Litigation Fund Request Form

The Litigation Fund is available ONLY to Judicare and pro bono attorneys handling cases through MLSC-funded agencies. Please complete all required information below and attach supporting documentation for EACH FY20 expense claimed in your request. FY20 expenses are those incurred July 1, 2019 to June 30, 2020. All requests for FY20 expenses must be received by PBRC no later than July 1, 2020.  

Tell us about yourself! Please type full names and addresses as you'd like communications to be addressed.






Primary or Home Address





Work Address (if any)







Phone Contact (s) (XXX-XXX-XXXX)






CASE & EXPENSES INFORMATION 

Please include all expenses related to this case. To add another case's expenses, click the link under the bottom-right side of this double-lined box. 






MILEAGE EXPENSES






EXPENSES OTHER THAN MILEAGE




TOTAL CASE EXPENSES