Please select your preferred format for the client intake form:

Adobe PDF File

Microsoft Word

Corel WordPerfect

Print it, fill it out, and bring it with you on our regular client intake days (Monday and Wednesday afternoons, 1:30 to 3:30).  Remember, this form is not used for bankruptcy intakes, and you must be a Milwaukee County resident who meets our financial eligibility guidelines, namely:

        Annual Income   Monthly  Weekly

   1*       13,000           1084     250
   2*       17,500           1459     337
   3*       22,000           1834     423
   4*       26,500 
          2209     510
   5*       31,000 
          2584     596
   6*       35,500
          2959     683
   7*       40,000
          3334     769
   8*       44,500
          3709     856

 +1          4,500             375      87

* This refers to the number of people in
   your household.  Remember to count
   yourself along with the other members
   of your household.




What, Me Worry?  Picture of Gil Bates, Director of IT
Gil Bates
IT Director