Brief Legal Advice Clinic Application

Income eligibility

Our legal clinics are income-based. We can serve you if your gross monthly household income is at or below 300% of the 2026 Federal Poverty Guidelines:

Persons in household	300% – annually	300% – monthly
1	$47,880	$3,990
2	$64,920	$5,410
3	$81,960	$6,830
4	$99,000	$8,250
5	$116,010	$9,670
6	$133,080	$11,090
7	$150,120	$12,510
8	$167,160	$13,930
Each additional person	$17,040	$1,420

Is your gross monthly household income at or below the level for your household size?(Required)

Yes

Your contact information

Legal Name(Required)

First Last

Phone Number(Required)

Is this a cell or landline?(Required)

Cell

Landline

Email(Required)

Current Address(Required)

Street Address Address Line 2 City State ZIP Code

Do you live in Delaware County?(Required)

Yes

Which county do you currently live in?(Required)

Is your legal matter in Delaware County?(Required)

Yes

Which county/counties is the issue in?(Required)

About you and your household

Gender(Required)

Age(Required)

Please enter a number greater than or equal to 0.

Veteran?(Required)

Yes

# of Adults in Your Household (age 18+)(Required)

Please enter a number greater than or equal to 0.

# of Children in Your Household (age 0-17)(Required)

Please enter a number greater than or equal to 0.

Gross Monthly Household Income ($)(Required)

Please enter a number greater than or equal to 0.

How did you hear about our Free Legal Advice services?(Required)

Your legal question

What is your legal issue about? (check all that apply)

Divorce

Dissolution

Custody

Child support

Visitation

Other

Brief description of the legal problem(Required)

Who/what is the opposing party/ies? First and Last Name or Company/Organization Name(Required)

What are the specific legal question(s) you are wishing to ask the attorney?(Required)

Have you already spoken to an attorney about this? If yes, what is the name(s) of the attorney/ies?

Do you have an upcoming court date or action? If yes, what is the date?

Did an attorney previously represent you in this matter? If yes, what is the name(s) of the attorney/ies?(Required)

Disclaimer: Our attorney volunteers provide you with brief legal advice only. The attorney will talk with you and discuss the law and options you have to resolve your situation, but they are NOT your attorney for purposes of court or other representation. This service is limited to Brief Advice Only.

Do you understand that this service is Brief Advice Only?(Required)

Yes

Brief Legal Advice Clinic Application

Income eligibility

Your contact information

About you and your household

Your legal question

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