District Fourteen
Counties: Orange, Washington, Scott, Clark, Crawford, Harrison, Floyd

Indiana Legal Services New Albany Office
3303 Plaza Dr., Suite 5
New Albany, IN 47150
(877) 323-6260 intake
(812) 945-4123
www.indianajustice.org

American Civil Liberties Union of Indiana
1031 E. Washington St.
Indianapolis, IN 46202
(317) 635-4059
www.iclu.org

Legal Volunteers, District 14
Amy Roth, Plan Administrator
406 Pearl Street
New Albany, IN 47150
(812) 949-2292 (phone and fax)
probono14@sbcglobal.net

Online Intake Form and Agreement
This document is available in PDF format, which requires Acrobat Reader for viewing. You may type your responses directly into the form and then print the form to turn in to Legal Volunteers. Instructions for completing the form in Acrobat Reader are included in the document. This document is only valid for use with Legal Volunteers in District 14.

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