Counsel and Advocacy Law Line Online Intake

One way for people to get help from CALL (Counsel and Advocacy Law Line) is by applying for help online. This may take you 5 to 10 minutes.

To apply online:

You will need a phone number or email address where we can safely reach you,
You must live in Michigan or have a legal problem in Michigan, and
You must be able to name the "opposing party." This is the person or "party" you are having the legal problem with. For example: Michigan DHHS, your landlord, a debt collector, your spouse. In a few cases, like if you want a will or Power of Attorney, you don't have to name an opposing party.

If you can’t use our online system, you can call by phone at 1-888-783-8190. You can call Monday through Thursday between 9:00am - 5:00pm (and until 6:00 on Wednesday only), or Friday between 9:00am - 1:00pm. You can apply online at any time.

All your answers are private and will not be shared with anyone other than CALL.

After you submit your application, we will review it. If we think we can help you, we will call you back within two business days of when you submit your application.

We care about your safety and privacy.

This is a secure website. But if you are using a public or shared computer, close the Internet browser when you are done. If you don’t, you might accidentally share your personal information with someone else.

If you fear for your safety where you are now, please do not use our online application. Please call us instead at 888-783-8190, Monday through Thursday between 9:00am - 5:00pm (and until 6:00 on Wednesday only), or Friday between 9:00am - 1:00pm.

Please let us know that you understand these concerns and want to continue.

I understand and want to continue.

YesNo

This is an application for legal help. We do our best to help everyone in Michigan who has a low income, but we may not be able to take your case because there are more people who need our services than we can help. Filling out this application does not guarantee you will get a lawyer. Do you understand that completing this application does not guarantee that you will get help, and does not create an attorney-client relationship with CALL?

YesNo

Agreed to continue

We're now going to ask you some questions to see if we can help you. We'll need to know information about you and the people in your household. Answer the questions as best as you can.

When you are finished with each page, click "next page." If you make a mistake and need to go back, click "previous page." Do not use the back button in your browser. At the end, click "submit" and we will review your application.

Declined to continue

If you are concerned about either your privacy or your safety, and have decided not to use our online intake application, Please call us instead at 888-783-8910. If you changed your mind or made a mistake, please choose “yes” above to continue.

We’re sorry. You cannot continue unless you understand and agree to the terms of use.

Mailing Address

My mailing address is a post office box

Street

City

State

Zip Code

County

Is it safe to send you mail to this address?

Yes
No

Physical and Mailing Address the same?

YesNo

Physical Address, if different from Mailing Address

Street

City

State

Zip Code

County

What best describes where you are living?

If a residence is a mobile home, what is rented

Best time to contact you

We'll be calling you to talk more about your legal problem. When is it best for us to call you?

Are you doing this intake for a client you are referring to CALL or Lakeshore Legal Aid?

Yes
No

Helper's Contact Information

First Name

Initial

Last Name

Suffix

Agency

Phone

Helper's Email

If we cannot reach the client, can we contact you?

Yes
No

Adults

How many adults live in your household?

Count people 18 and over including yourself. If you need help getting separated from someone who lives with you, don’t count that person.

Children

How many children live in your household?

Count people under 18 including yourself if you are under 18.

Page 8

Military Service

Does any other member of your household serve in the military now or did they serve in the past?

Yes
No

Disability

Do you have a disability?

Yes
No

page 10

Does the opposing party have a lawyer?

Yes
No/I don't know

First Name

Last Name

Page 11

You must qualify for our services to get help. For this question, we need information about income for every person in your household, except for someone who is the opposing party (such as someone you’re separating from or divorcing). Please include everything: income from work, child support you receive, and benefits like unemployment, Social Security, or cash assistance (FIP). Do not include Food Stamps (FAP) here. Pick an income type to submit information about every kind of income that is brought into your household (except for the opposing party’s income).

Your primary income

Income Type

Describe other

Frequency: when are you paid?

Amount

$

Income From Other Household Members

Income Type

Describe other

Frequency: when are you paid?

Amount

$

Do you or your household have any additional income? *

Yes

No

Remember to include income from every person in your household except for the opposing party

Additional Income

Income Type

Describe other

Frequency: when are you paid?

Amount

$

Do you receive food stamps?

YesNo

Amount of food stamps received

Do you expect your household income to change in the near future?

No, my/our income is NOT likely to change in the near futureYes, my/our income is likely to go UP in the near futureYes, my/our income is likely to go DOWN in the near future

Prospects for increased or decreased income

Page 12

Household Assets

Another part of eligibility is asking about your household's assets - money and property you own. For each kind of asset your household has, enter the dollar value for those assets. If you do not have that type of asset, enter a zero. Don’t count assets that only belong to a household member who is an opposing party. If you and the opposing party both have access to an asset, count it here.

Checking/ Savings Amount

$

Investments

Stocks/Bonds/IRAs/Trusts

Investments - Amount

$

Personal Property

Total value of household property BEYOND normal household furniture and work equipment.

Personal property: total value of household property beyond normal household furniture and work equipment

$

Real Estate

any real estate owned aside from your primary residence

Value of Real estate owned aside from your primary residence

$

Other Assets - if other amount is listed a brief description is required in the box below

Other Assets - Amount

$

Page 14

We know a little bit about your problem already. Please briefly explain how you want to resolve your problem. (600 characters max)

For example, if you are being evicted: “I want to stay in my home.” OR “I want to move, but I need more time.” If your case involves DHHS: “I want to get my food stamps back.” Or, in a family matter: “I want to get a divorce. And I will need child support.”

Other Legal Problem (600 characters max)

If you have any other legal problems, please quickly mention them here. We will ask you about it when when we talk to you. Do not submit another application.

By clicking "submit" you send your application to Legal Services. We will call you within 2 business days to let you know if we can help you. For your privacy, this call will come from a blocked number.

You do not need to call us, but if you do, please tell us about your online application when we talk. Thank you!