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Client/Case Information

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By clicking on the box below, the undersigned attorney confirms and certifies as follows:

i. She/he is a licensed attorney currently in good standing in the State of Bar License listed in this application,       with no disciplinary action pending against him/her;

ii. She/he carries a policy of professional liability insurance with   minimum coverage of $100,000;

iii. She/he has informed the client that the fee (or portion thereof) for the representation is being paid by a third party and that the client has given informed consent, and that said third party payment will in no way interfere with the lawyer’s independence of professional judgment or with the client-lawyer relationship;

iv. She/he authorizes the HNBA to contact the client in regards to the grant application; and

v. She/he is charging an hourly rate up to $100.

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Upload: Retainer Agreement and one of the following documents (depending on case type):

  1. Case Status Summary from Office of Refugee Resettlement;
  2. “Notice of Referral” page issued by U.S. Citizenship & Immigration Services showing that the Respondent’s I-589 has been referred to EOIR;
  3. Copy of Respondent’s next Hearing Notice
  4. Copy of Respondent’s Notice to Appear
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*DISCLAIMER: In evaluating grant applications, the Hispanic National Bar Association is relying on the applicant lawyer’s statements with respect to licensure, good standing to practice law, competence to undertake a given representation, exercise of independent judgment, and other matters related to the purpose of this grant, but it has not independently verified the truth or accuracy of such statements. A grant award by the Hispanic National Bar Association is not and should not be construed to mean an endorsement of the lawyer receiving the award, or as vouching for the lawyer’s competence or experience to handle the matter for which the grant is requested.