SLC's Technical Assistance Form

This technical assistance form is designed to assist us in providing you the assistance you may need. When filling out this form, please be as specific and detailed as possible. It is important that all questions be answered fully and completely.

We will be responding to your request within 15 days of receipt. If you do not hear from us within 15 days, please contact us.

Although we keep our files confidential, submitting cases via e-mail is not a secure means of transmission. If you do not wish to submit your form via e-mail, you may download and fill out the form, print it and mail it to the above postal address.

1. Your Contact Information
Name: *
Address: *
City: *
State: *
Zip Code: *
County:
Daytime Telephone: *
Evening Telephone:
E-mail:
2. Has a civil lawsuit or administrative proceeding been filed on behalf of your client? If so, please provide:	Yes  No
Case number:
Case title:
Date of filing:
Court with jurisdiction:
Judge:
Opposing counsel:
Current status of the case:
3. Complete description of problem:
Please describe the problem. If you have documents to support your description, please print out this form and mail it, along with other pertinent information, to the above address.
We will accept file attachments if you wish them to accompany this request for assistance.
4. Please state clearly how you think SLC can assist you.
Please type the letters and numbers shown in the image.
	Click the image to see another captcha.

Thank you for submitting your complaint form to the SLC. Our legal staff will try to review and respond to the complaint within 15 days. Remember, although we keep our files confidential, submitting cases via e-mail is not a secure means of transmission. If you do not wish to submit your form via e-mail, you may fill out the form, print it instead of submitting the form to us via e-mail, and mail it to the above postal address.