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You Are Here: Home / Volunteer / Current Volunteer Resources / VAP Case Closing Form

VAP Case Closing Form

Client Name *

SMRLS File Number *

Attorney Name *

Date Closed *

Hours of Attorney time on Case *

Hours of Paralegal time on Case

Year you finished work on the Case *

Advice and Services Provided (Please provide a 2-3 sentence statement about the service and advice you gave the client related to the client's specific fact situation. Including the advice you provided is required by our funders.) *

Reason for Closing *

Advice Only Limited Action Negotiated Settlement Without Litigation Negotiated Settlement With Litigation Administrative Agency Decision Uncontested Court Decision Contested Court Decision Appeal to Court of Appeals or Supreme Court Other Extensive Service

Outcome *

Hearing Won Hearing Lost Settled Favorably Settled Unfavorably Other Favorable Other Unfavorable No Effect Dismissed

+++Advice Only and Limited Action Cases Stop Here -- All Others Continue+++

The Legal Services Advisory Committee of the Minnesota Supreme Court requires that we gather the following information. Please check the most appropriate box for each statement below. A Blank line will be tallied as a "No" response. There can be more than one "Yes" response per case.

As A Result Of My Legal Services In This Case, My Client . . .

Has increased ability to pay for daily necessities

Is less likely to be harassed by creditors

Is in a better position to keep or find a job

Is in a better position to keep or find housing

Has improved housing conditions

Has increased safety

Has improved quality of life

Did your legal services protect money/benefits for the client?

No Yes

If yes, please provide the amount and type below

Lump sum/back payment

Ongoing monthly benefits

If yes, please provide the amount and type

Type

Federal Money/Benefit State Money/Benefit Child Support Other Money/Benefit

Did your legal services recover money/benefits for the clients?

No Yes

Lump sum/back payment

Ongoing monthly benefits

Type

Federal Money/Benefit State Money/Benefit Child Support Other Money/Benefit

Please check the box.

Processing

The data has been submitted.

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