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Intake Form
If you think you need legal help, please complete this form and a CJI intake representative will contact you.
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Email
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Your email
First Name
*
Your answer
Last Name
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Your answer
Phone number
*
Your answer
Brief description of legal issue
*
Your answer
County of residence (or case filing)
Your answer
Income
Your answer
Family Size
Your answer
Opposing Party
Your answer
Case number (if available)
Your answer
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