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I hereby request that PJI provide me with limited assistance in the form of counsel. I certify that I do not have enough money or property to hire a private lawyer. I have provided ShareFair with valid, true, and correct verification of my income.

I understand what this service is considered limited assistance was permitted under the NJ Rules of Professional Conduct 1.2. Because I am unable to afford an attorney, I choose this limited form of assistance as the best alternative available to me.

I acknowledge that I understand the terms of this agreement and have been given an opportunity to ask questions and receive an explanation regarding any part of it that I did not understand.

I understand that the purpose of the legal clinic is to provide free legal assistance to low and moderate-income people.

I understand that I will receive a 30–45-minute consultation with a volunteer lawyer regarding my situation.

I understand that I may also be interviewed by a Volunteer Client Advocate before, during or after my legal consultation.

I understand the volunteer lawyer who interviews me will not represent me and has no obligation to provide me with further legal assistance after this appointment.

I understand that I will receive general advice about my legal problem, and that receiving advice is no guarantee of a successful resolution to my legal problem.

I understand that the attorney I meet with may refer me for additional services, such as a legal education, assistance in getting forms or understanding court procedures, or for additional attorney services.

I understand that any information I give my interviewing attorney will be confidential; however, my case may be discussed as needed among PJI staff and volunteer attorneys.I consent to having my general information sent out to attorneys who may be willing to take my case.

I understand that some of the volunteer lawyers may be employed by state and local government. If I am interviewed by a government attorney,

I understand that the attorney who interviews me is acting as a volunteer on his or her personal time and is not acting in his or her capacity as a government employee.

I understand that if I allow another individual (who is not an assistant of the attorney or ShareFair) to sit in on my legal consultation with the attorney, I will jeopardize attorney-client confidentiality. That individual could be called as a witness to testify against me.

I understand that there are often other costs involved in legal proceedings, and that I am responsible for any such
costs.

I understand that the responsibilities of the attorney assisting me are limited to advice and counsel and assistance with drafting or reviewing documents in this meeting and that it is my responsibility to file the pleadings in court, pay the filing fee, and present the case in court.