This form is being used to collect information on legal services and other programs that provide pro se delivery services. The information will be included in a directory of pro se services published by the AARP Legal Advocacy Group. If you provide pro se services or if you are correcting or revising a previous entry to the Pro Se legal services directory, please complete the form and check all items that apply:
 (* designates a required field)

Name of Program: *
Address: *
City: *
State: *
Zip: *
Telephone: *
Fax:
Contact: *
E-mail:
Website Address:

Section 1. Self-help materials

Produce and distribute self help materials? Yes

Legal problem areas addressed by materials:

Select a subject area from the drop down menu and type in the specific matters addressed by your materials. Example: Select "Housing"; type in "evictions, mortgage foreclosures" in the space on the right. (Note that quotation marks are not necessary) Do this for up to six subject areas your pro se materials address. If you are unsure to which subject areas your materials belong click here for a guide.

1. 
2. 
3. 
4. 
5. 
6. 

Section 2. Pro se delivery system profile: (check all that apply)

Produce self help videos Yes Operate self help center Yes
Operate pro se clinics/workshops Yes Use Internet delivery programs Yes
Use kiosks Yes Operate court-based programs Yes
Use interactive computer programs Yes Operate virtual law office Yes
Produce public access TV shows Yes Other (Description)

Legal problem areas addressed by pro se delivery system

Select a subject area from the drop down menu and type in the specific matters addressed by your pro se delivery system. Example: Select "Family" from the drop down menu and type in "child custody, uncontested divorce" in the space to the right. Quotation marks are NOT needed. If you are unsure to which subject areas your materials belong click here for a guide.

1. 
2. 
3. 
4. 
5. 
6.

If you have any problems with this form, please contact the webmaster.