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Legal Services Request Form

Contact Information

The Legal Services Department provides trauma-informed and client-centered holistic services, including consultations, representation, legal advocacy, and safety planning to members of the LGBTQI+ communities. Our focus is on serving transgender, non-binary, and intersex adults, immigrants at risk of deportation, and youth and seniors at risk of homelessness.

Our clients are predominantly BIPOC survivors of violence and discrimination, including domestic violence, sexual assault, stalking, human trafficking, hate crimes/incidents, and police/government misconduct.

We have three interrelated projects: Community Legal Clinics, Immigration Law Project, and Homeless Youth and Housing Rights Project. At the center of our work is Survivor Services, with which all our projects work closely. This includes the Legal Advocacy Project for Survivors/Anti-Violence Project.

All clients are served at multiple locations, including the Trans Wellness Center in Koreatown, Mi Centro in Boyle Heights, Center South in Leimert Park, and the Village and the Youth Center—across from each other in Hollywood. Confidentiality Disclosure: Your privacy matters to us. All information provided in this electronic legal intake form is strictly confidential and will only be accessed by authorized personnel for the purpose of assessing and addressing your legal needs. We adhere to strict confidentiality standards and will not disclose any information without your explicit consent, except as required by law. By submitting this form, you acknowledge and agree to the terms of our confidentiality policy.
Please indicate what you would like to be called
Date of Birth(Required)
Is it safe to leave a voicemail stating we are calling from the LA LGBT Center?(Required)
Please explain your answer for whether it’s safe to leave a voicemail stating we are calling from the LA LGBT Center:
Is it safe to leave a voicemail or send an email without others being able to access it?(Required)
Please tell us the best days and times to contact you:
Address

West Hollywood Information

Where do you live in West Hollywood?

Where do you work in West Hollywood?

Where do you own property in West Hollywood?

Where do you spend time homeless in West Hollywood?

Nature of Inquiry

Please tell us why you reached out.
Reasons for Contacting Legal Services(Required)
Please tell us the nature of the legal issue:
Do you currently receive services from the Center?(Required)

Request for Immigration Assistance

The Los Angeles LGBT Center’s Immigration Law Project provides legal consultations, court representation, including for asylum/refugee law, and holistic support to protect members of the LGBTQ+ community fleeing persecution and torture in their countries of origin. Please provide the follow information:
What sort of assistance are you seeking?
If “Other”, please explain:
Please explain your immigration status:
Have you already retained an immigration attorney?
Please explain whether you’ve retained an immigration attorney:
Do you have an upcoming deadline or court hearing before an immigration judge?
If "Yes" to the above, please provide the date of your deadline or court date.
When was the last date you entered the United States?
Have you ever been arrested or convicted of a crime in any country?
Please explain whether you’ve been arrested or convicted of a crime in any country:
Have you ever been a victim of a crime in the United States?
Please explain whether you’ve been the victim of a crime in the United States:

Homeless Youth & Housing Rights

The Los Angeles LGBT Center provides legal consultations, advocacy, preparation of documents, and court representation to promote housing stability and to prevent homelessness.

Our Homeless Youth Project represents youth between the ages of 18 and 24 who are at risk of homelessness or who are experiencing homelessness, while our Housing Rights Project provides direct legal services and advocacy to low-income individuals and families at risk of homelessness—with a focus on people 55 and older.
Are you a youth between the ages of 18-24 or person 55 and older?
Were you referred by a homeless service provider?
What sort of assistance are you seeking?
Please explain what other assistance you are seeking:

Anti-LGBTQI+ Hate Violence, Harassment, and Discrimination

If You’ve Been the Victim of a Hate Crime or Incident:

Please take appropriate steps to protect yourself. First; If you’re injured, seek medical assistance. Second; make detailed notes, including witness information and any hateful words used. Third; Document location, injuries, and property damage with photographs. Fourth; please call us for assistance and support.

Our Anti-Violence Project provides comprehensive and holistic services for survivors of violence, hate crimes, harassment, discrimination, and law enforcement misconduct.
Have you been a victim/survivor of the following?
If “Other”, please explain:
We will not contact the opposing party nor any other party. All information provided is completely confidential.
If available, please provide the date of birth of the Individual
We will not contact the opposing party nor any other party. All information provided is completely confidential.
If available, please provide the address of the Company / Organization / Institution

DV / Intimate Partner Violence, Sexual Assault, Stalking, and Human Trafficking

Our Legal Advocacy Project for Survivors provides LGBTQ+-specific, trauma-informed, direct legal services and advocacy for LGBTQ+ victims of domestic/intimate partner/dating violence, sexual assault, stalking, trafficking, and/or other crime victimization.

If you are in immediate danger, please call 911. You may also reach out to the National Domestic Violence Hotline: (800) 799-7233 or Text START to 88788
Have you been a victim/survivor of the following?
If “Other”, please explain:
We will not contact the opposing party nor any other party. All information provided is completely confidential.
If available, please provide the date of birth of the Individual
We will not contact the opposing party nor any other party. All information provided is completely confidential.
If available, please provide the address of the Company / Organization / Institution

Legal Clinic & Lawyer Referral

The Los Angeles LGBT Center provides free and confidential legal consultations with experienced volunteer attorneys.

We also offer a Lawyer Referral Service. If you can’t afford to pay for an attorney, our State Bar-certified Lawyer Referral Service can provide you with a consultation and direct representation. There is a $25 fee to access this service.
If “Other”, please explain:
Are you interested in a consultation or Lawyer Referral?
If “Other”, please explain:

Change Name and Gender Marker on Identification Documents

Please indicate which documents you are seeking to change? Check all that apply:
If “Other”, please explain:
Have you already changed any of your documents?

Personal Info / Demographics

Please tell us a little more about yourself so that we can better assist:
Ethnicity
If “Other”, please explain:
Do you need accommodations?
If “Other”, please explain:
Please enter a number greater than or equal to 0.

Los Angeles LGBT CenterFounded in 1969, the Los Angeles LGBT Center is the largest LGBT organization in the world, dedicated to building a world where LGBT people thrive as healthy, equal, and complete members of society. Learn more at lalgbtcenter.org.

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