Request Legal Assistance

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Submissions for this form are closed.

Please fill out this form as completely as possible. If we need information in addition to what is on this form, we will contact you. We will respond as quickly as possible.

However, please be aware that due to the number of requests for assistance we receive, we are able to accept only a small percentage of cases. You must understand that unless and until the ACLU agrees to take your case, you are solely responsible for any and all statutes of limitations or other deadlines which might apply to your specific situation. If you have concerns about statutes of limitations or if you feel your case demands immediate attention, you may wish to seek advice from an attorney.

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Personal Information (All Fields in this Section Required)

First Name *

Last Name *

Pronouns

Email *

Street Address *

City *

State *

Zip *

Phone *

My Complaint is Against

Agency Name *

Contact Name *

May We Contact This Person? *

Yes

Date of Situation *

Month

Day

Year

List Any Witnesses

Complaint Description

Describe Your Situation in Detail *

Attorney Information

Are You Represented by an Attorney in this Matter? *

Yes

Attorney Name or Firm

Attorney Phone

Attorney Email

Have You Filed a Complaint With Any Other Agencies? *

Yes

If Yes, Please List Agency(ies)

Filed Lawsuits

Has a criminal or civil lawsuit been filed against you or on your behalf?

Yes

Case Title

Case Number

Date of Filing

Month

Day

Year

Court with Jurisdiction

Judge

Opposing Counsel

Current Case Status

Information and Authorization

Disclaimer and Notice

This Survey does not give legal advice, and you should not rely on it as legal advice. You should not rely on the information you get from this site and should speak with a lawyer to get advice on your specific situation. We also cannot promise that the information on this site is complete, accurate, or up-to-date.

This Survey is not a solicitation or an offer by the American Civil Liberties Union and its affiliates to represent you. We cannot promise you that the information you provide will lead to any specific action on the American Civil Liberties Union or its affiliates part. Once you complete the survey, the American Civil Liberties Union of Alaska may not do anything—including contact you—about your situation.

If you fill out this Survey, you agree that the American Civil Liberties Union, the national ACLU or its affiliates, if identified as part of the Survey, or one of its coalition partners may use the information you give us, as long as we don’t include your name, address, email or phone number, for one or more of the following purposes: (1) legislative testimony, (2) litigation; (3) contacting a city, state or federal agency; or (4) telling your story to the public, including the media. If the American Civil Liberties Union, the national ACLU or its affiliates, or one of its coalition partners wants to identify you, we will contact you prior to doing so.

We will keep your name, address, telephone number and email confidential unless you give us permission to use it or unless we are ordered to turn it over by a court (although we will attempt to prevent any disclosure).

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