ORPC Preventive Legal Services Referral

The ORPC is providing legal services to indigent parents residing in Jefferson County. If you are a parent who has unmet legal needs that are affecting your family’s stability or safety, fill out this short questionnaire to determine your eligibility for legal support. If you are a professional working with the family, you may assist the parent to fill out this questionnaire or obtain consent to make this referral. An ORPC advocate will reach out to the referred parent within 48 hours.

Can we safely text this number? *
Can we safely leave a voicemail at this number? *
Can we safely send mail to this address? *

8. If you are assisting with this form, please include your information here:


11. Which legal Issues does the parent have? Please check all that apply, even if you are unsure: *
If you chose "Other", please contact Jill Cohen at either 303-731-8750
or jcohen@coloradoorpc.org for more information.
12. Are the identified legal needs time sensitive? Examples include a scheduled court appearance or an eviction notice:
13. Does the parent qualify for or receive any income-based public benefits like Medicaid, WIC, SNAP, Public Housing, or TANF? *
14. How many adults (18+) and children (under 18) reside in the parent's home? (if unknown, please write "unknown") *

An ORPC advocate will contact the parent to discuss their eligibility for this preventive legal services program. The ORPC advocate will confirm eligibility, explain the process, and answer questions.

If a parent does not receive a response within 48 hours, or if there are further questions, please call 303-731-8770 or e-mail intake@coloradoorpc.org.

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