Request for Assistance

Please use the form below or the printable version of it to request that Green Pro Bono arrange pro bono legal assistance for your organization. Please be sure to read our Request for Services Agreement before submitting your request.

Organization Name:  
Contact Name:  

Street Address:  
Zip Code:  

Telephone Number:  
E-mail Address:  
Web Site (Optional):  

Please describe the environmental activities of your organization.

Does your organization operate as a formal business, such as a nonprofit, LLC or corporation?

Yes   No

If so, what kind?

For how many years has your organization been in operation?

What is your organization's annual budget?

If your organization is a not-for-profit, does it have 501(c)(3) status?

Yes   No   Not Applicable

Please briefly describe your legal needs. Please be as detailed as necessary while excluding
details that you believe should be kept confidential.

Please list any outside organizations or individuals involved in your legal matter.

If you have consulted any other attorney in connection with the matter described above, please
state who was consulted, what the advice given was and why you are not pursuing the matter
with the attorney consulted.

Please list any law firms that have provided you with pro bono legal help in the past.

How did you hear about us?

Sometimes funding organizations ask for a sampling of names of Green Pro Bono clients. May
we release the name of your organization to these funders?

Yes   No

May we release the name of your organization and nonconfidential information about your
organization and case in our public relations materials?

Yes   No

By making use of the Submit button below, you are agreeing to be bound by the terms and
conditions set forth in the Request for Services Agreement. If you are agreeing on behalf of an
organization, you hereby represent and warrant that you are authorized to bind the organization.


Additional Information

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