Attorney Application

Print, complete and mail or fax to PCBA.

Please enroll me as a member of the LRS panel. You may immediately begin referring clients needing service in the areas checked below.

•I have read, and agree to abide by the rules and regulations on the reverse of this application.

•I am a member in good standing of the State Bar of Arizona; a member of the Pima County Bar Association; 

and, have been actively engaged in the practice of law for at least one (1) year.

•For each category selected below, I have handled at least two matters to completion.

•I will provide a 30-minute consultation to each client referred through LRS. If unable to handle the matter or take the case, I will refer the client back to LRS.

•I carry a minimum coverage of $100,000 of professional liability insurance and provide a copy of the current declaration page of such policy with this application and will provide same as requested in the future.

•I will complete and return the referral notification form to LRS within seven (7) days.

___Administrative Law

___Adoptions

___Bankruptcy

___Business Organization

___Business Sales

___Collections

___Consumer Protection

___Contracts

___Criminal

___Dependencies, Severance and Child Protective Services

___Discrimination

___Domestic Relations

___Elder Law

___Employment Law

___Environmental

___Estate Planning

___Foreclosure

___Guardianship/

___Immigration/ Naturalization

___Insurance

___Juvenile

___Land Law

___Landlord/Tenant

___Malpractice

             ___Legal

             ___Medical

___Mental Health

___Mining & Water

___Negligence and Personal Injury

___Negligence, Property and Personal Injury

___Patent, Trademark and Copyright

___Probate and Wills

___Real Estate

___Repossessions

___Securities

___Service and Veterans’ Rights

___Social Security Disability

___Tax

___Workers’ Compensation

___ Other/Please specify:

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