Legal Aid at Work Assistance Request Form

Disclaimer: Our services are intended for low-wage workers. Submission of this form does not guarantee services. Once your form is submitted, a member of our team will contact you within 72 hours to conduct an Intake to determine your eligibility.

LAAW's services are limited to workers who earn less than 250% of the Federal Poverty Level. Our office refers to the Federal Poverty Guidelines posted annually by the US Department of Health and Human Services. If you would like to review your eligibility before contacting our office, please visit the chart here: Legal Aid at Work Client Eligibility Guidelines

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Last Name

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