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

Thank you for your interest in assisting fire survivors in Southern 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 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 Sharon Ngim at sharon.ngim@calbar.ca.gov or Elizabeth Hom at elizabeth.hom@calbar.ca.gov at the State Bar of California Office of Legal Services.

* 1. Name 

* 2. Email address

* 3. Phone Number

* 4. Affiliation/Firm Name/Employer/School

* 5. Address

* 6. Admitted to practice law in California?

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

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

* 9. State Bar of California Member #

* 10. I am fluent in:

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

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

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

* 14. 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. 

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

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