HLRS™ Membership Application BASIC INFORMATIONName* First Last Organization or Law Firm Name Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Office Phone*Toll-Free PhoneFaxWebsite Confirmation Report Email* Please provide email address of individual who will be handling reports.Attorney Email* Attorney email address for specific contact from HLRS staff.Date of Birth* Month Day Year Texas State Bar Number* Years in Practice EDUCATION & EXPERIENCEList each college, law school and post graduate school attended, degree received, and year degree was received.College Degree Received YearPost Graduate Degree Received YearLaw School Degree Received YearPost Graduate Law Degree Received YearAdmitted to practice beforeList other jurisdictions, federal courts, administrative agencies, counties etc. and dates of admissionLicensed in Another State?*NoYesWhich State*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificBoard Certification - Area(s)\DateLocal Bar Membership(s) - check all that apply Houston Bar Association Association of Women Attorneys Houston Lawyers Association Mexican American Bar Association Pasadena Bar Association Asian American Bar Association Hispanic Bar Association Houston Trial Lawyers Association North Harris County Bar Association Other Bar Association Memberships not listed above Foreign languages spoken Have you ever been involved in a dispute with another lawyer referral program?*NoYesProvide name of referral progam Have you ever been suspended or terminated from a lawyer referral program?NoYesExplainHave you ever been charges, indicted or convicted on any criminal matter other than a Class C Misdemeanor or crime involving a maximum punishment of fine only?NoYesExplainAre you aware of any unresolved ethics complaints filed against you?NoYesExplainDate of Complaint Status of Complaint Are you aware of any claim, incident, act or omission in the last two years that might reasonably be expected to be the basis of a claim or suit arising out of the performance of professional services for others?NoYesExplainHave you ever been the subject of any reprimand, State Bar Administrative Suspension, disciplinary action, or otherwise disciplined by the State Bar of Texas, a district court in Texas, or refused admission to any bar association, court or administrative agency?NoYesExplainHave you ever been the subject of professional discipline in any jurisdiction?NoYesExplainDo you have a pending suit for legal malpractice or private civil action alleging attorney misconduct?NoYesYOUR PRACTICETotal number of attorneys in firm/officeTotal number of law clerks in firm/officeTotal number of paralegals in firm/officeTotal number of support staff in firm/officeWhat percentage of your time is devoted to private practice?What percentage of your time is devoted to government?What percentage of your time is devoted to employment by others?What percentage of your time is devoted to of counsel?Are you employed by a law firm?NoYesAre you employed full-time or part-time by the firm?Part-timeFull-timeAre you requesting membership on your behalf or on behalf of the firm?NoYesIs the firm principal willing to agree, by signing below, to approve your request for membership on its behalf?NoYesPrincipal name Date MM slash DD slash YYYY What procedure(s) does your firm/office employ for identifying conflicts of interest?What procedure will your firm/office employ to track HLRS clients? (check all that apply) Memory Index/file Computer Other (explain) Explain If you engage in a group practice, list the size of firm and principal areas of practiceDoes your office currently maintain an IOLTA Account?NoYesDo you maintain a second office within HLRS's service area?NoYesProvide normal business hours for your office and whether you accept weeknight or weekend appointments. Is your office equipped to accept credit card payments? Are you able to meet with homebound or hospitalized individuals?NoYesACKNOWLEDGEMENTSI have read and am familiar with HLRS Rules of Membership.* Yes I have disclosed all required information relating to any criminal charges, indictments or convictions, other than any Class C Misdemeanor crimes involving a maximum punishment of fine only, and any past or present disputes with any other lawyer referral program, and any imposed or pending legal malpractice suit(s) or other private civil action alleging attorney misconduct or any pending inquiries or complaints submitted to an evidentiary committee.* Yes I am aware that as an attorney I have a professional and ethical responsibility to comply with all federal, state and local laws, rules and regulations pertaining to services that are rendered to the public, including but not limited to, 29 U.S.C. §784 et seq. (Rehabilitation Act), 42 U.S.C. 2000e (Title VII), and 42 U.S.C. §12101-12213 (ADA).* Yes I am aware that, as outlined in Rule 10, the first 30 minutes of in-office legal consultation with an HLRS client can cost no more than $20. I am aware that the total attorney(s) fee(s) to a client referred by HLRS can not exceed the total cost, including legal fees and expenses, that the client would be required to pay if HLRS had not referred the client.