NICWA and the ILPC have crafted the following survey to collect a list of attorneys across the country who handle and are willing to take ICWA cases. The information you provide will be furnished to individuals who call NICWA and ILPC looking for legal assistance with ICWA cases. The information collected from this survey will not be sold or distributed; it will only be used to provide individual attorney referrals.

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* 1. I am licensed to practice in the following state(s):

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* 2. I am licensed to practice in the following tribal courts:

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* 3. I work for:

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* 4. How many cases have you handled that involved ICWA issues?

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* 5. Cost of services:

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* 6. Initial Consultation Cost:

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* 7. Private practitioners/legal aid programs: Are you willing to be contacted by potential clients regarding ICWA cases? (please indicate all that apply)

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* 8. Private practitioners/legal aid programs: Are you willing to be contacted by potential clients in tribal court dependency cases?

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* 9. Private practitioners/legal aid programs: Are you willing to be contacted to represent parents in non-ICWA child custody disputes involving Native families (e.g., divorces, parenting plans, etc.) in state court?

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* 10. Private practitioners/legal aid programs: Are you willing to be contacted to represent parents in non-ICWA child custody disputes involving Native families (e.g., divorces, parenting plans, etc.) in tribal court?

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* 11. Tribal in-house counsel/attorney generals: As we become aware of them, would you like to be contacted about state child welfare cases/private adoptions involving the tribe you represent?

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* 12. Other information potential clients should be aware of before contacting your office about cases involving ICWA:

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* 13. Please provide your contact information so that we can refer clients to your office:

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* 14. Would you like to be added to the NICWA newsletter listserv to receive information on upcoming training and events?

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