Request Help — Rising for Justice

1

Eligibility Screening

Do you live in Washington, DC? *

Yes No I live in Maryland

Please select an option.

What type of legal help do you need? *

Housing or eviction issue Sealing or expunging a criminal record Civil Protection Order case (Respondent) Something else

Please select an option.

Section 1 of 6

2

Housing Intake

Do you currently have a housing court case? *

Yes No Not sure

Please select an option.

Do you have a court date scheduled? *

Yes No

Please select an option.

What is your court date?

If your court date is within 7 days, please also call our office directly.

What housing issue(s) are you facing? * (Select all that apply)

Please describe your other housing issue.

Please select at least one option.

What is your zip code?

Do you receive a housing subsidy or voucher?

Yes No Not sure

3

Record Sealing Intake

Was your case in Washington, DC? *

Yes No Not sure

Please select an option.

What happened in the case? *

Charges dismissed Found not guilty Completed probation Unsure

Please select an option.

Approximate year of the case

Do you currently have any open criminal cases? *

Yes No Not sure

Please select an option.

4

Civil Protection Order — Respondent

Have you been served with a Civil Protection Order petition? *

Yes No

Please select an option.

Do you have a court date? *

Yes No

Please select an option.

Court date

Brief description of the situation

5

Contact Information

Full Name *

Please enter your full name.

Preferred Contact Method *

Phone Email Either

Please select a contact preference.

Phone Number

Please enter a phone number.

Email Address

Please enter a valid email address.

Best Time for a Callback (Weekdays Only) *

9:00 AM – 11:00 AM 11:00 AM – 2:00 PM 2:00 PM – 5:00 PM

Please select a time.

Date of Birth

Gender

Female Male Non-binary Prefer not to say

Race / Ethnicity

Primary Language

Current Living Situation

Home Address

Approximate Monthly Household Income

6

Issue Description

Please briefly describe your legal issue *

Please describe your legal issue.

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Outside Our Service Area

We May Not Be Able to Help

Rising for Justice primarily serves DC residents and focuses on housing, record sealing, and Civil Protection Order respondent representation.

You may wish to contact:

• DC Bar Pro Bono Center

• Legal Aid DC

M

Maryland Resident

Limited Services Available

Rising for Justice primarily serves Washington, DC residents. However, Maryland residents may be eligible for record sealing assistance only.

Please continue to tell us about your record sealing need, and our team will let you know if we can help.