Full Representation Case Closing Form

Attorney Name
Client Name
Date Case Opened
Hours Volunteered
Additional Attorneys and Hours Volunteered (if any)
Area of Law
Work Performed and Outcome
Court Case File Number (list "N/A" if none)
Please check major reason case was closed (indicating the highest level of service you provided.)
Court Decision
Administrative Agency Decision (ALJ)
Negotiated Settlement with Litigation
Negotiated Settlement without Litigation
Brief Services (letters, phone calls)
Counsel and Advice
Referred After Legal Assessment
Insufficient Merit to Proceed
Client Withdrew
No Service (Client didn't show)
Other
If other, specify

VLN funders require the following documents. Please fax the following documents to: 612-238-2971. Please indicate the date by which you will be able to do this.

Client Representation Agreement
Final order or judgment and decree
Please describe how your services benefited your client (for our funders):
Please list any additional comments to VLN staff you'd like us to know.

(optional) Attach Documents:

If you have a representation agreement, court order, or any relevant documents, please attach them here. If you have more than three documents please combine them as a single PDF or put them in a zip file before attaching.

File 1
File 2
File 3