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Team Name
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If attorney is not part of a team, write NONE
Cause Number
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County
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Type of Case
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(e.g., Divorce, SAPCR, Enforcement, Protective Order, etc.)
Name of Pro Bono Case Agency from Which Case Received
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(If no agency used, describe how obtained)
Date Pro Bono Case Taken
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Date Pro Bono Case Completed
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Did you have to participate in a contested hearing on this case?
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Did you have to attend a bench trial in this case?
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Did you have a jury trial in this case?
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Number of Hours Spent on Pro Bono Case
Names of Other Attorneys That Worked on Case (if any)
Number of Hours each Other Attorney spent Working on the Case
Date Initially Requested Pro Bono Case from Pro Bono Agency
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