ACLU of NC

P.O. Box 28004
Raleigh, NC 27611

If you are seeking legal assistance, please fill out this form as completely as possible. If we need additional information, we will contact you.

You can also submit your request through the mail by sending a letter to PO Box 28004, Raleigh, NC 27611. All requests for legal help must be submitted in writing. We review all requests, but we cannot respond to every request. We do not review requests for legal assistance in person or over the phone.

The ACLU of North Carolina Legal Foundation works on cases that involve violations of civil liberties and civil rights guaranteed by the Constitution and related laws, such as your rights to due process, equal protection, religious freedom, privacy, speech, association, and your rights to be free from unreasonable searches and seizures and cruel and unusual punishment.

We receive hundreds of requests for assistance each month. Because we are a nonprofit organization with limited resources, we are only able to provide assistance to a small number of cases. Unless and until the ACLU agrees to take your case, you are solely responsible for any and all statutes of limitations or other deadlines that might apply to your specific situation. If you have concerns about statutes of limitations or if you feel your case demands immediate attention, you may wish to seek advice from an attorney.

Contact information: Please provide your contact information:

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First name *

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Emails

Address *

Type

Upon submission, a copy of this form will be sent to the primary email.

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Addresses

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Phone numbers

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My Complaint

Please enter information about the individual, agency, and/or organization your complaint is against.

My complaint is against:

Please provide a detailed summary of the events that prompted you to contact ACLU-NC. Please include dates, places, and the names of the people involved.

Purpose of Request

To seek a referral

To obtain legal representation

To alert the ACLU of North Carolina

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Date of Occurrence

County of Occurrence

Please describe any attempts you have made to resolve this problem. Include names of individuals/agencies and dates, and give a brief description of each result. Please include any information about any response from the person/agency you believe has violated your rights.

How would you like the ACLU-NC to assist you? Please include the ultimate resolution you would like to see.

Witness Information (Optional)

If you have a witness to support your claims, please enter their information here.

Please provide witness name, address, phone number and email:

May we contact this witness?

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Attorney Information (Optional)

If you are represented by an attorney on this matter, please provide the information here.

Please provide attorney name, agency, phone number and email:

Lawsuit Information (Optional)

If a criminal or civil lawsuit has been filed against you or on your behalf regarding your complaint, please provide the information here.

Date the case was filed:

Case Number

Firm Name:

Case Name

Disclaimer and Notice

This Survey does not give legal advice, and you should not rely on it as legal advice. You should not rely on the information you get from this site and should speak with a lawyer to get advice on your specific situation. We also cannot promise that the information on this site is complete, accurate, or up-to-date.

This Survey is not a solicitation or an offer by the American Civil Liberties Union and its affiliates to represent you. We cannot promise you that the information you provide will lead to any specific action on the American Civil Liberties Union or its affiliate's part. Once you complete the survey, the American Civil Liberties Union of North Carolina may not do anything, including contact you, about your situation.

If you fill out this Survey, you agree that the American Civil Liberties Union, the national ACLU or its affiliates, if identified as part of the Survey, or one of its coalition partners may use the information you give us, as long as we don't include your name, address, email or phone number, for one or more of the following purposes: (1) legislative testimony, (2) litigation; (3) contacting a city, state or federal agency; or (4) telling your story to the public, including the media. If the American Civil Liberties Union, the national ACLU or its affiliates, or one of its coalition partners wants to identify you, we will contact you prior to doing so.

We will keep your name, address, telephone number and email confidential unless you give us permission to use it or unless we are ordered to turn it over by a court (although we will attempt to prevent any disclosure).

ACKNOWLEDGEMENT AND ACCEPTANCE

I acknowledge that I have read and hereby accept the above privacy policy regarding use of my personal information.

THANK YOU

Thank you so much for completing this intake questionnaire. This information will be extremely helpful in evaluating your case. We will contact you as soon as possible with any updates.

Please click the SUBMIT button below when you have finished answering all questions.