Scheduled Clinics Data Form

Attorney Name
Client Name
Date of Clinic
Clinic Site

Service Provided:

Advice Only
Brief Service (Includes assisted pro se services, phone calls, letters, help with completing forms or pleadings, motion drafting, etc.)
Full Representation (Includes cases in which you resolve the issue for the client and/or represent the client in court.) Please also fax Representation Agreement to 612-238-2976 or attach it at the bottom of this form. Click here for a blank Representation Agreement form.
No Service (Client didn't show)
Referral (Please indicate any referrals in the notes below.)

Description of Service
(Please describe more fully the service checked above, e.g., “I helped the client draft a letter to a judgment creditor offering a specific payment plan,” “I am taking the case back to the office to write letters to creditors.")
Time with Client


Estimate of any follow-up time


(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