We built our website for newer browsers. Update now for the best experience.

Online Application for Legal Services

Para español, haga clic en la bandera de arriba.

PLEASE REVIEW THIS LIST OF OUR SERVICES AND GENERAL ELIGIBILITY REQUIREMENTS BEFORE SUBMITTING THIS FORM:

We serve Westchester, Putnam, Rockland, Dutchess, Orange, Sullivan, and Ulster counties.

Income limits are typically 200% of the federal poverty guidelines (Approximately $53,000 for a family of four in 2020) but can vary by program.

Programs can be subject to periodic closures and other limitations.

If you have been locked out of your home, served with a post-judgment warrant with 14-days’ notice of eviction, denied emergency shelter, please do not use this form. Instead, call our Intake Line at 877-574-8529.

Completing this application does not guarantee that you will receive services from LSHV, and it does not create an attorney-client relationship. We cannot assist all applicants. A paralegal will call you within 1-2 business days to follow up.

This is a secure website, and your information is being transmitted to a secure server. LSHV will keep all information transmitted through this form confidential, but is not responsible for the security of your internet connection. For the security of your personal information, you should NOT complete this application from an unsecured wifi or wireless network, whether it is public (such as at a library or restaurant) or private (such as at someone’s home).

LSHV is not responsible for computer malfunctions or internet service disruptions that may prevent your information from reaching us. If your information is transmitted successfully, you will receive a confirmation email from us.

*Please note we do not handle criminal cases.

  • This field is for validation purposes and should be left unchanged.