* Yes I am aware that HLRS shall receive a percentage of the total attorney(s) fee(s) for any retained case referred by HLRS, as outlined in Rule 11, and that I am obligated to notify retained clients of the fees paid to HLRS and exclude HLRS from any confidentiality provisions of any settlement agreements, as outlined in Rule 12 of HLRS Rules of Membership.* Yes I am aware that I may not refer an individual, whom received my name through HLRS, to another attorney who is not a member of HLRS, as outlined in Rule 13 in the HLRS Rules of Membership.* Yes I am aware that I must maintain responsibility in all referred matters, as outlined in Rule 15. However, if in the best interest of my referred client, I may co-counsel with an attorney(s) who may or may not be a member(s) of HLRS. Furthermore, I am aware that should I enjoin with other attorneys, I must inform co-counsel that 15% of the total attorneys fees is due HLRS at the close of the matter. I will notify HLRS of the names of the attorney(s) involved.* Yes I am aware of the Suspension and Termination Policy and that I may be suspended or terminated from membership, as outlined in Rule 17, without refund of dues, if I fail to abide by HLRS Rules of Membership for any reason.* Yes I am aware of the Audit Policy and agree that if a question arises between myself and HLRS with respect to fees owed, HLRS or its agents may examine files or take all necessary actions, including collection efforts to determine and collect fees due the organization, as outlined in Rule 19.* Yes I acknowledge, if I belong to a law firm, that the firm is aware that I am seeking membership in the Houston Lawyer Referral Service and that the firm will abide by the HLRS Rules regarding clients referred and payments due HLRS.* Yes N/A Please enter a recent biography or resume if you would like additional information given to potential clients.RECOMMENDATIONS FOR MEMBERSHIPAs a licensed attorney in good standing with the State of Texas, I do hereby certify that the above named attorney is of good moral character and of good reputation and recommend that said applicant be admitted to membership in the Houston Lawyer Referral Service, Inc.Licensed Attorney #1Attorney's Name First Last Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Bar No. Would you like to add a second attorney?NoYesLicensed Attorney #2Attorney's Name First Last Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Bar No. AREAS OF LAW IN WHICH REFERRALS WILL BE ACCEPTEDYou may choose up to eight panels but do not exceed the maximum number of categories you can choose from each section. In order to participate in any category designated by an asterisk, a separate Experience Panel Application must be completed and submitted to the Executive Director. There is a fee of $25 for acceptance to each Experienced Panel. You may request an Experience Panel Application from the HLRS office. See the attached category of descriptions for further explanation of codes. Please make your choices, indicate more specifically the types of referrals you are interested in receiving in the categories of law which you select. View Experience Panel CriteriaChoose no more than five (5): Administrative Law Admiralty/Maritime Law* Arts (Entertainment Law/Contracts, Athletes, Artists, Musicians) Bankruptcy* Child Custody* Commercial Law (Creditor's Rights & Collections, Contracts) Commercial Litigation* Corporate Law Criminal Law State Felonies* Driving While Intoxicated* Matrimonial & Family Law* Immigration Law* Legal Malpractice* Medical Malpractice and other Professional Malpractice* Oil, Gas & Mineral Law Intellectual Property Law* Personal Injury Estate & Probate Law* Product Liability* Real Property Law Tax Law* Wrongful Death* * Requires an experience panel application. If you select this category an additional application will be emailed to you on completion of this application.Choose no more than three (3): Consumer Law Employment/Labor Law Environmental Law Landlord-Tenant Military Law Insurance Law Constitutional Rights Social Security* Workers Compensation* MASS* * Requires an experience panel application. If you select this category an additional application will be emailed to you on completion of this application.Choose no more than two (2): Civil Appeals* State or Federal Criminal Appeals* Federal Crimes* International Law* Securities* * Requires an experience panel application. If you select this category an additional application will be emailed to you on completion of this application.Administrative LawIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check each sub-category the corresponds to your experience. REQUIRES AN EXPERIENCE PANEL APPLICATION.Administrative Law Subcategories Liquor License/Alcohol Beverage Commission Restaurant or Other Business Licenses Federal Trade Commission Academic/School Law Civil Service Represent Students against School or