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MSBA-YLS Disaster Relief - Case Status Form

Intake Date Client Name
(FEMA #)

Assignment
Date

Attorney Name
Fax/Phone #’s
First Status
Check
(30 days)
Second
Status
Check
(60 days)

Date
Closed

Miscellaneous Notes
               
               
               
               
               
               
               
               
               

Maryland State Bar Association, Inc. The Maryland Bar Center,
520 West Fayette Street, Baltimore, Maryland 21201 (410) 685-7878 (800) 492-1964 fax (410) 837-0518
www.msba.org; www.yls.org