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Iowa Legal Aid Logo Legal Hotline for Older Iowans - Free Legal Help for Iowans 60 and Over
 

 
Contact Us

Contact us for free confidential legal advice, or to get other information about the Legal Hotline.  The Hotline will respond to you by telephone, e-mail, or in writing within two business days.  You may also use this form to send comments to the Legal Hotline about this web site, or about the services provided by the Hotline.

Since we are a law office, we need to know who we provide advice to.  Please provide the following information so that we can contact you.  If you are contacting us on behalf of someone else who is 60 or older, provide their information, and put your own name, address and telephone number in the "Comments" box below:

 
Required Information:

First Name

Last Name

Street Address

City

State

Zip Code

County

Telephone

( )

E-mail Address

Are you a U.S. Citizen?

YES NO

Date of Birth



 The following information is optional, but it will help us provide better services to you and help us obtain funding to help others: 

Gender

Race

Marital Status

Number of people in your household

Annual income, including social security, pensions, wages, interest and other income.

$

Not counting your home, one car, household goods and personal belongings, does the value of your assets exceed $10,000 if you are single, or $11,000 if you are married?

YES

NO

 
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