University Represent Teachers Board of Education/Wage Garnishments/Student Loans FAA/Aviation OSHA Regulations/Requirements Department of Transportation Complex Administrative Matters Other Explain* Percentage of your practice devoted to Administrative Law Admiralty / MaritimeIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check each sub-category the corresponds to your experience. Admiralty / Maritime Law Subcategories Damage to Ship Damage to Cargo Injury to individual Other Explain* Percentage of your practice devoted to Admiralty / Maritime Law Arts (Entertainment Law/Contracts, Athletes, Artists, Musicians)Percentage of your practice devoted to Arts (Entertainment Law/Contracts, Athletes, Artists, Musicians) BankruptcyIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check each sub-category the corresponds to your experience. REQUIRES AN EXPERIENCE PANEL APPLICATION.Bankruptcy Subcategories Consumer Business Complex Personal or Business Practice Other Explain* Percentage of your practice devoted to Bankruptcy Law Child CustodyIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check each sub-category the corresponds to your experience. REQUIRES AN EXPERIENCE PANEL APPLICATION.Child Custody Subcategories Child Protective Services Cases Modifications Contempt Actions Contested Paternity Interstate/International Issues Other Explain* Percentage of your practice devoted to Child Custody Commercial LawIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check each sub-category the corresponds to your experience.Commercial Law - Creditor's Rights & Collections, Contracts Subcategories Creditor's Rights & Collections General Contracts & Secured Transactions Construction Contracts, Mechanics Complex Commercial Matters Other Explain* Percentage of your practice devoted to Commercial Law Commercial LitigationIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check each sub-category the corresponds to your experience. Commercial Litigation Subcategories Anti-Trust Trade Secrets, Unfair Competition, Non Compete Agreements Complex Employment Contracts International Other Explain* Percentage of your practice devoted to Commercial Litigation Corporate LawIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check each sub-category the corresponds to your experience.Corporate Law Subcategories Business Formation - Corporations/Partnerships Mergers/Acquisitions Franchise Law Non-Profit Corporations Dissolution of Business Buying & Selling Businesses Complex Corporate Matters Employment Contracts, Executive Compensation Agreements Other Explain* Percentage of your practice devoted to Corporate Law Criminal LawIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check each sub-category the corresponds to your experience. Criminal Law Subcategories Misdemeanors Municipal Ordinance Violations Traffic Violations Juvenile Proceedings License Suspension Expunction Revocation of Misdemeanor Probation Parole Violators Criminal Matters Involving the Mentally Challenged Criminal Inmate matters RICO Act Other Explain* Percentage of your practice devoted to Criminal Law State FeloniesREQUIRES AN EXPERIENCE PANEL APPLICATION.Percentage of your practice devoted to State Felonies Driving While IntoxicatedREQUIRES AN EXPERIENCE PANEL APPLICATION.Percentage of your practice devoted to Driving While Intoxicated Matrimonial & Family LawIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check each sub-category the corresponds to your experience. REQUIRES AN EXPERIENCE PANEL APPLICATION.Matrimonial & Family Law Subcategories Adoption Name Change Child Abuse Issues Conservatorship Divorce, Annulment Grandparents Rights Paternity Support Modification/Enforcement Fee From Spouse Interstate/International Enforcement & Other Issues Pre-Nuptial Agreements, Co-habitation Agreements Family Law matters involving Military personnel Issues involving Same-Sex Partnerships Appeals Termination of Parental Rights Collaborative Law Other Explain* Percentage of your practice devoted to Matrimonial Law Immigration LawIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check each sub-category the corresponds to your experience. REQUIRES AN EXPERIENCE PANEL APPLICATION.Immigration Law Subcategories Visas/Naturalization Labor Certification Fraud Investigation Deportation & Exclusion Political Asylum Other Explain* Percentage of your practice devoted to Immigration Law Legal MalpracticeIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check each sub-category the corresponds to your experience. REQUIRES AN EXPERIENCE PANEL APPLICATION.Legal Malpractice Subcategories Represent Client Represent Attorney Percentage of your practice devoted to Legal Malpractice Medical Malpractice and other Professional MalpracticeIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check each sub-category the corresponds to your experience. REQUIRES AN EXPERIENCE PANEL APPLICATION.Medical Malpractice and other Professional Malpractice Subcategories Represent Patients Represent Doctors Hospital matters Mentally Challenged Dental