Assist Survivors of the California Fires 
Disaster Legal Services Volunteer Attorney Intake Form


Thank you for your interest in assisting fire survivors in California. 

The State Bar of California is working with local bar associations, legal services providers, law schools, and pro bono partners to coordinate the legal response for survivors of the Northern and Southern California wildfires. Volunteers will likely be needed to help staff a legal hotline and resource table at Local Assistance Centers (LAC) or Disaster Recovery Centers (DRC) in the near future. Volunteers also will be needed to handle pro bono cases to assist fire survivors in the next 1-6 months. Online trainings and technical assistance are available. Malpractice insurance will also be provided by the local legal services provider for all pro bono work through the programs. Please complete and submit the sign-up form. You will receive follow up information by email. If you have any questions, please contact Elizabeth Hom at elizabeth.hom@calbar.ca.gov at the State Bar of California Office of Access & Inclusion

Question Title

* 1. Name 

Question Title

* 2. Email address

Question Title

* 3. Phone Number

Question Title

* 4. Affiliation/Firm Name/Employer/School

Question Title

* 5. Address

Question Title

* 6. Admitted to practice law in California?

Question Title

* 8. I would like to volunteer in my capacity as a/an:

Question Title

* 9. If admitted to practice law in California, please indicate if your status is active or inactive:

Question Title

* 10. State Bar of California Member #

Question Title

* 11. I am fluent in:

Question Title

* 12. Are you willing and able to provide the following types of legal assistance? (Check all that apply)

Question Title

* 13. Do you have any experience in the following areas? (Check all that apply)

Question Title

* 14. Do you foresee any potential ethical conflicts in assisting fire survivors? If so, please explain.

Question Title

* 15. I understand that training is required in order to volunteer and that I watch the required trainings/review the required training materials prior to volunteering. 

Question Title

* 16. Please provide any additional information about your availability to volunteer:

T