/ Hennepin County Bar Association
Lawyer Referral and Information Service
2018 Application & Agreement /

600 Nicollet Mall  Suite 390  Minneapolis, MN 55402
HCBA Phone: 612-752-6600  Fax: 612-752-6601  LRIS Attorney Phone: 612-752-6660

To apply for membership for January 1, 2018 - December 31, 2018, complete and return this application. If you are applying for membership after March 1, use the following schedule to prorate your non-refundable LRIS membership fees. If you are applying between: March 1 - May 31 pay 80% August 1 - October 31 pay 40%

June 1 - July 31 pay 60%November 1 - December 31 pay 20%

Submit application & agreement, fees, release, and a copy of professional liability insurance declarations page to:

LAWYER REFERRAL AND INFORMATION SERVICE

600 Nicollet Mall, Suite 390, Minneapolis, MN 55402

IDENTIFYING INFORMATION
(LRIS listings are by individual attorney, not law firm/affiliation)
Last Name: / First Name: / MI:
Firm Name: / Website:
Business Address: / Suite:
Business City: / State: / Zip:
Business Phone: / Fax: / Cell:
Email:
LRIS referrals are made to the client based on the client's request for a convenient time and location.
Regular business hours (9-5:00 PM): / Early mornings: / Evenings: / Weekends:
Willing to accept initial consultations from referrals in Jail or Prison ($30 admin fee due upon receipt of retainer)
Additional Meeting Locations:
I am interested in receiving online “Self-Referrals.”
I am willing to consider unbundled or limited scope representation agreements.
I am an attorney participating in the Collaborative Community Law Initiative (CCLI).
As a service to persons who are hearing impaired, the LRIS provides an ASL interpreter, when needed, for the initial consultation. MN Relay, 711, or a video relay service may also be used. Indicate services you have on site or will make available for potential clients: TTY/TDD: ASL Interpretation: Office is Handicapped Accessible:
List other languages in which you are proficient or have interpreters available:
Year admitted to practice in MN: / MN License #: / Law School:
Other states in which you are licensed: / Year:
Licensed in Federal Court: / Licensed in Tribal Court? :
Member of the Hennepin County Bar Association: If you are not an HCBA member, please add a $200 non-member surcharge when calculating your membership fees. This fee is waived if you are also signing up for the Statewide Low Fee Family Law Project. The surcharge is NOT prorated if you join after March 1.

LRIS Panel Enrollment

Please check panels and sub-panels in which you have the appropriate knowledge, skills and preparation, and wish to receive referrals. You may enroll in up to 10 main panels, excluding those on page 4. The bold figure at the top of each section is the membership fee due for each main panel selected within that section. Exception: CCLI participants may sign up for a maximum of three main panels.

If you sign up for a panel with sub-panels, please check all sub-panels in which you wish to receive referrals. If you do not check a sub-panel, you will not receive referrals in that sub-panel.

Note: Panels and sub-panels marked with the symbol  have membership requirements. To enroll in these panels and sub-panels, you must certify that you fulfill the requirements listed on pages 5 through 8.

