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Lawyer Referral Fax or Mail-in Form 

(use this form if you prefer to fax or postal mail your request)

Use the printer icon (or go to File, then Print in the menu at the top of this browser) 
to print out this form.  Then fill in the blanks, and fax or mail it using the information 
at the bottom of this page.

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First Name: _______________________            Last Name: _______________________    
Street Address: ________________________________________
City, State, Zip: ________________________________________
Daytime Phone: _______________________            Email: _______________________    

Categories:

Please circle the category that best represents your legal situation.  If you're not sure which category best applies, please describe your problem in the Additional Comments section below.

Not Sure

Antitrust

Appellate Work

Bankruptcy

Civil Rights / Discrimination

Consumer Affairs

Contracts - Commercial

Contracts - Construction or Home Improvement

Contracts - Debt Collection

Contracts - Employment

Contracts - Entertainment

Contracts - Insurance

Contracts - Lemon Law

Contracts - Other

Corporations, Partnerships, Small Business

Criminal - Misdemeanor

Criminal - Felony

DWI

Education

Environmental

Estates - Wills

Estates - Trusts/ Estate Planning

Estates - Probate

Estates - Elder Law

Family - Adoption

Family - Custody

Family - Child/ Spousal Support

Family - Name Change

Family - General Family Court

Family - Family Offense (Order of Protection)

Civil Cases

Immigration / Naturalization

Intellectual Property - Copyrights/Trademarks

Intellectual Property - Patents

International Law

Labor - General

Labor - Employment Discrimination

Labor - Wrongful Termination

Landlord/Tenant

Libel/Slander

Malpractice - Medical

Malpractice - Legal

Malpractice - Dental

Malpractice - Other

Mediation - Family

Mediation - Business

Mediation - Divorce

Medicaid - Payments

Mental Health

Military / Veteran's Rights

Negligence/  Personal Injury

Prisoner's Rights

Professional Licensing

Real Estate - Condos/ Homeowners Assn.

Real Estate - Limited Partnerships/ Joint Ventures

Real Estate - Sales/Purchase/ Refinance

Real Estate - Zoning/Variance

Real Estate - Other

Securities - Litigation (Stocks/Bonds)

Securities - Registration (Stocks/Bonds)

Sexual Harassment

Social Security Disabilty (SSD)

Social Security Income (SSI)

Social Security - Other

Tax / Taxation

Unemployment Hearings

Vehicle / Traffic

Workers' Compensation - State

Can you afford to hire an attorney 
(pay a reasonable fee)? 
Yes      No     (please circle)   
How would you prefer to
receive your response?
Email      Postal Mail      Phone Call     (please circle)   
Additional Comments: (If you need more space, continue on an extra page of paper.)

_______________________________________________________

_______________________________________________________

_______________________________________________________

Once you have filled out this form, please send it by

fax:
       315-471-0705
or mail it to:  
      Onondaga County Bar Association
      Lawyer Referral Service
      1000 State Tower Building
      Syracuse, NY  13202

   If you prefer to send your request by email, please link here.

If you prefer not to make a Lawyer Referral Request, return to the Homepage.

 

Lawyer Referral Service  |  315-471-2690