|Name of Organization: |
|Requesting Attorney: |
|State Bar & Attorney Admission Number: |
|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.
|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|
|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. |
Research Format Requested: |
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.
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.