State Bar of Wisconsin

Program Name *
Contact Person * First Last
Email *
Phone Number * ### - ### - ####
Program Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Describe your program and the legal services that volunteer attorneys provide through it. *
If your sponsorship request is approved:
Will you indicate on your materials for attorneys and the public that the project is (co)sponsored by the State Bar of Wisconsin? *
Yes No
Will you keep a record of which volunteer attorneys assist which clients? *
Yes No

It is important, in the event of a claim, that we have some record of who provided what type of assistance to whom.
Will you inform volunteer attorneys that the professional liability insurance through the State Bar only covers pro bono legal services lawyers provide through the (co)sponsored program? *
Yes No
Will you provide summary information to the State Bar pro bono program regarding the numbers of people your project helps and the numbers of volunteers who participate? *
Yes No
Will you notify the State Bar Pro Bono Coordinator if any attorney for whom coverage is sought has been the subject of a disciplinary complaint
or refused admission to practice, disbarred, suspended, reprimanded, sanctioned, or held in
contempt by any court, administrative agency or regulatory body in the past 12 months?
*
Yes No

We need to answer this question for our insurer each Fall and we depend on you to provide this information for volunteers in the project.
Do Not Fill This Out

State Bar of Wisconsin

If your sponsorship request is approved: