ࡱ> ceb7 bjbjUU "P7|7| l>>>R,,,8d<R.88"(((-------$.0 N2|#.>)I|))#.((!.)(>(-)-JI,6>-(, |eR ,E,-.0.,2at2-RRQuestions in RED must be completed: SCREENER:  FORMDROPDOWN   FORMTEXT       DATE:  FORMTEXT  DATE \@ "M/d/yyyy" 7/13/20057/13/2005 CLIENT INFORMATION:  FORMTEXT        CLIENT NAME:  FORMTEXT       CLIENT ADDRESS:  FORMTEXT       PHONE NUMBER:  FORMTEXT       COUNTY:  FORMCHECKBOX  Check if there is a conflict with this client.  FORMCHECKBOX  Check if Judicare has previously assisted Client in this matter.  FORMCHECKBOX  Check if Client has been in court before with this landlord.  FORMCHECKBOX  Check if Client is known by any other name.  FORMTEXT       Type other name: LANDLORD INFORMATION:   FORMTEXT       LANDLORD NAME:  FORMTEXT       LANDLORD ADDRESS:  FORMTEXT       LANDLORD PHONE:  FORMCHECKBOX  Check if landlord is the caller/client.  The attorney you talk with will NOT represent you. She will only provide advice. A. Please tell caller to have any paperwork, such as a lease or notices from the landlord, in hand when speaking to the Helpline Attorney. B. Does the client have any paperwork we need to see?  FORMTEXT       C. If yes, can the client fax us the paperwork?  FORMTEXT       PLEASE ASK THE CALLER THE FOLLOWING QUESTIONS:  FORMTEXT       How long have you been renting this apartment/mobile park lot?  FORMDROPDOWN  Are you still living in the apartment/mobile home? $ FORMTEXT       How much do you pay for rent?  FORMDROPDOWN  Did you sign a lease?  FORMTEXT       If yes, when did you sign the lease?  FORMDROPDOWN  Is your name on the lease?  FORMTEXT       Is there any other name on the lease?  FORMDROPDOWN  What is the term of your lease?  FORMDROPDOWN  If no lease, when do you pay rent?  FORMDROPDOWN  Why are you being evicted?  FORMTEXT       Do you owe the Landlord any money?  FORMDROPDOWN  Did you receive an eviction notice?  FORMDROPDOWN  If yes, what type of notice is it?  FORMDROPDOWN  How did you get the notice?  FORMDROPDOWN  Have you been to court over this issue/notice?  FORMTEXT       If YES, what was the result?  FORMDROPDOWN  Have you been in court before with this landlord?  FORMTEXT       If YES, when were you in court before?  FORMDROPDOWN  Do you have a court date for this action?  FORMTEXT       If YES, when is the hearing/action?  FORMDROPDOWN  Has the landlord tried to remove you or your property?  FORMDROPDOWN  If YES, do you know where the property is now located?  FORMDROPDOWN  If YES, have you asked the Landlord about getting your property back?  FORMDROPDOWN  11. Have your personal belongings been damaged? If YES, explain the damage:  FORMTEXT       12. What was the reason for the removal or damage of your belongings?  FORMTEXT       State any additional information you feel the Helpline Attorney may need to know about this eviction, landlord, apartment, etc.:  FORMTEXT       AFTER YOU HANG UP WITH THE CLIENT, PLEASE FILL IN THIS SECTION: In 2-3 sentences, briefly summarize the NATURE of the caller s complaint: (What is the client s legal problem)?  FORMTEXT       PAGE  PAGE 1 EVICTION SCRIPT READ: J^`|~  "$LNPdfhrtvԷԧǕԑuphp]pjUmHnHujU jUjP5U\5\mHnHuj5U\5\#j5B*U\mHnHphuj5B*U\phj5B*U\phj5B*U\ph5B*\phB*CJOJQJph/j5B*CJOJQJU\mHnHphu$J&Nvz0hI&#$$d%d&d'd/NOPQ^hh^h0hI&#$$d%d&d'd/NOPQ^h vxz(*>@BLNPbdf(*,HJLj~Uj UjUj"U B*phjUj8UjUjUmHnHujLU jU5B*\phjCJUmHnHu9 &(Pbd*0hI&#$$d%d&d'd/NOPQ^hh^h0hI&#$$d%d&d'd/NOPQ^h " & N P n d0he&#$$d%d&d'd/NOPQ^h0he&#$$d%d&d'd/NOPQ^hh^h0hIy&#$$d%d&d'd/NOPQ^h  " $ & ( < > @ J L P n p      ? @ A " Z [ e f v x    5B*OJQJ\ph3fj@UjU B*phjCJUmHnHujVUjUjjU5B*\phjUmHnHujU jUj5CJU\mHnHu 5CJ\4   ? 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