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Friday, October 22, 2021

Drive Legal Appointment Form

COVID-19 NOTE: Due to the current pandemic and court closures all in-person Drive Legal services including appointments and court appearances have been suspended until further notice. However, the Drive Legal Program can continue to provide services via phone, website and through mail requests.
A $20.00 fee will be charged for every missed appointment where a cancellation, or request for rescheduling, has not been received by the program with at least 24 hours’ notice.
First Name: (Required)
Last Name: (Required)
Date of Birth: (Required)
Phone Number: (Required)
E-mail: (Required)
Driver's License No: (Required)
Desired Location:
Desired Service:
Desired Week: (Required)
Desired Time: (Required)
How did you hear about the program? (Required)
Notes: (Provide any additional Case information here)
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