Carey Center for Justice - Application for Legal Services

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Contact information

Tell us a little about yourself so we can reach you. Fields marked * are required.

Full legal name *

Date of birth *

Email address *

Phone number *

Home address *

County *

Preferences

Preferred method of contact *

Phone call Text message Email

Best time to reach you *

Morning -- 9:00 a.m. to 12:00 p.m. Afternoon -- 12:00 p.m. to 3:00 p.m. Evening -- 3:00 p.m. to 6:00 p.m.

Have you spoken with us before? *

Type of legal help

Select all that apply. We'll ask for details specific to your situation on the next screens.

Divorce / Legal separation

Dissolving a marriage

Parentage

Establishing legal parenthood

Parenting time

Custody and visitation schedules

Child support

Establishing or modifying support

Order of protection

Protection from domestic violence

Stalking no contact order

Protection from stalking

Modification / Post-decree

Changing existing final court orders

Adoption / Guardianship

Personal injury

Details about your marriage

Help us understand your situation so we can best advise you.

Opposing party's full name *

Date of marriage *

Date of separation *

How long have you lived in your county? *

Your annual income *

Including wages, Social Security, disability, etc. This does not affect eligibility.

Opposing party's annual income *

Estimate if unsure.

Do you have children from this marriage? *

How many children?

Does the opposing party have an attorney? *

Attorney's name

Is this a new case? *

Select "No" if you have already filed with the court.

Case number

Parentage, parenting time & child support

Tell us about your children and co-parenting arrangement.

Opposing party's full name *

How many children do you have together? *

Your annual income *

Opposing party's annual income *

Parenting time

Do you have a current parenting time schedule? *

Describe your current schedule

e.g. Monday-Thursday with me; Thursday-Sunday with ex

What is your preferred parenting time schedule?

Child support

Do you or your ex currently pay child support? *

Who pays child support?

I pay child support My ex pays child support

Approximate monthly amount paid

Case details

Is this a new case? *

County where filed

Case number

Does the opposing party have an attorney? *

Attorney's name

Modification details

Tell us about the order you'd like to modify.

Opposing party's full name *

What are you seeking to modify? *

Dissolution of marriage / divorce decree Parenting time / allocation of parental responsibility Child support

What is your case number?

Leave blank if you do not have one.

Order of protection

Help us understand the status of your order of protection or stalking no contact order.

Opposing party's full name *

What did you file? *

Filed an Order of Protection Filed a Stalking No Contact Order I am the Respondent -- the other party filed against me

Did the judge grant an emergency order? *

Yes, the judge granted the emergency No, the judge did not grant the emergency I don't know

Acknowledgment

Important notice: Completing this form does not create an attorney-client relationship. We may not be able to represent you in your case. By submitting this application, you acknowledge and agree to this statement.

Do you understand and agree? *

Your name (typed signature) *

Today's date *

One quick check — what is 3 + 4? *

This helps us confirm you're a person and not an automated bot.

We will contact you shortly to discuss your case. Thank you for reaching out to the Carey Center for Justice.

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We have trusted referrals for you

We don't handle this type of matter directly, but these attorneys can help.

Adoption & Guardianship

Alejandra I. Vilchis, Attorney at Law

📞 (872) 529-1011

Personal Injury

Peter Vrdolyak

📞 312-482-8200

Please tell them that the Carey Center for Justice sent you.

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Thank you for contacting us!

We received your application and will be in touch shortly to discuss your case.

If you have urgent concerns, please don't hesitate to call our office directly.