Our intake lines are
Thursday and Friday
from 9 AM to 1 PM.
Call 602-274-6287 (Voice/TTY) Phoenix
(Voice/TTY) Toll Free
If you need assistance at any
other time, you may fill
in the intake worksheet below in either Adobe or
Word format, and e-mail or fax your information
to us. We will contact you regarding
so please provide your current phone number
or e-mail address.
INSTRUCTIONS ON HOW TO SAVE YOUR
AND E-MAIL IT TO OUR OFFICE
you use the Adobe Acrobat Intake Worksheet, you must have
the Acrobat Pro (not just the Reader) version to save the file.
If you do not have the Acrobat Pro version, then use
the Microsoft Word worksheet.
After you enter the information in the worksheet form, SAVE IT
to your computer, then click the Send E-mail button at the bottom
of the form that will open up a new e-mail message.
Insert your saved worksheet as an
and e-mail the completed form to us.
DO NOT insert the worksheet directly into your
e-mail message. It will not work that way.
can also print out the form, complete it and fax it to us at 602-274-6779.
The Intake Worksheet form works
best with Internet Explorer
as your internet browser.
Please Note: The
information that you are providing to the Center to request assistance is
confidential. However, submitting the
Intake Worksheet and requesting assistance does not establish an
we do not have the resources to provide individual legal representation to
every caller, we are truly committed in providing accurate disability-related
legal information and advice to more individuals who need our services and
assistance. In addition to limited
legal representation, our goal is to provide efficient, streamlined services
to educate people with disabilities and their family members on how to
enforce their legal rights through self advocacy. Our self advocacy guides and other
disability-related documents can be found on this website by selecting the
Self-Advocacy Materials button from our home page.
Some problems can be resolved over the telephone, while others require
the help of an advocate or lawyer.
Demand for legal assistance greatly exceeds our available staff. Assistance is only provided for
disability-related issues in established priority areas. The Center does not charge for services.
Información en Español
Centro de Arizona para La Ley de Discapacidad aboga para los derechos de
personas con discapacidades.
Mas Información Sobre
Oportunidades Para Servicios