INSTRUCTIONS FOR ONLINE CLIENT INFORMATION FORM

(PLEASE READ CAREFULLY BEFORE SUBMITTING THE FORM)

BEFORE SUBMITTING THIS FORM, CLIENTS MUST FIRST CALL THE OFFICE AT (352) 392-5297 TO SCHEDULE AN APPOINTMENT.

CLIENTS FOR CRIMINAL-TRAFFIC CLINIC MAY SUBMIT THE FORM WITHOUT CALLING FIRST. PLEASE NOTE THAT CLINIC WILL BE HELD DURING THE SPRING AND FALL SEMESTERS ONLY, BEGINNING ON THE 2ND TUESDAY OF THE SEMESTER.

Clients with pending criminal charges or traffic infractions can come in for CRIMINAL-TRAFFIC CLINIC (no appointment necessary) on Tuesdays and Wednesdays from 2:30 p.m. – 4:30 p.m. Write CLINIC at the end of the Statement of Facts section of the form. For traffic cases, Clinic will address the traffic infraction(s) only but not any issues involving property damage as a result of the traffic infraction(s).

Clients should complete and submit the online Client Information Form at least 24 hours prior to their appointment at Student Legal Services. Clients should also bring to their appointment all pertinent documentation relating to their legal matter (i.e. lease agreement, promissory note, receipts, invoices, citations).

FAILURE TO SUBMIT THE ONLINE CLIENT INFORMATION FORM OR TO BRING APPROPRIATE DOCUMENTATION TO THE APPOINTMENT WILL RESULT IN THE CANCELLATION OF THE APPOINTMENT. Clients will be charged a $10.00 NO-SHOW FEE in order to meet with an attorney at Student Legal Services in the future.

If the form is correctly completed, you will receive a message that it was successfully submitted. If you fail to receive this message, hit the back button to return to the form. It should tell you which information should be corrected.

For assistance in completing the form, please call our office at (352) 392-5297

The requested information will be used for the sole purpose of enabling the attorney to assist clients with their cases.

Appointment Date*: //

Type of Case*: Expunge/Seal Criminal Record Name Change Family Dissolution of Marriage Power of Attorney Consumer Auto Repair Consumer Debt Consumer ID Theft Consumer Internet Consumer Merchant Consumer Phone Consumer Promissory Note Consumer Rental Car Consumer Warranty Criminal INSURANCE Auto INSURANCE Medical Landlord Tenant Security Deposit Landlord Tenant Maintenance Landlord Tenant Eviction Landlord Tenant Break Lease Property Auto Property Other Traffic Violation Traffic Out of State Landlord Tenant Other City Ordinance Civil Fine Application Questions Civil/Criminal Procedure Witness

Name*:

Hours this Term*:

Grad/Undergrad*: Grad Undergrad

US Citizen*: Yes No

Date of birth*: //

UF ID (no dashes)*:

Home Phone*:

Cell Phone:

Email*:

Local Address*: City*:

State*: Zip*:

Permanent Address: Permanent City:

Permanent State: Permanent Zip:

Additional Parties*:
(i.e. Roommates, etc.)

Opposing Parties*:

Opposing Party's Address: Opposing Party's City:

Opposing Party's State: Opposing Party's Zip:

Opposing Party's Phone:

Brief Statement of Facts*:

By submitting this form, I hereby represent that the information provided is true and accurate. I also represent that I have read and understand the Student Legal Services rules and agree to abide by and be bound by the terms and conditions stated therein.