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Legal Assistance Request Form |
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Monday, June 26, 2006, 3:14 pm |
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Page 5 of 5
Description of complaint, continued (PLEASE TYPE OR PRINT CLEARLY):
What explanation, if any, was given to you for what happened?
Why do you think this happened to you?
What steps have you taken to solve this problem (for example, filed a complaint, talked to the agency involved, written a public official, and/or other steps)? To whom did you talk, and where does this matter stand now?
What documentation do you have in this matter? (DO NOT SEND ADDITIONAL DOCUMENTATION. WE WILL ASK FOR MORE INFORMATION IF NEEDED.)
Briefly describe the action you would like the ACLU of Kentucky to take on your behalf:
Are you willing to serve as a plaintiff in litigation if needed? YES NO
Sign and Date
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