Online Intake Form

Please fill out our Online Intake Form below or phone our clinic at 1 (877) 314-9129 to see if you qualify for our services. You can also visit our office in-person located in Downtown Red Deer, in the same building as the John Howard Society. Appointments with a volunteer lawyer are offered remotely.

We offer advice on legal issues such as:

• • • Landlord/Tenant
  • • Wills and Estates
  • • Employment
  • • Small Claims/Debt
  • • Criminal Law
  • • Traffic/Bylaws
  • • Family Law
  • • Personal Injury
  • And Immigration Law – If you are specifically looking for immigration advice, you can fill out our immigration intake form here. Additionally, you can also visit our Contact Us page to see other ways of reaching us.

Once you have submitted the form, we will get back to you in a few days. Our office hours are Monday to Friday, 8:30am to 4:30pm.

This personal information is collected to determine your eligibility for services. Because of this, this information may be shared with office staff to see if you qualify, and volunteer lawyers to provide you with legal advice.

Our privacy policy can be found here. When clicking on the link, the page will open in a new tab.

Please enable JavaScript in your browser to complete this form.

First Name *

Middle Name

Last Name *

Which City/Town are you currently living in? *

Postal Code *

Contact Number *

Is it okay to leave messages at your contact number? *Please select oneYesNo

Email *

Is it okay to send messages to your email? *Please select oneYesNo

Preferred Pronouns *Please select oneHe/HimShe/HerThey/ThemOther

If selecting “Other”, please specify below.

Other Preferred Pronouns

Marital Status *Please select oneSingleMarriedCommon-LawDivorcedWidowedOther

If selecting “Other” please fill out the next question.

Other Marital Status

If you selected “Other” for the marital status question, please explain. Otherwise, leave blank.

Date of Birth *

How many adults (over the age of 18) live with you?

(This can include roomates, spouses, family members, etc.)

How many children (under the age of 18) do you financially support?

Monthly Income *

Please fill in how much you are paid from ALL sources (employment, AISH, child support, etc.)

Gross Family Income *

Please fill in your total household income, this includes yourself, as well as the income of anyone else living with you. (spouse, child, relative, etc.)

Have you previously sought legal advice for this problem? *Please select oneYesNo

If you answer yes, please answer the next question.

Do you already have a lawyer? *Please select one.YesNo

Brief description of your legal problem: *

Please explain what your legal issue is. Do you have any deadlines? If so, what are the deadlines for?

Other people involved in your legal problem: (Example: spouse, friend, relative, landlord, boss, etc.) Please include their first and last name, if possible. *

By checking the box below and clicking "Submit" you are agreeing to have the above information shared with the Community Legal Clinic and you agree to our Privacy Policy located at www.communitylegalclinic.net/privacy-policy-2/ (link below). You understand that the personal information in the form above may be shared with office staff to see if you qualify, and volunteer lawyers to provide you with legal advice. *

• I agree

Submit

Our privacy policy can be found here.

When clicking on the link, the page will open in a new tab.