CAP Hotline Intake
Who is taking the call?
Please select...
Volunteer
Staff Attorney
Student
Paralegal
Date of Call
Caller Information
Caller's First Name
Caller's
Middle Name
Caller's
Last Name
Caller's
Phone
Caller's Email
Issue Type
Tenant
Consumer
Other
Unknown
Caller Zip Code
Location of Caller
Please select...
Allegany County
Anne Arundel County
Baltimore City
Baltimore County
Calvert County
Caroline County
Carroll County
Cecil County
Charles County
Dorchester County
Frederick County
Garrett County
Harford County
Howard County
Kent County
Montgomery County
Prince George's County
Queen Anne's County
Saint Mary's County
Somerset County
Talbot County
Washington County
Wicomico County
Worcester County
Location of Issue
Please select...
Allegany County
Anne Arundel County
Baltimore City
Baltimore County
Calvert County
Caroline County
Carroll County
Cecil County
Charles County
Dorchester County
Frederick County
Garrett County
Harford County
Howard County
Kent County
Montgomery County
Prince George's County
Queen Anne's County
Saint Mary's County
Somerset County
Talbot County
Washington County
Wicomico County
Worcester County
Civil Case Number
Description
Outcome
CAP Hotline Brief Advice
No Active Case or Legal Issue
No Match to Service Provided or Outside of Service Area
If you are referring this caller to PBRC for full representation (BOL, THO, WD, Illegal Eviction), DO NOT submit this form. ONLY submit the Case Referral: Extended Rep form.
Contact Information