$90 PANELS. For eachmain panel in this section there is a membership fee of $90.
No $30 administrative fee is collected from the client in these categories. Percentage fee agreement applies.
  1. Professional Malpractice
/ 3. Personal Injury
a. Legal* / a. Vehicle Accidents*
b. Medical* / b. Product Liability*
c. Dental* / c. Assaults/dog bites*
d. Class Action*
  1. Workers’ Compensation
/ e. Slip and Fall*
a. State* / f. Wrongful Death
b. Federal* / g. Pharmaceutical/Medical Device Mass Tort
$85 PANELS. For each main panel in this section there is a membership fee of $85.
A $30 administrative fee is collected from the client in these categories. Percentage fee agreement applies.
4. Family Law / 6. Employment Law
a. Uncontested dissolution or separation* / a. Contracts
b. Contested dissolution or separation* / b. Discrimination/harassment*
c. Custody* / c. Employment benefits
d. Parenting time* / d. Unemployment insurance appeals
e. Paternity* / e. Termination/severance*
f. Child Support* / f. COBRA issues
g. Domestic Abuse/OFP* / g. ERISA issues*
h. Post Decree Motions* / h. Family Medical Leave Act Issues*
i. Appeals* / i. Federal Fair Labor Standards Act Issues*
j Name change*
k. Prenuptial agreement* / 7. Real Estate Law
l. Qualified Domestic Relations Order* / a. Residential purchase/sale transactions
m. Third party custody* / b. Commercial purchase/sale transactions
n. Limited scope representation / c. Construction law
o. Family Law Mediation* / d. Eminent domain/condemnation
e. Condominium/townhouse associations
5. Criminal Law / f. Title/boundary/easement disputes
a. Misdemeanor/gross misdemeanor* / g. Mortgage/foreclosure issues
b. Felony / h. Zoning/land use
c. Criminal expungement / i. Environmental law
d. Appeals / j. Real estate litigation
e. Driver’s license issues
f. Probation violation/Post conviction relief
$65 PANELS. For each main panel in this section there is a membership fee of $65.
A $30 administrative fee is collected in these categories, except where indicated. Percentage fee agreement applies.
8. Juvenile Law / 12. Business Law
a. Juvenile crime* / a. Securities*
b. Child protection* / b. Formation/dissolution/sale of business
c. Adoption * / c. Franchise/distributorship agreements
d. Nonprofits
9. Civil Litigation & Appeals / e. International business
a. General civil litigation
b. Appeals / 13. Probate/Estate Law
c. Civil defense/insurance defense / a. Simple Will*
d. Defamation/slander / b. Estate planning and trusts*
e. Harassment orders / c. Probate*
f. Collections / d. Guardianship/conservatorship*
e. Medical Assistance planning*
10. Consumer/Commercial Law / f. Health care directives/end of life issues
a. Contracts and warranties
b. Credit and banking / 14. Administrative Law
c. Insurance / a. Social Security Disability * (No $30 fee)
d. Debtor’s rights / b. Professional licensing
e. Mechanics liens / c. School issues
f. Structured settlements / d. Data privacy
g. Conciliation court (matters above $5,000) / e. Supplemental Security Income* (No $30 fee)
f. Local government issues
11. Bankruptcy
a. Chapter 7* / 15. Civil Commitment
b. Chapter 13 / a. Commitment Defense Project (No $30 fee)
c. Chapter 11*
d. Complex/contested bankruptcy*
$40 PANELS. For each main panel in this section there is a membership fee of $40.
A $30 administrative fee is collected in these categories. Percentage fee agreement applies.
16. Tax Law / 21. Discrimination/Civil Rights
a. Americans with Disabilities Act
17. Computer/Internet Law / b. Public accommodations
c. Police matters
18. Labor Law/Union Issues
22. Landlord/Tenant Law
19. Intellectual Property / a. Housing discrimination
a. Copyrights and trademarks / b. Residential leases/eviction- Tenant claims
b. Entertainment law / c. Residential leases/eviction- Landlord claims
c. Patents / d. Commercial leases
20. Immigration Law / 23. Military and Veterans Law
a. Asylum
b. Citizenship/permanent residency / 24. Alternative Dispute Resolution
c. Family based petitions / a. Arbitration
d. Employment based petitions
e. Deportation defense
$40 PANELS. For each main panel in this section there is a membership fee of $40.
25. Long Distance Referrals – for Hennepin and Ramsey county issues
Callers from other states often seek to hire an attorney to respond to legal issues in Hennepin and Ramsey counties. LRISstaffs refer such clients to attorneys who are enrolled in this panel and also in the appropriate substantive law panel. LRIS bills the client directly for the $30 administrative fee. The percentage fee agreementapplies to these referrals.
The Panel member agrees to contact the client by phone or e-mail and pay any resulting charges for the consultation
26. Lawyer-to-Lawyer Referrals
The attorney agrees to consult by telephone with colleagues from out-state Minnesota and other states with questions in the substantive law panels. No administrative fee is due, but the percentage fee agreement does apply if fees are received.
NO FEE PANELS. There is no membership fee for these panels.
27.Geographic Area of Service
Callers from other counties in Minnesota increasingly are seeking attorneys to perform legal work in those counties. LRIS staff refer such clients to attorneys who are enrolled in this panel and also in the appropriate substantive law panel.
*Please check allzones in which you are willing to take cases (counties included in each zone are listed below):
Central MN Hennepin and Ramsey Only Metro Area Northeast MN Northwest MN Southern MN
28.Legal Access Point (LAP)
Requires volunteering 2 hours per month at the Self Help Center of the Hennepin County District Court. Attorneys are available to the general public to provide brief advice and information. No $30 administrative fee is charged. The percentage fee agreement does apply to any casework resulting from these consultations.
29.StatewideLow Fee Family Law Project
Clients are screened by LRIS staff prior to being referred. Clients must meet financial, jurisdiction and case type eligibility guidelines. A $30 administrative fee is collected. The percentage fee agreement does NOT apply to Low Fee Family Law Project referrals. The attorney agrees to charge hourly fees of no more than $55 per hour and a $500 retainer.

Page 1 of 14

*Counties included in each zone are as follows:

Central: Benton, Big Stone, Chippewa, Chisago, Isanti, Kanabec, Kandiyohi, Lac Qui Parle, Lincoln, Lyon, Meeker, Mille Lacs, Morrison, Renville, Stearns, Swift, Todd, and Yellow Medicine.

Metro: Anoka, Carver, Dakota, Ramsey, Scott, Sherburne, Washington, and Wright.

Northeast MN: Aikin, Carlton, Cass, Cook, Crow Wing, Itasca, Koochiching, LakePine, and St. Louis.

Northwest MN: Becker, Beltrami, Clay, Clearwater, Douglas, Grant, Hubbard, Kittson, Lake of the Woods, Mahnomen, Marshall, Norman, Ottertail, Pennington, Polk, Pope, Red Lake, Roseau, Stevens, Travers, Wadena, and Wilkin.

