WRLC Intake



















The Volunteer Lawyers Project (VLP)  offers help with Worker's Rights through our Worker's Rights Legal Clinic (WRLC)

WRLC is a weekly worker's rights clinic that takes place via phone/zoom. If you qualify, this would be a way to talk to a volunteer lawyer for free about your worker's rights case for a half hour consultation. We do not have volunteer lawyers who can go to court with you, but you can request more than one appointment at the clinic. You would be able to get advice on how to represent yourself, file paperwork, serve documents, and how to prepare for court. If you are interested, please complete all parts of this form and click "submit" at the end. Please note, by accepting this form, VLP is not agreeing to accept your case, and we are not your lawyer.  

In order to attempt to recruit a volunteer lawyer to help you, we may share some of the information you provide to us with the potential volunteer lawyers. By applying for help through our program, you agree that we may share your information for this purpose.  

Some important information:  
We will review your request when it is received and make a determination if you qualify for this service.  
We serve only low income Mainers, and you will need to provide some financial information to determine if you qualify.  
You will receive either a phone call or email from VLP within one to two weeks to confirm your submission and give you information about scheduling.  
You may receive a phone call from a blocked number.  
VLP does not provide full representation and we will not be able to provide a lawyer to go to court with you.  
 

Some resources that may be helpful in the meantime:  

The Southern Maine Worker's Center has many resources to support workers:
https://maineworkers.org/

The Maine Department of Labor has information that may be helpful: https://www.maine.gov/unemployment/
 

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Email *
We will contact you from a BLOCKED number or a GOOGLE VOICE number or EMAIL.  We want to be able to reach you to 1) Do the intake interview and 2) schedule you for a clinic if you are eligible.         

DO YOU CHECK YOUR EMAILS and CAN YOUR PHONE RECEIVE CALLS FROM BLOCKED NUMBERS? 
 *
Do you need an interpreter?
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If yes, what language do you prefer?
Full Legal First and Last Name *
What is your zip code? *
What is your street address? *
What city do you live in? *
State
County of Residence *
County of Dispute *
Is your mailing address different than the address you have provided? *
If yes, please provide your mailing address:
Please provide a good phone number to reach you: (our volunteers will call you from a blocked number) *
Is email a good way to reach you?
Clear selection
Email address:
What is your date of birth? *
Number of People 18 and Over in Your Household (including you) *
Number of People Under 18 in Your Household *
What type(s) of income does your household have? Please include everyone living in your home who has their own income *
What is your overall household income per month? (this means the income of all individuals bringing in money to contribute to the household before taxes, rent, other expenses) *
Other than a home you live in, and one vehicle, do you have any other assets worth over $5000, such as: other property and/or $5000 in a bank account? *
Asset Dollar Amount *
Additional financial information we should know?
Please name the opposing party in this case?
What is the address of the opposing party?
Gender *
What race or ethnicity do you identify as? *
Required
What language do you speak most at home? *
Do you need an interpreter?
Clear selection
Do you have a physical, mental, or learning disability? *
Does anyone else in your household have a disability? *
Are you currently serving in the military? *
Have you ever served in the military? *
Is there anyone in your household who is currently serving or who has ever served in the military?
Clear selection
Is this case going through a specific court? *
If yes, which court or agency?
Do you have a deadline? *
When is the deadline?
What is the deadline for?
Legal Problem Type *
Do you have an attorney at this time? *
Is your problem with your employer or someone else? *
If someone else, who is that?
What is your goal for this problem? What would you like to see happen?
Who is/was your employer? (please include address)
Opposing party's attorney name and number (if known)
What is/was your job or position?
What was your hire date?
Are you still employed?
Clear selection
If No, what was your end date?
How did you hear about the VLP and the Worker's Rights Legal Clinic?
How many employees work at your work location?
How many hours per week did/do you work?
Are you paid
Clear selection
How much are/were you paid?
How much did you make last year?
Do you have concerns that you are not being paid fairly?
Are you a Union Member? If so, which one?
Do/Did you have an employment contract?
Please describe your issue related to employment that you need help with, including whether you’ve tried to work it out with your employer, and whether other employees have had similar problems. *
When did this issue start?
What has your employer said about this issue?
What have other people at work said about this issue?
Do you think you are being treated badly due to discrimination or because you have spoken up about something? If yes, please explain.
Are coworkers experiencing similar issues?
If you no longer work there, are you still connected to your past coworkers?
Did you have performance evaluations at this job? What were they like, if so?
Is there anything else you would like the attorney to know about your legal issue?

I acknowledge and confirm that the above information is correct. I understand that providing false information may lead to termination of services. I give permission for this information to be shared with the Volunteer Lawyers Project attorney and staff.
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Please reading the following and indicate if you agree:                                                                            "I understand that the Maine Volunteer Lawyers Project is helping me talk to a lawyer about an employment law case. I understand that the volunteer lawyer I speak to may be able to give me some legal advice based on what I tell them. The VLP’s staff and volunteers may not be able to answer questions that go beyond how to fill out the court forms, how to serve them on the opposing party, and how the court process works in general. I understand that the VLP’s staff and volunteers will not be representing me after my appointments and will not be representing me in court. I understand that the VLP will not be able to provide me with a pro bono attorney except for when I speak to a lawyer at the clinic. I understand that the VLP cannot guarantee the outcome of my case. I understand that the lawyer helping me has told me that she or he does not know of any conflicts of interest affecting this representation and I know of none either. I understand that the lawyer helping me will not keep a file or any papers on my behalf. I have read this agreement and agree to its terms." *
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