Modest Means Attorney Online Registration Form

Enhance Your Practice with Modest Means Service

Modest Means Attorney Online Registration Form

The Modest Means Panel is a SERVICE of the UTAH STATE BAR that is specially structured to improve the availability of lawyers to those of moderate income.

Before submitting an application please review the rules of participation for the Modest Means Program.

Rules of Participation

Once you have reviewed the rules and are eligible to participate, please fill out the form below completely. Please allow time to process the information and a representative will get back to you.

5 Digit Bar Number*

Confirmation of Malpractice Insurance

By checking this box I am affirming that I meet the malpractice insurance requirements as provided in the rules of participation of the Modest Means Lawyer Referral Program.

Name

First

Last

Telephone Number

Email address*

Firm

Address

City

State

Zip Code

Languages (Other Than English) Spoken:

Are you available for evening or weekend appointments if necessary?

YES

NO

Are you willing to accept limited scope representation matters?

Yes

No

Areas of law in which you will accept referrals

Counties where you will accept referrals:

Please type the characters*

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