SRLP Allied Attorney Network

This form is designed to obtain the basic information we need to involve you in our work. We respect the fact that some attorneys need confidentiality. Volunteering to be a part of our network does not mean that you must be publicly identified with any particular case or issue. The names in our network are not shared with anyone else, with the exception of those attorneys who indicate that they would like to be considered available to callers seeking assistance.

We appreciate your support and interest and look forward to working with you.

General Information

Name

Work Information

Company

Office Address

City

State

Zip

E-Mail Address

Phone

Fax

Home Information

Home Address

City

State

Zip

E-Mail Address

Phone

Fax

Where would you like your mail sent?

Home
Office

Bar Admission(s) (year & jurisdiction):

General Legal Experience

Litigation

Trial
Appellate
Amicus Curiae
Federal Court

Administrative Law

State
Federal

How Can You Help?

Please check off as many as interest you

Allied Attorney: Representation

Counsel or co-counsel for Sylvia Rivera Law Project cases representing plaintiff/defendant.

I would be able to be primarily responsible for litigation of a SRLP case as your allied attorney.

I would be able to work with SRLP as co-counsel on the litigation of a case, sharing responsibility with SRLP and/or other allied attorneys.

I would be able to appear in courts in the following geographic areas:

New York City area courts

Upstate New York courts

Courts in the following other states:

Allied Attorney: Research

I would be able to assist SRLP staff attorneys by researching and drafting legal memoranda. (Your name need not appear on papers if you prefer.)

Are you able to commit the resources of your firm, in addition to your own time?
Yes No

If so, at what size firm do you work?
Small Medium Large

Allied Attorney: Other

I would be able to assist SRLP as a volunteer legal observer during actions.

I would be able to offer the resources of my firm to assist in SRLP’s public education work (e.g.brochure production, photocopying fact sheets, media work).

I would be able to assist SRLP with fundraising events or other general (non-legal) work.

Resource Attorney

I am available as a resource for transgender, intersex, or gender non-conforming callers from my state seeking assistance in legal matters.

Please specify further:

If I am unable to help a caller, I will do my best to provide her/him with the names of other attorneys who might be able to assist.

I am willing to do some pro bono work for clients presenting cases with these issues.

I am willing to work for reduced or contingency fees to make representation possible for clients presenting cases with these issues.

I will work only for my usual full fees, but I am interested in cases presenting these issues and may waive or do not have an initial consultation fee.

I will work only for my usual full fees and I will charge an initial consultation fee, but I am interested in cases presenting these issues. The amount of my initial consultation fee is:

I am or at least one other person working at my firm is transgender, intersex, or gender nonconforming.

I have represented at least one transgender, intersex, or gender nonconforming client in the past five years.

I have received transgender awareness training at least one time in the past five years.

My office has no sex-segregated facilities (e.g., men’s restrooms or women’s restrooms); or, my office always allows transgender, intersex, and gender nonconforming people to use whichever sex-segregated facilities they feel most comfortable in.

My office is wheelchair accessible.

I can provide services in the following languages in addition to English:

There are particular limits to my practice that you should know about (for example, “I am only willing to accept cases that would go to court in the Bronx,” or “I do not accept cases that involve litigation against the government”). They are:

Practice Experience

Antitrust

Bankruptcy

Civil Rights

First Amendment

Fourteenth Amendment

Juvenile Rights
Prisoners' Rights

Police misconduct

Privacy
Consumer
Corporate
Criminal

Misdemeanor
Felony

Appellate

Discrimination

Education

Employment

Government services

Harassment

Housing

Public accommodations

Employment

Wage and Hour
Employee Benefits
Worker's Compensation

Entertainment

Immigration

Removal Proceedings
Asylum
Family-based petitions

Employment-based petitions

U-Visas

HIV waiver

Naturalization
Family

Domestic Violence

Foster Care

Marriage/Divorce
Relationship Contracts
Domestic Partnerships

Adoption
Co-Parents Rights
Custody/Visitation

Abuse/neglect proceedings

Guardianship

Government

Freedom of Information
Security Clearances

Military

HIV/AIDS
Confidentiality
Testing

Housing

Real Estate

Landlord/Tenant

Shelter/homelessness

Insurance
International

Labor
Patent, Copyright, Trademark
Public benefits

Food stamps

Medicaid

Medicare

Public Assistance / Welfare

Social Security

SSI/SSD

Veterans

Unemployment

Securities
Small Business
Tax

Tort

Personal injury

Medical malpractice

Intentional tort

Invasion of privacy

Wills and Estates

Other

If you prefer to send your form through the mail, please return to: The Sylvia Rivera Law Project, 322 8th Ave. 3rd floor, New York, NY 10001, Attention: SRLP Allied Attorney Network. You may also fax it to: 212-337-1972 or e-mail it to .

Thank you!