Submit a question by e-mail - for first-time clients

Prior clients, please click here to use a shorter form.

Important notes:

Please read the instruction page first, if you haven't already done so.
It will also help you understand why we need the required information from you. Click here to return to the instructions.

If you are calling on someone else's behalf, please enter that person's name in section 1 and yours in section 2. If this applies to you and you haven't read our section on talking with others on a person's behalf, please click here and do so now.

If two seniors - a couple, for instance - are calling about something that concerns both equally, just pick one or the other name. We'll get the rest of the information we need when we speak to you.

IMPORTANT: If your question involves a dispute with someone else, then:

  • You must include the name of that other person so we can check whether he or she has already received advice from us.
     
  • Do not give us details about your side of the dispute until we can check. If we are advising the other side, then it would harm your cause to tell us certain things.
    •
    Section 1 -- What we need to know about you
    Name (or name of senior for whom advice is being sought):
    Age
    Date of Birth
    Gender
    Home Address
    City/State/ZIP
    Home Phone
    Email Address
    Living Situation
    How many people live in your household?
    Adults
    Children
    Are you a U.S. Citizen?
    If not, are you a legal resident?
    What is your racial/ethnic background?
    What is the primary language you speak?
    How did you know about the Senior Legal Hotline?
    Section 2 - Only for those submitting a question on behalf of another
    Name of person submitting question
    Relationship to the other person
    Address of person submitting question (if different)
    City/State/ZIP
    Phone number to be called by the hotline advocate:
    Will the advocate be able to speak with the person named in Section 1?
    If not, please state why:
    Section 3 - Getting your answer
    When are some good times to reach you by phone during the next few days? List also different phone numbers, if applicable, and which should be called when.
    Please write your question. Include any important facts and tell us what you hope to obtain from our advocate. For a reminder of what the hotline can and can't do, Click here.  Be sure to include the name of any opposing party, and if this involves a dispute with someone who might have received advice from us, do not include details at this time.