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Application for Attorney Case Assignment
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UD/Contact
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Local Association (no acronyms, please)
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List Member(s)/Association(s) seeking legal assistance
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Name
Preferred contact phone/email
Date of occurrence giving rise to request for legal services
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MM slash DD slash YYYY
If uncertain of exact date, explain
MEMBERSHIP VERIFICATION
Note: NEA ULSP Guidelines
require
that individuals must:
Be a member at the time of request for legal services; and
Be a member on the date of the occurrence giving rise to the need for legal services; and
Maintain continuous membership while receiving legal services.
UniServ Director/contact must enter initials to indicate membership verification
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Description
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Please state each issue separately, and briefly describe the sequence of events for each issue.
Upload Documents
Provide relevant documents that may help us understand the context of each issue.
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