Family Law Modest Means Attorney Registration Form

 
The Indianapolis Bar Association is pleased you are interested in participating in the Family Law Modest Means program.
*
1. Name (First Name, Middle Initial, Last Name, Suffix)
*
2. Indiana Attorney Number (Please include the dash and numbers after the dash. Example: #####-##)
*
3. I am willing to accept the following Family Law Modest Means case types. Please select all that apply.
*
4. I am willing to accept up to x number of Family Law Modest Means cases per month:
*
5. I have read and agree to abide by the Family Modest Means Project Rules & Regulations.
Powered by SurveyMonkey
Check out our sample surveys and create your own now!