Apply For Services

Intake

Please fill out the below online intake system for the Access to Justice Hub and DCLC.

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Step 1 of 2

Legal Full Name

Support Person Full Name and Organization (if completing this form on behalf of someone)

Name commonly known as (if not legal name)

Date of Birth

Street Address (including Apartment / Unit # if applicable)

City

Province

Postal Code

Phone Number

LEGAL SERVICES SUPPORT REQUEST – Select your 1 to 3 Primary concerns

(Please note we do not practice Family or Criminal Law)

Are you in receipt of any financial assistance / benefits?

YOUR STORY (please include dates)

(Please tell us a bit about your issue)