Request an Appointment

Instructions

The ONLY people who can access your request are the Student Legal Services attorneys and staff. All information collected remains absolutely confidential and private, even though the attorney-client privilege does not attach until you actually meet with an attorney.

Please fill in all of the information requested below. Providing this information online will save you time and maximize the value of your consultation with one of our attorneys. The demographic information requested helps us assess how well we are serving the entire student community.

After you complete this form, click "Submit" at the bottom. Your "Description of the Problem" will help us determine if yours is the type of case we can handle. If so, you will receive an email to contact the office to schedule your appointment. You are welcome to call the office at 310.825.9894 before completing the form if you have any questions about the types of cases we handle.

Name & Contact Information

UID (9-Digit):

First Name:

Last Name:

Preferred Pronouns:

Email Address:

Home Telephone Number:

Cellular Telephone Number:

How would you prefer Student Legal Services to contact you?:

Current Local Address (Line 1):

Current Local Address (Line 2):

Current City:

Current ZIP Code:

Permanent Address (Line 1):

Permanent Address (Line 2):

Permanent City:

Permanent State:

Permanent ZIP Code:

Permanent Country:

Student Status

Your Current UCLA Student Status:

What year did you enter as a UCLA undergraduate?

Problem/Case Details

Comprehensive Problem Description (200 characters minimum)

Does Your Problem Involve Another UCLA Student?

Instructions

Name & Contact Information

Student Status

Problem/Case Details

Demographics

To Prove You're A Human Being...