Metro West Legal Eligibility Form
Your application for legal help from MetroWest Legal Services does not guarantee that you will get a MWLS lawyer.
MetroWest Legal Services does not handle criminal cases. Please contact
CPCS
if you need help in a case where you are the defendant in a criminal matter.
Before you start this online application, you are strongly advised to please visit the
Massachusetts Legal Resource Finder
to learn if MetroWest Legal Services (MWLS) handles your type of legal issue.
I acknowledge the afforementioned details pertaining to this application.
*
I agree
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Are you the person requesting services or are you requesting for someone else?
*
Yes, I am the person requesting services
No, I am requesting services for someone else
Name of Person Completing Online Form
*
First Name
Last Name
Can MWLS contact you if we have difficulty contacting the person seeking legal services?
*
Yes
No
Your Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Your Email Address
example@example.com
Your Relationship to Person Seeking Legal Services
*
Please Select
Self
Family Member
Friend
Social Service
Medical Provider
Other (please describe)
Other (please describe)
*
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Name of Person Seeking Legal Services
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First Name
Last Name
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Are you 60 or older?
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Yes
No
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Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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Is the legal problem that you need help with today connected to a crime that was committed against you? Even if the crime was never reported to law enforcement.
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Yes
No
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What city/town do you reside in?
*
Please Select
Acton
Ashland
Bedford
Bellingham
Carlisle
Concord
Dedham
Dover
Foxborough
Framingham
Franklin
Holliston
Hopkinton
Hudson
Lexington
Lincoln
Marlborough
Maynard
Medfield
Medway
Millis
Natick
Needham
Norfolk
Norwood
Plainville
Sharon
Sherborn
Stow
Sudbury
Walpole
Wayland
Wellesley
Weston
Westwood
Wrentham
Not Listed
Enter your city/town.
*
Are you currently experiencing homelessness?
*
Yes
No
If yes, what city/town did you stay in last night?
*
Please Select
Acton
Ashland
Belmont
Brookline
Canton
Dedham
Dover
Foxborough
Framingham
Holliston
Hopkinton
Hudson
Marlborough
Maynard
Medfield
Millis
Natick
Needham
Newton
Norfolk
Northborough
Norwood
Plainville
Sharon
Sherborn
Southborough
Stow
Sudbury
Walpole
Waltham
Watertown
Wayland
Wellesley
Westborough
Weston
Westwood
Wrentham
Not Listed
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What word do you want MWLS to use when referring to you?
*
Please Select
He
She
They
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How many people are in your household?
*
Please Select
1
2
3
4
5
6
7
8
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What is your annual household income?
*
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Do you require interpretation services?
*
Yes
No
If yes, what is your preferred language?
Please Select
Spanish
Portuguese
Haitian Creole
Arabic
Armenian
Chinese Mandarin
Dari
Filipino
French
German
Greek
Gujarati
Hebrew
Hindi
Hmong
Italian
Khmer
Korean
Lao
Nepali
Pashto
Persian
Russian
Swahili
Ukrainian
Urdu
Vietnamese
Other Language Not Listed
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Do you consent to MWLS contacting you by text message at the provided number?
*
Yes
No
Alternative Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
example@example.com
Please select the category for your legal problem(s). Check all that apply to your current legal issue(s).
Housing
Immigration
Special Education Services
Government Benefits
Elder Law
Family Law
Domestic Violence
Victim of Crime
Other (please describe below)
Briefly describe your legal problem(s):
0/300
Submit
Thank you
Thanks for taking the time to fill out this form. You do not appear to be eligible to receive our services, but we may be able to refer you to other agencies or resources that can provide legal assistance. Please feel free to call our office at 508-620-1830 for more information.
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