IDENTIFYING INFORMATIONLawyer Referral and Information Service Agreement • November 13th, 2019
Contract Type FiledNovember 13th, 2019NAME EMAIL FIRM NAME BUSINESS ADDRESS CITY STATE ZIP OFFICE PHONE CELL FAX I would like the following individual to receive copies of my appointment confirmations and case status requests: NAME EMAIL STATE BAR LICENSING ⬜ I am currently authorized to practice law in MN YEAR AMITTED IN MN MN LICENSE NUMBER ⬜ I am currently authorized to practice law in another state: ⬜ I am admitted to practice law in MN Federal District Court ⬜ I am admitted to practice before a Tribal Court CLIENT ACCOMODATIONS List other languages in which you are proficient or have interpreters available: ⬜ Willing to meet clients outside traditional business hours: ⬜ early morning (before 8 am) ⬜ Evenings (after 5pm) ⬜ Weekends ⬜ Willing to acception consultations from referrals currently in jail or prison ⬜ Willing to meet with clients at an altnernative location (ie. client's home, the library, or the bar association) ⬜ Willing to accept refferals with legal issue in the following zones (counties included