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Topeka Family Legal Project Application
For residents of Shawnee County, Kansas
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* Indicates required question
Email
*
Your email
Applicant's Name:
*
Your answer
Applicant's personal pronouns:
She/her/hers
They/them/theirs
He/him/his
Other:
Clear selection
Applicant's Date of Birth:
*
MM
/
DD
/
YYYY
Current Mailing Address:
*
Your answer
Phone Number:
*
If this number is not your personal telephone, please provide the name of the person or business whose telephone number you enter.
Your answer
How many children under 18 live in your home under your care?
*
0 - I don't have Children
1
2
3-5
6+
What is the name and date of birth for each child living in your home under your care?
*
Your answer
Do any of the adults or children in your family have a physical or mental disability?
Your answer
How do you prefer we communicate important information to you?
*
Best way to contact:
Email
Phone Call
Text
Other:
Required
What is the main legal issue you are requesting help for?
*
Housing
Education
Public benefits appeals - my benefits were terminated unfairly or my application was denied
Expungement of criminal conviction
Guardianship of a child
Collections - I am being sued/harassed for a consumer or medical debt
Other:
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