Refugee Card


 
 

Are you a refugee in need of legal or other help to defend your Constitutional rights? Would you like to request an official representation card from the Refugee Justice League?

Please complete and submit this form to request your card.

 
Name *
Name
Phone *
Phone
Address *
Address
Emergency Contact *
Emergency Contact
Emergency Contact Phone *
Emergency Contact Phone
Agreement *
I understand that the assistance provided by those volunteering through the Refugee Justice League is provided free of charge. In consideration of this assistance, should I have any complaint about the assistance provided me I agree to have my complaint resolved through an arbitration conducted in accordance with the rules of the American Arbitration Association and agree that should any such arbitration be decided in my favor, that the damages awarded me shall be the liquidated damage amount of $200.00.