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Name: 
Law firm/employer 
Address: 
City, state, zip code: 
Email address: 
Phone number: 
Client name: 
Type of case:
   If you answered "Other," please specify the type of case: 
Client's address: 
Client's phone number: 
Reason for closing (select one):
Date of filing: 
Date of interview (affirmative) 
Date of hearing (defensive-removal): 
Date of case decision: 
Name of presiding judge or asylum officer: 
Consulting attorney:
Did you use an interpreter by The Advocates?
Did you use an expert?
If yes, please provide the expert's name: 
    Expert's mailing address: 
    Expert's phone number or email: 
    Area of expertise: 
    Service provided (affidavit, testimony, etc.) 
    Expert service provided pro bono?
Number of hours expended: 
Normal hourly rate: 
We report the total value of in-kind donations. If you do not have a regular hourly rate, please estimate the value of the hours you spent on the case for our in-kind reporting purposes.
Amount of expenses donated: 
Your interest in a new case:
Comments about your experience, the support
you received, resources, etc.:		 
We often list the names of our volunteers and feature photos and stories about the work of volunteer attorneys in our magazine, on Facebook and our website, through Twitter, and other media. If you are willing to have your work publicized, please indicate below.
Publicity
With the dispensation of my client's case, my client:
    Has increased ability to pay for daily necessities:
    Is less likely to be harrassed by creditors:
    Is in a better position to keep or find a job
    Is in a better position to find housing:
    Has improved housing conditions:
    Has increased safety:
    Has improved quality of life:
    Your legal services protect money/benefits for the client:
    If you answered "yes" to the above question, please explain.
    (Include in your answer how much your legal services
    protected money/benefits for the client.)		 
Is there anything The Advocates could have done to improve
your experience as a volunteer attorney; i.e., consulting
attorney, The Advocates' staff, resources, trainings, etc.?		 
I am interested in taking another case:
   If you answered "Other," please specify when
   you would like to take another case:		 
   If you answered that you are not interested in taking
   another case, please provide a brief explanation. 		 

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