Update Information for the Directory of Idaho Legal Services

Please fill in the title of the organization and complete only the fields that have changed. You may use this form to submit a fact sheet for the Directory, if your organization is not already listed. Format all paragraphs as you would like them to appear when read.

Title of Organization

Organization Information. (please submit separate forms if more than one Local Office or Program has changes):

Local Organization or Program:

Address:

Phone:

Fax:

E-Mail:

Web Address:

Specific Services Provided: (Press 'Enter' after each service provided to create a list)

Types of Cases Handled (included but not limited to): (Press 'Enter' after each type to create a list)

Eligibility Criteria (Press 'Enter' after each separate criteria to create a list)

The following information is for contact purposes only. It will not be published.

Person submitting form:

Person submitting form:

Phone:

Email: