| Name of Organization: | |
| Requesting Attorney: | |
| State Bar & Attorney Admission Number: | |
| Address: | |
| Telephone: | |
| Fax: | |
| Email address: | |
Check all that apply:
This Request is pursuant to a State VLP Pro bono project.
This Request is related to your work as a non-profit organization (501c3) or non-governmental organization (NGO).
This Request is related to your work as a government agency.
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| For other requests, please describe the public interest/pro bono aspect of your work: | |
| Research Needed By: (mm/dd/yyyy) | |
Please note that research requests should not be of an urgent nature and allow between 2-3 months for completion
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| Estimate of hours necessary to complete request: | |
Description of Research Request: Please identify the legal issue or issues you want researched and also any key facts that may be important to your research request.
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Research Format Requested: | |
Additional Instructions:
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Initial Here
By initialing this box, I indicate my understanding of the information shown and provided on this form, agree that I have read and agree to be bound by the Disclaimer and Attorney Acknowledgement (including the indemnity therein). It is my intent to sign the record. I certify that my answers are complete and correct. A photocopy or electronic copy of this authorization shall be as valid as an original.
Legal Requirement
State and Federal law provide that you be informed of the following: (1) your consent is limited to this one transaction; (2) you are entitled to a paper copy of the documents you have signed, which will be provided by the University at no cost, upon your request; (3) you are entitled to withdraw your consent to future electronic signatures, by making such withdrawal known, in writing, to the Law School via mail to Box 870382 | 101 Paul W. Bryant Drive, East | Tuscaloosa, AL 35487.
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