KBA Elder Law Hotline Volunteer Form

KBA ELDER LAW HOTLINE VOLUNTEER FORM

Join your colleagues in the Kansas Bar Association in providing legal services to ages 60+ Kansans. The Kansas Elder Law Hotline is a project of Kansas Legal Services, Inc., which is funded in part by the Kansas Bar Foundation and Kansas Bar Association. The Hotline is available to persons who live in Kansas who are age 60 or older. There is no income eligibility to participate in this program. Volunteers can expect to talk to clients of widely varying economic and social backgrounds. The Hotline provides Kansas senior citizens access to an attorney to advise them about legal questions in civil cases and referrals to other resources for additional assistance. All volunteers with malpractice insurance will be listed in a special elder law referral panel of the Kansas Bar Association’s Lawyer Referral Service at no charge. You will be referred elder law clients from your area with a wide array of cases that match your experience. LRS rules (including remitting 10% of fees over $300) apply to this elder LRS panel. The Elder Law Hotline asks that attorneys volunteer a three ½ hour block of time every other month. Calls will be transferred to your office, along with demographic information about each client.

A. Biographical Information

***

Full name (first, middle initial, last):

***

Supreme Court number:

***

Firm/Company/Agency name:

***

Street address:

***

P.O. Box

***

City, State, and Zip+4:

***

County:

***

E-mail address:

***

Telephone number: ****Fax number:

***

B. Volunteer Information

***

I am a lawyer in good standing with the Kansas Supreme Court.

I have professional liability insurance with (name of company)

Expiration Date

I will mail or fax a copy of the declaration page for my professional liability insurance.
      Mail: Kansas Bar Association      Fax: (785) 234-3813
               P.O. Box 1037
               Topeka, KS 66601-1037

I can serve in the following counties:

I can volunteer:

9 a.m. - 12:30 p.m. 1p.m. - 4:30 p.m.

Monday Tuesday Wednesday Thursday Friday

***

C. Case Types

Select all that apply:

***

Elder law is a new area of law for me; please match me to a mentor.

***
Kansas Bar Association
1200 SW Harrison St., PO Box 1037, Topeka KS 66601-1037
Phone: 785-234-5696, Fax: 785-234-3813, E-mail: info@ksbar.org