Patients Chiropractic Patients Psychiatric Patients Veterinarian Malpractice Matters involving Veterans Administration CPA Malpractice Other Explain* Percentage of your practice devoted to Medical Malpractice and other Professional Malpractice Oil, Gas & Mineral LawPercentage of your practice devoted to Oil, Gas & Mineral Law Intellectual Property LawIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check each sub-category the corresponds to your experience. Intellectual Property Law Subcategories Patents, Trademarks, Copyrights Unfair Competition/Trade Secrets Computer Law (Software, Contract Dev., Licensing) Intellectual Property Litigation Percentage of your practice devoted to Intellectual Property Law Personal Injury LawIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check each sub-category the corresponds to your experience. Personal Injury Subcategories Aviation Asbestos Claims Auto Collisions with Injury Auto Collisions without Injury Slip & Fall Crime Victims Assault & Battery, False Arrest or Imprisonment, Police Brutality Defense Libel & Slander, Invasion of Privacy, Abuse of Process, Malicious Prosecution Property Damage No Fault Insurance Owner Liability (Bar, Apartment etc) Uninsured/Underinsured Motorist Premises Liability Minor Injury involving Animal Federal Tort Claims Other Explain* Percentage of your practice devoted to Personal Injury Law Estate & Probate LawIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check each sub-category the corresponds to your experience. REQUIRES AN EXPERIENCE PANEL APPLICATION.Estate & Probate Law Subcategories Simple Will Drafting, Probates Power of Attorney Estate, Trust & Tax Planning Guardianship Elder Law Mental Health Law Will Contests/Litigation Other Explain* Percentage of your practice devoted to Estate & Probate Law Product LiabilityIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check each sub-category the corresponds to your experience. REQUIRES AN EXPERIENCE PANEL APPLICATION.Product Liability Subcategories Class Action Suits Other Explain* Percentage of your practice devoted to Product Liability Real Property LawIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check each sub-category the corresponds to your experience. Real Property Law Subcategories Preparation of Deeds, Mortgages, Closing Foreclosures Deficiency Litigation Condominium Sales Complex Real Property Litigation (Fraud, Rescission, etc.) Eminent Domain/Condemnation Easements, Zoning, Variances Trespass Other Explain* Percentage of your practice devoted to Real Property Law Tax LawIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check each sub-category the corresponds to your experience. REQUIRES AN EXPERIENCE PANEL APPLICATION.Tax Law Subcategories Federal & State Incomes Taxes Corporate Taxes International/Interstate Complex Tax Litigation Counseling Other Explain* Percentage of your practice devoted to Tax Law Wrongful DeathREQUIRES AN EXPERIENCE PANEL APPLICATION.Percentage of your practice devoted to Wrongful Death Consumer LawIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check the sub-categories that correspond with your experience.Consumer Law Subcategories Represent individual in Small Claims Court Consumer Fraud, DTPA Consumer Banking Identity Theft "Lemon Law" Credit Homeowner Improvements/Repair/Utilities Complex Consumer Matters Other Explain* Percentage of your practice devoted to Consumer Law Employment / Labor LawIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check the sub-categories that correspond with your experience.Employment / Labor Law Subcategories Employer Representation, including wrongful termination Employees of Private Companies, including wrongful termination Employees of Government Agencies/Unions Discrimination, Sexual Harassment Wage Claims Government Procurement Retirement/Pensions ERISA Labor Arbitration Proceedings Negotiation/Preparation of Collective Bargaining Agreements Non-subscribers Workers Compensation Claim Retaliation due to Workers Compensation Claim Complex Employment Matters Other In an effort to provide individuals with attorneys who are skilled in the area of law needed, please check the sub-categories that correspond with your experience.Explain* Percentage of your practice devoted to Employment / Labor Law Environmental LawIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check the sub-categories that correspond with your experience.Environmental Law Subcategories General Biotechnology/Toxicology Water Law OSHA Requirements Asbestos Complex Environmental Matters Percentage of your practice devoted to Environmental Law Landlord-TenantIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check the sub-categories that correspond with your experience.Landlord-Tenant Subcategories Represent Tenants Represent Landlords Commercial Landlords & Tenants Represent Tenant Committees/Homeowners Associations Other Explain* Percentage of your practice devoted to Landlord-Tenant Military LawIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check the sub-categories