法律服务申请表ApplicationforLegalAssistance-HoustonVolunteer.PDF

法律服务申请表 Application for Legal Assistance 1. What kind of problem do you need help with? 您的法律问题?  Divorce/离婚  Child Custody/子女抚养权  Guardianship/监护  Bankruptcy/破产  Tax/税  Landlord/Tenant;房东/房客  Will / Estate Planning;遗嘱/遗产规划 Other/其他 2. Applicant Information Your full name 您的姓名: FOR OFFICE USE ONLY: Other names you have gone by (e.g., maiden name, former name, ID reviewed nickname) 使用的其他名字 （娘家姓，旧名，昵称): (name DOB) Your date of birth 出生日期(mm/dd/yyyy): Your marital status 婚姻状况: 单身Single(never married) 已婚Married ___________________ 年龄/Age: ______ 分局Separated 离婚Divorced 寡居Widowed Your SSN(last 4 digits only)社会安全号码（后四位数字）:XXX-XX-___|___|___|___| If you are a U.S. citizen, sign here 如果您美国公民，请签字: I am a citizen of the United States. 我是美国公民。 _______________ Your Signature 前名 Date 日期 If you are NOT a U.S. citizen 如果您不是美国公民: For OFFICE USE ONLY (a) Are you a permanent U.S. resident? 您是合法居民吗？ 仅作办公用途 〇Yes 是 〇No 否 Document Seen If “No,” answer (b), (c), (d), (e) and (f), below 如果不是的话请回答 by Staff : (b),(c),(d),(e)和（f） (b) Do you have any children who are U.S. citizens?您有美国公民的孩子吗？ Date: 〇Yes 是〇No 否 (c) Hav