home > get help General Intake Form Thank you for contacting the ACLU of Utah. Once you submit the following complaint form to our offices, we will review and record your information. We will contact you ONLY if we decide that your complaint fits within our mission and that we have the resources to help you. If you do not hear from us, it does not necessarily mean that you do not have a valid constitutional concern. Because we are a small organization with limited resources, we often have to make difficult decisions when choosing the types of issues that we can adequately address. On the back of this page, we have listed contact information for a number of legal service organizations that may be better able to address your particular grievance. In order to expedite our intake process, we ask that you do not attach any additional information or pages to the complaint form. Also, we are not responsible for any original documents that you choose to send to us. If you already have an attorney, please have your attorney contact us directly if they feel they would like our assistance. We have a policy of not interfering with the work of other attorneys. Please note that by accepting this complaint, the ACLU of Utah is not undertaking your legal representation and is not responsible for meeting any statute of limitations restrictions in your case. Also, the ACLU of Utah simply cannot provide emergency assistance or legal consultation. Name: Email: Address: City/State/Zip: Phone(s): My complaint is against the following agency, institution, or person(s): Name: Address: City/State/Zip: Phone: Briefly describe the incident that led you to file a complaint with our office. Please include dates, places, and names of those directly involved: Were you given an explanation for why this happened? Yes No If so, what was the reason? Have you taken any steps to resolve this issue? (Have you filed a grievance, contacted another agency for help, or gone through an appeals process?) Yes No If so, what was the result? Do you have an attorney to help you with this issue? Yes No Name: Telephone: What action would you like the ACLU of Utah to take? How can we help you resolve your problem? I certify that I have read all of the information contained on this complaint form, and that all information I have given is accurate and complete to the best of my knowledge. I understand that by accepting this complaint, the ACLU of Utah is not undertaking my legal representation and is not responsible for ensuring that any statute of limitations restriction is met in my case. I authorize the ACLU of Utah to use this information in any manner that it deems necessary. Yes No

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