[Letter from Suzy Wagers to attendees of the Schwab Award presentation ceremony] Page: 4 of 6
[3] p. ; 28 cm.View a full description of this letter.
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Name File # Intake by Date
Last First Middle InitialAddress
City County ZIP
Phone/ Day Evening
( ) ( )
Pro Bono Eligibility
Individual Household
Net Employment Income
AFDC
Social Securit ;
SSI
VA
Child Support
Other
Monthly Inxime
Deductions:
Child Care
Child Support
Medical
Other
Adjusted Monthly Income
Household Size
Eligibility GuidelinesHousehold Size
1
2
3
4
5
6
7
8
9
10
For each additional, add...Monthly Net $
654
877
1,100
1,323
1,546
1,769
1,991
2,215
2,303
2,515
213Notes
Ethnicity
Q WhiteQ latino Q Black Q Asian Q Native American
New Client?[] Yes Q No
Spanish Only? Q Yes
DM
Pro Bono? ElYes Q No
Area of Law
Q Insurance
Q Employment
Q Probate
Q Tort Law
Q Family Law
Q Immigration
Q Public Benefits
Q Housing/Public Accomodations
] Health Care
Q Criminal
1 Other
Status
Q Counseled & Advised
Q Referred/ Date
Q Brief Service
Q Insufficient Merit to Proceed
Q Client Withdrew or Did Not Retum
Q Negotiated Settlement (without litigation)
Q Negotiated Settlement (with litigation)
Q Administrative Agency Decision
Q Court DecisionQ Other
Q Closed/ Date
ALRPF.1 1/1 12/90
E F GGroup
I
1
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Wagers, Suzy. [Letter from Suzy Wagers to attendees of the Schwab Award presentation ceremony], letter, Date Unknown; (https://texashistory.unt.edu/ark:/67531/metadc1457702/m1/4/: accessed June 26, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu.; crediting UNT Libraries Special Collections.