that correspond with your experience.Military Law Subcategories Active Veterans Percentage of your practice devoted to Military Law Insurance LawIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check the sub-categories that correspond with your experience.Insurance Law Subcategories Life/Health/Disability Medicare/Medicaid Home/Fire/Property Obligation of Defense & Indemnity Arbitration HIPPA Other Explain* Percentage of your practice devoted to Insurance Law Constitutional RightsIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check the sub-categories that correspond with your experience.Constitutional Rights Subcategories Civil Rights Discrimination (other than employment), Americans with Disability Act Elderly, Gay or Children's rights Mentally Challenged Other Explain* Percentage of your practice devoted to Constitutional Rights Social SecurityIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check the sub-categories that correspond with your experience. REQUIRES AN EXPERIENCE PANEL APPLICATION.Social Security Subcategories Appeal Federal Agencies State Agencies Other Explain* Percentage of your practice devoted to Social Security Workers CompensationIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check the sub-categories that correspond with your experience. REQUIRES AN EXPERIENCE PANEL APPLICATION.Workers Compensation Subcategories Federal State Longshoremen & Harbor Worker Appeals Employer Defense Other Explain* Percentage of your practice devoted to Workers Compensation MASSREQUIRES AN EXPERIENCE PANEL APPLICATION.Percentage of your practice devoted to MASS Civil AppealsREQUIRES AN EXPERIENCE PANEL APPLICATION.Percentage of your practice devoted to Civil Appeals State or Federal Criminal AppealsREQUIRES AN EXPERIENCE PANEL APPLICATION.Percentage of your practice devoted to State or Federal Criminal Appeals Federal CrimesREQUIRES AN EXPERIENCE PANEL APPLICATION.Percentage of your practice devoted to Federal Crimes International LawIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check the sub-categories that correspond with your experience. REQUIRES AN EXPERIENCE PANEL APPLICATION.International Law Subcategories International Trade Agreements Customs & Tariffs Foreign Social Security/Pensions/Retirement Licensed to Practice in or Office in other Country Other Explain* Please specify country Percentage of your practice devoted to International Law SecuritiesIn an effort to provide individuals with attorneys who are skilled in the area of law needed, please check the sub-categories that correspond with your experience. REQUIRES AN EXPERIENCE PANEL APPLICATION.Securities Subcategories Represent Brokers & Dealers Customer Disputes Federal Securities State Securities Investment Counseling Other Explain* Percentage of your practice devoted to Securities Program Participation I am on a Criminal Law panel of HLRS and am willing to accept after-hours calls during weekend hours. I am willing to accept after-hours calls during week day evenings. I am interested in participating in the Reduced Fee Program. Please send me the necessary information. Choose any of the these. No charge to participate on the following panels and these do not count towards the allowed eight categories.HLRS LAWYER-ON-CALL PROGRAM AND REDUCED-FEE PROGRAMHLRS has two special programs that attorneys may participate on, the Lawyer-on-Call program and the Reduced Fee Program. There is no charge to participate on these programs designed to benefit the public. Lawyer-on-Call — HLRS continues to receive many calls from clients after business hours. As part of our "24 hour service" panel members can participate after 4:30 p.m. as the "on call" attorney who receives emergency and jail calls. You must be willing to assist citizens in many areas of law an in obtaining release from jail. You are permitted to handle any area of law you are competent to handle. If you choose to participate HLRS will contact you in advance to schedule your assigned weekend or evening. Reduced Fee Program — HLRS's Reduced Fee Program is designed to assist low income eligible individuals with civil matters. Any person who is employed or with some steady source of income but has a gross monthly income of less than 225% of the federal poverty level is eligible to participate. Panel members who enroll in the program are asked to reduce their normal fee by 25% and are contacted by HLRS staff for permission to make a referral prior to releasing the attorney's name. HLRS truly needs your support of this panel. HLRS provides reduced fee referrals in most areas of the law, excluding criminal law, any personal injury law, and when recoveries are likely. HLRS needs more family law attorneys to participate in this worthwhile program.After you Submit your ApplicationYou will receive an email after your submit your application (check your spam). IF you do NOT receive an email thanking you for applying, HLRS did not receive your application.Security CheckNameThis field is for validation purposes and should be left unchanged.