Book a Visit · SNMC Law Legal Clinic

Online version of the clinic's Unified Client Intake Form (SNMC-CIF-001). Please answer completely and honestly. If you need help filling it in, call or visit the clinic and our staff or student practitioners will assist you.

Request received

Reference

Keep this reference. Bring a valid ID and all documents about your problem to your appointment.

Date
Time
Where: SNMC School of Law, Soong, Lapu-Lapu City

Back to home

Preferred date

Tuesdays and Thursdays only.

Time slot

First time with the clinic?

Last name

First name

Middle name

As it appears on your valid ID.

Nickname / alias (optional)

Date of birth

Sex

Civil status

Citizenship

Religion (optional)

Educational attainment

Language / dialect

Occupation / employment

Disability (if any)

Contact and address

Contact number

Email (optional)

Complete address

Barangay

City / municipality

Resident of Lapu-Lapu City?

You can still book. We will check at intake whether the clinic can help or refer you to the right office.

Household composition & income

List yourself and everyone in your household, with their source of income and monthly amount. Leave the amount blank or 0 if none.

Members: Total monthly income:

Property and assets

Do you or your household own land or a house other than your present residence?

Estimated net value (₱)

Other assets (vehicles, motorcycles, appliances, etc.)

Estimated net value (₱)

Sector classification — check all that apply

Other sector

Practice area / category — check all that apply

Other / not sure

Requested assistance / service

Opposing / adverse party — for the conflict check

Name(s) (required)

Without the other party's name your file cannot be cleared for assignment to a student practitioner.

Relationship to you

Address / phone (if known)

Are you currently represented by an attorney in this matter?

If another lawyer already handles this matter, the clinic usually cannot take the case. You may still submit and we will refer you.

Prior consultation

Have you previously consulted this Law Clinic or an attorney about this matter?

Details / attorney's name

Do you know whether the opposing party has consulted this Law Clinic?

Narrative of facts

Brief narrative of facts, in chronological order

1. Who are the persons involved?

2. When did it happen?

Where did it happen?

3. What documents presently exist?

4. Has any complaint or case already been filed?

Court and case number

5. Are there pending hearings, deadlines, or court dates?

Date

Court / venue

6. How did you learn about the Clinic?

Other

Documents you have — check what you can bring

Additional documents

Attach copies (optional) Photos or scans. Please still bring the originals to your appointment.

Data privacy consent (RA 10173)

Pursuant to Republic Act No. 10173 (Data Privacy Act of 2012), the SNMC Legal Clinic collects, stores, and processes personal and case-related information solely to determine qualification for free legal assistance and for the continuous rendition of legal service. All disclosures are protected under attorney-client privilege. Clients retain full rights to access, dispute inaccuracies, and withdraw consent in accordance with law.

I AGREE to the collection, storage, and processing of my personal information. I DO NOT AGREE.

We cannot process an online request without your consent. You can still visit the clinic in person during office hours and our staff will assist you.

Declaration & representation disclaimer

I verify that the information provided in this form is true and correct to the best of my knowledge. I understand that the SNMC Legal Clinic provides free legal advice through supervised law student practitioners under Rule 138-A, and that completing this intake form does not automatically establish an attorney-client relationship or guarantee ongoing court representation unless a formal engagement is executed.

Applicant signature — type your full name

Date

You will sign the printed form in front of clinic staff at your intake interview.

Consultation days

Tuesday and Thursday, 1:00 PM to 5:00 PM, by appointment. Clinic office hours are Monday to Friday, 9:00 AM to 4:00 PM.

What to bring

A valid ID and every document about your problem — contracts, receipts, barangay records, court notices.

Booking is open to everyone

You do not need to prove anything before booking. Eligibility is checked during the intake interview, free of charge.

All information you provide is treated with strict confidentiality in accordance with Republic Act No. 10173 (Data Privacy Act of 2012) and the attorney-client privilege.

Household size, income and assets are used only to check eligibility for free legal assistance, following Public Attorney's Office standards. Estimates are fine — we will confirm at intake.

The clinic cannot act against an existing client. We check the other party's name before assigning your file to a student practitioner. If you are already represented by another lawyer in this matter, we will refer you instead.

Everything you write here is confidential and is protected by the lawyer-client privilege as applied under the Code of Professional Responsibility and Accountability. Write freely — an incomplete account makes it harder for the clinic to help you.

Your information is confidential and privileged. The clinic charges no fees at any stage. If anyone asks you for payment in the clinic's name, report it to the Clinical Program Director.