TERMS AND CONDITIONS

1. This application was created using the services provided by Wufoo.com, and is processed using their servers. The data transmitted is intended to be private, but is not encrypted. Neither Southeastern Ohio Legal Services (SEOLS^®) nor Ohio State Legal Services Association (OSLSA^®) makes any warranty regarding the confidentiality of this data and does not accept any responsibility or liability in the unlikely event that the data is intercepted or otherwise delivered to a third party during transmission.

DO NOT INCLUDE YOUR SOCIAL SECURITY NUMBER IN YOUR APPLICATION.

If you wish to relay information to SEOLS^® and are concerned about the potential security of such data, please call our office at 800-686-3668 instead of using this online form.

2. By completing the Application For Services, you are asking SEOLS^® to review your situation as presented, to determine whether our office handles cases like yours, and to follow up with you by phone or e-mail to obtain more information. We will not accept a case for representation based solely upon the information included in this Application.

SUBMITTING A FORM DOES NOT MAKE YOU A CLIENT OF SOUTHEASTERN OHIO LEGAL SERVICES.

We will treat any information submitted on this form as information received from a potential client for all purposes including but not limited to rights of confidentiality and conflict avoidance.

3. Depending upon the information you submit in this form, we will respond in one of two ways within 2 business days:

a. If it is clear from the information you have provided that we cannot assist you with your problem, we will send you an e-mail indicating that we are not available in your situation. This can occur if your information shows that you are seeking help with a problem or in a legal area that this office does not handle, such as criminal law, worker’s compensation, or discrimination cases. This will also occur if we are already representing a person whose interests are in conflict with yours, or if your household income exceeds our program’s regulations for eligibility.

If you receive an e-mail indicating that we cannot assist you, and you disagree with that decision, you should call the office to clarify your request.

b. If, based on the initial information you have provided, we believe you have a situation or question that merits further investigation, one of our staff members will contact you for more detailed information. At that time we will either formally open an application in your name in our system, or determine that you are not eligible for our services.

4. You file will only be reviewed by an attorney after a formal application is taken pursuant to paragraph 3.b. Once your file is transferred to an attorney, that attorney will either contact you or will schedule an in-person interview as soon as practicable.