Legal Services of the Hudson Valley Intake Application
Confidential Legal Intake Form
To help us process your intake as quickly as possible, please complete every question that applies to you. Information submitted through this form is confidential and will be reviewed to determine whether assistance may be available.
Private by default
Only you and authorized staff can see your answers. Uploaded documents stay in private storage.
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No promise of representation
Submitting this form does not create an attorney-client relationship and does not guarantee legal assistance.
Privacy notice
This form collects sensitive legal, financial, and personal information. Answers are used to review whether assistance may be available. We collect only the last four digits of Social Security numbers online. Do not use this form to report an emergency — if you are in immediate danger, call 911.