Full Name *
Full Name
Address *
Date of Birth *
Date of Birth
Phone Number *
Phone Number
Do You Have a Court Date?
Do You Have a Court Date?

Equity Legal Services Intake Form

Just fill out the form below, and we'll get back to you. If a field is not applicable to you and not required, you do not have to fill it out. 

To learn more about Equity Legal Services, Inc. or to inquire about our services, you can email us at: teamequity@equitylegalservices.org

Call us at: 618.693.9800