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Advancing the Human & Civil Rights of People with Disabilities in Illinois

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Online Intake Form

Please Read

Before you complete our Online Intake Form, please read How to Get Help from Equip for Equality.  This will help you understand the types of cases we work on, how we handle requests for legal help and what to expect during the process.

Online Intake Form

    I Need Legal Help With:
    (Please see the Cases We Don't Handle before you make your selection)

    Access to Assistive TechnologyCriminal Legal SystemsDisability DiscriminationEducation – Special Education or Early InterventionEducation – Post-Secondary EducationEmployment DiscriminationGuardianship (Being My Own Guardian)Housing (Fair Housing Discrimination)Living in the CommunityRights in Institutions – Abuse & NeglectRights in Institutions – Other than Abuse & NeglectTransportationVotingOther

    My Contact Information (* Required)

    *First Name

    *Last Name

    *Street Address

    *City

    *State

    *Zip Code

    *County

    *Email Address

    *Confirm Email Address

    Telephone Numbers

    Home:

    Cell:

    Work:

    Initial Intake Questions (*Required)

    *Are you filling out this form for yourself, or for someone else?

    Please know that in order to complete the intake and determine we can help someone, we may need to speak directly with the individual with the disability.

    *Do you, or the person for whom you are filling out this form, have a disability?

    *Is your legal problem based in Illinois?

    *Please briefly describe the legal problem

    *What would you like EFE to do to help you with your legal problem?

    *What do you think is the highest unmet legal need for people in Illinois?

    *How did you hear about Equip for Equality?

    *Are you a registered voter?

    *If you are not a registered voter, would you like our office to send you voting materials?

    *Would you like to receive EFE’s E-Newsletter?

    *Please read EFE's Disclaimers and agree to the terms.
    Yes, I agree to the terms of EFE's Disclaimers

     

    What Next?

    After you complete this Online Intake Form, if you do not receive a reply from us within 3 working days, please contact us again by telephone, TTY, Fax, or regular mail at:

    Phone Numbers:
    312-341-0022 (Voice)
    800-537-2632 (Toll Free Voice)

    Fax:
    312-800-0912

    Mail:
    Equip for Equality, ATTN: Intake, 20 North Michigan Avenue, Suite 300, Chicago, Illinois 60602

     

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    Last updated: October 04, 2022

    This website is made possible by funding support from the U.S. Department of Health and Human Services, both the Administration on Developmental Disabilities and the Center for Mental Health Services of the Substance Abuse and Mental Health Services Administration; and the U.S. Department of Education, the Office of Special Education and Rehabilitative Services. The contents of this website are solely the responsibility of Equip for Equality and do not necessarily represent the official view of any of these agencies.

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