DISASTER LEGAL SERVICES ASSISTANCE SUMMARY
INTERVIEWING ATTORNEY:
Please record below, the requested information regarding your interview with the disaster victim. Please return this form to your ABA/YLD District Representative. Thank you for your services.
Disaster:____________________________________________________
AREAS OF LAW INVOLVED:
(If an interview covered more than one area of the law, please record each)
| Federal Disaster Assistance Rights |
_______ |
| Insurance |
_______ |
| Real Property |
_______ |
| Contract/Contractor Repair Problems |
_______ |
| Wills or Probate |
_______ |
| Landlord/Tenant |
_______ |
| Creditor/Debtor/Foreclosure |
_______ |
| Defense for Disaster Related Claims |
_______ |
| Other (please identify) |
_______ |
| Total Number of Disaster Victims Assisted: |
_______ |
| Total Number of Disaster Victims Referred for Ongoing Representation: |
_______ |
| Total Number of Interviews: |
_______ |
Attorney:___________________________________
(Typed name and signature)
Date: ___________________________________
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
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