Attorney Help Desk

This consultation with the attorney is free to you. It is not based on your ability to pay. This is a service that the court facilitates to you to help you through the process; however the attorney helping you in not an employee of this court.

What you discuss will remain between the two of you; however, THIS ATTORNEY DOES NOT REPRESENT YOU IN THIS MATTER. This attorney will never present you IN THIS MATTER.

This attorney is assisting you in determining whether this court is the proper court for your issue. Please see the chart on the back of this page to determine if this is the right court for you. If it is not, this attorney cannot help you. If this is the proper court, this attorney will assist you in determining what types of papers should be filed. If necessary, the attorney will help you file them. You must pay any filing fees.

IF THIS CONCERNS ABUSE OF NEGLECT OF ANY CHILD you must contact Children Services at 330-434-KIDS (330-434-5437).

Today's Date:*

Date

Your Name:*

First NameLast Name

Your Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Your Social Security #:

Child's Date of Birth:

Date

Child's Name:

Mother's Name:

Father's Name:

Has paternity been established?:

YesNoUnknown

Address where child is presently living:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

What do you want the Juvenile Court to do for you or for the child?:

Establish PaternityEstablish Visitation with a ParentGrant me custody and take it away from the parent(s)Grant me the ability to care for the child legally without taking custody from the parent(s)Other

Do you have any other lawyers for any other reason - criminal, personal injury, workers' comp, SSI/SSD discrimination, eviction, etc.? Include public defenders and legal aid

YesNo

Attorney's Name:

City

What kind of matter?

Court

By applying for and accepting this attorney assistance I specifically state that all the informaiton on this form is true and accurate to the best of my knowledge and belief. I also understand that this discussion with the attorney will remain private. I understand that this attorney does not represent me in the matter and can never represent me in THIS matter, in any court.

Also, I have read the Help Desk Brochure and by signing below, I state that I understand the terms and conditions in the brochure and agree to their content:

Email address:

If you would like a copy of these forms emailed to you

Signature*

Date

Attorney Help Desk

Party Information

Help Desk