IN Intake Form and Financial Affidavit 2019-2025 free printable template

DISABILITY LEGAL SERVICES OF INDIANA, INC. INTAKE FORM AND FINANCIAL AFFIDAVIT NOTICE: The information you provide on this form will be used to help determine if Disability Legal Services of Indiana.

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How to fill out IN Intake Form and Financial Affidavit

1. Obtain the IN Intake Form and Financial Affidavit from the relevant source.
2. Begin with the IN Intake Form by filling in your personal information such as name, address, and contact details.
3. Provide any required details about your case or service needed, ensuring all requested information is accurate and complete.
4. Move on to the Financial Affidavit and fill out your financial information, including income, expenses, assets, and debts.
5. Double-check all entries for accuracy; ensure that all supporting documentation is attached if required.
6. Sign and date both forms at the designated sections.
7. Submit the completed forms to the appropriate office or person as instructed.

Who needs IN Intake Form and Financial Affidavit?

1. Individuals seeking legal assistance who need to disclose their financial situation.
2. People involved in court proceedings requiring financial information for eligibility determinations.
3. Applicants for public services or benefits that require verification of financial status.

People Also Ask about indiana email

What is considered to be a disability?

The law defines disability as the inability to engage in any substantial gainful activity (SGA) by reason of any medically determinable physical or mental impairment(s) which can be expected to result in death or which has lasted or can be expected to last for a continuous period of not less than 12 months.

What are the 4 categories of disability?

There are many different types of disabilities such as intellectual, physical, sensory, and mental illness.

What are the 3 most common types of physical disabilities?

ing to the Centers for Disease Control and Prevention (CDC), three of the most common physical disabilities that affect people include arthritis, heart disease, and respiratory disorders.

What are the three types of disability?

Different types of disabilities vision Impairment. deaf or hard of hearing. mental health conditions. intellectual disability. acquired brain injury. autism spectrum disorder. physical disability.

What is the disability?

A disability is any condition of the body or mind (impairment) that makes it more difficult for the person with the condition to do certain activities (activity limitation) and interact with the world around them (participation restrictions).

How do you qualify for legal aid in Indiana?

In general, an applicant is financially eligible for legal assistance from Indiana Legal Services if that person's income is within 125% of the Federal Poverty Guidelines. The chart below shows the 125% income level. (For general information about the Federal Poverty Guidelines, see Frequently Asked Questions).

Who is the executive director of Indiana Legal Services?

Jon Laramore - Executive Director - Indiana Legal Services, Inc.

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What is IN Intake Form and Financial Affidavit?

The IN Intake Form and Financial Affidavit is a document used to collect information about an individual's financial situation, particularly in the context of legal or financial proceedings. It helps in assessing eligibility for certain benefits or in determining financial responsibility.

Who is required to file IN Intake Form and Financial Affidavit?

Individuals seeking financial assistance, legal services, or those involved in court cases where financial disclosure is necessary are typically required to file the IN Intake Form and Financial Affidavit.

How to fill out IN Intake Form and Financial Affidavit?

To fill out the IN Intake Form and Financial Affidavit, individuals should carefully read the instructions provided, gather accurate financial information, and complete each section of the form, ensuring all information is truthful and complete. It's advisable to review the form before submission.

What is the purpose of IN Intake Form and Financial Affidavit?

The purpose of the IN Intake Form and Financial Affidavit is to provide a comprehensive overview of an individual's financial status to assist in determining eligibility for legal aid, benefits, or court-related matters, and to ensure fair assessments in legal proceedings.

What information must be reported on IN Intake Form and Financial Affidavit?

The IN Intake Form and Financial Affidavit typically requires information regarding income, expenses, assets, liabilities, and any other financial obligations. This may include personal details, employment information, and dependent information.