Application Information: I hereby authorize Community Law Center and its agents and employees to verify, disclose and make copies of any and all information provided in this application in the course of determining eligibility and in securing an attorney.
Release: I hereby release any person or entity complying with this authorization from any and all claims relating to the disclosure of any such information and documents.
Acknowledgement: I hereby authorize Community Law Center and its agents and employees to use non-identifying information regarding my application for legal services and the legal services that I receive.
Validity: A copy of this authorization shall be as valid as the original.
Providing Information Requested: I agree to meet all requests for further information from Community Law Center and/or any assigned attorney in a timely manner and I agree to contact a designated attorney promptly upon notification of assignment.