender or Alternate Defense Council? / ¿Tiene Defensor Público o Abogado Defensor Alternativo?*
- Yes / Sí
- No
In what county did the situation happen?
What is your case number (if applicable)?
Please briefly describe your legal issue, providing as much detail as possible. / Por favor explique brevemente el asunto de su caso, proporcionando tantos detalles como posible.*
Please identify the area of focus of your case.
Are you just starting the process now? / ¿Está usted apenas iniciando el proceso ahora?*
What is the legal status of those involved? / ¿Cuál es el estatus legal de los que están involucrados?
Please identify the area of focus of your case.
Please identify the area of focus of your case.
What was the date of the accident?
MM barra DD barra AAAA
Has the accident been reported? / ¿Se reportó el accidente?
- Yes / Sí
- No
Have you seen a doctor? / ¿Ha ido al médico?
- Yes / Sí
- No
Please identify the area of focus of your case.
In which county is the case filed?
Please identify the area of focus of your case.
Please identify the area of focus of your case.
What was the date of the surgery/incident?
MM barra DD barra AAAA
In which hospital did the incident take place?
Were long-term damages incurred? / ¿El incidente incurrió daños a largo plazo?
- Yes / Sí
- No
Please briefly explain the incident.
What was the date of the injury / accident?
MM barra DD barra AAAA
What is the injury?
Please explain briefly the cause of the injury. / Por favor explique brevemente la causa de la herida.
If you need help filling out this form, please call: 303-295-9470. Please note this number is for technical assistance only. No legal help will be provided. Si necesita ayuda en llenar este formulario, favor de llamar al: 303-295-9470. Este número es sólo para asistencia técnica. No se proporcionará asistencia legal.
Website
File
Tamaño máximo de archivo: 350 MB.

twitter
facebook
instagram

Acerca
Clases
Educación Superior
Formación y Apoyo Familiar
Involucrarse
Servicios
Contáctanos
- ¡Envíanos un mensaje!
- La Tilma
Donar