Request for Service

 
 
Step 1 - Disclaimer & Notice Step 2 - Establish Residence Step 3 - Type of Problem Step 4 - Personal Info
 
 

 

Disclaimer

 
 

You are invited to use this web form to inquire about the possibility of receiving legal help from Northwestern Legal Services (NWLS). No attorney-client relationship will be established until and unless we contact you and tell you that your case has been accepted. Please note that our funding is limited and we are not able to accept every case.

The information you submit will be reviewed by our Central Intake staff for the purpose of determining if you are eligible for legal assistance from our program and they will contact you within two (2) business days of receiving your information concerning your application. It is extremely important to input your correct contact information, otherwise, we will not be able to contact you.

If you are in danger of domestic violence, have an emergency or have a deadline to meet, please do not use this web site to request service but, instead, call the Central Intake Office at (814) 452-6957 in the Erie, PA area, or 1-800-665-6957 from elsewhere in United States, Monday through Friday from 9:00 a.m. to 4:00 p.m., United States Eastern time zone. NWLS accepts no responsibility for requests that are submitted through this web site with information that is incomplete or false. NWLS accepts no responsibility for information that does not reach us due to computer or internet malfunction.

 
 
I have read and understand the disclaimer and warning notices and agreed with the terms outlined above.
   
  No Thanks