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Intake Form

Name

*

Email

*

Phone

Province / Territory

*

Brief Description of Your Legal Issue

*

Is this campus-related?

A

Yes

B

No

C

Not sure

If yes, Name of University or College

Disclaimer

*

Disclaimer

The use of this form for communication with Just Peace Advocates or any individual member of the organization does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form. Once we receive your form, we will try to contact you by phone or email within a few business days. We will keep your name and information confidential in accordance with ethical rules for attorneys.