Southern MN: Blue Earth, Brown, Cottonwood, Dodge, Faribault, Fillmore, Freeborn, Goodhue, Houston, Jackson, LeSueur, Martin, McLeod, Mower, Murray, Nicollet, Nobles, Olmsted, Pipestone, Redwood, Rice, Rock, Sibley, Steele, Wabasha, Waseca, Watonwan, and Winona.

***CERTIFY FOR PANELS WITH MEMBERSHIP REQUIREMENTS***

Initialto certify that you meet stated membership requirements for panels and subpanels which you are applying.

1.(a). Legal malpractice: The attorney shall have been in practice a minimum of three years; shall have handled two legal malpractice cases to conclusion, either settlement or trial; shall meet requirements for the area of practice of the original matter; and shall have completed six CLE credits in related topics in the last three years.
1.(b). Medical malpractice; or 1.(c). Dental malpractice: The attorney shall have been in practice a minimum of three years; shall have handled two medical or dental malpractice cases to conclusion, either settlement or trial; and shall have completed six CLE credits in related topics in the last three years.
2.(a). State workers’ compensation: The attorney shall have been in practice a minimum of three years; shall have handled five Minnesota workers’ compensation cases to completion; and shall have completed six CLE credits in workers’ compensation topics in the last three years.
2.(b). Federal workers’ compensation: The attorney shall have been in practice a minimum of three years and shall have handled five federal workers’ compensation cases to completion.
3.(a).Vehicle accidents; 3.(c). Assaults/dog bites; or 3.(e). Slip and fall: The attorney shall have been in practice a minimum of three years; shall have handled two personal injury cases to conclusion, either settlement or trial; and shall have completed six CLE credits in personal injury topics in the last three years.
3.(b). Product liability: The attorney shall have been in practice a minimum of five years; shall have handled one product liability case to conclusion, either settlement or trial; and shall have completed six CLE credits in personal injury topics in the last three years.
3.(d). Class action: The attorney shall have been in practice a minimum of three years; shall have handled one class action representation, certified as a class, to conclusion; and shall have completed six CLE credits in personal injury topics in the last three years.
3.(f). Wrongful death: The attorney shall have been in practice a minimum of three years; shall have handled one wrongful death case to conclusion, either settlement or trial; and shall have completed six CLE credits in personal injury topics in the last three years.
3.(g). Pharmaceutical/Medical Device Mass Tort Claims: The attorney shall have been in practice a minimum of three years; shall have handled one Pharmaceutical/Medical Device Mass Tort case to conclusion, either settlement or trial; and shall have completed six CLE credits in personal injury topics in the last three years.
4.(a). Uncontested dissolution or separation: The attorney shall have been in practice a minimum of one year; shall have handled one such case to conclusion; and shall have completed three CLE credits in family law in the last three years.
4.(b.). Contested dissolution or separation; 4.(c). Custody; 4.(d). Parenting time; or 4.(m) Grandparents’ rights: The attorney shall have been in practice a minimum of two years; shall have handled two such cases to conclusion; and shall have completed nine CLE credits in family law in the last three years.
4.(e). Paternity; or 4.(f). Child support: The attorney shall have been in practice a minimum of two years; shall have handled one such case to conclusion; and shall have completed three CLE credits in family law in the last three years.
4.(g). Domestic abuse/OFP: The attorney shall have been in practice a minimum of one year; shall have handled two such cases to conclusion; and shall have completed three CLE credits in family law in the last three years.
4.(h). Post decree motions; or 4.(k). Prenuptial agreement: The attorney shall have been in practice a minimum of one year; shall have handled two such cases to conclusion; and shall have completed nine CLE credits in family law in the last three years.
4.(i). Family law appeals: The attorney shall have been in practice a minimum of three years; shall have handled five family law cases and one family law appeal to conclusion; and shall have completed nine CLE credits in family law in the last three years.
4.(j). Name change: The attorney shall have been in practice a minimum of one year.
4.(l). Qualified Domestic Relations Order (QDRO) : The attorney shall have completed one QDRO accepted by the plan administrator and the court.
4.(n). Mediation on family law issues: The attorney shall have completed family law mediation training, and shall have participated in a minimum of five family law mediations or early neutral evaluations
5.(a). Misdemeanor/gross misdemeanor: The attorney shall have been in practice a minimum of two years with at least 25 percent of the practice in criminal law; and shall have completed nine CLE credits in criminal practice topics in the last three years.
5.(b). Felony: The attorney shall have been in practice a minimum of five years with at least 25 percent of the practice in criminal law; shall have handled two felony cases to conclusion; and shall have completed 15 CLE credits in criminal practice topics including procedure, trial, negotiation, and research in the last three years.
5.(d). Criminal appeals*: The attorney shall have been in practice a minimum of five years; shall have handled one criminal appeal to conclusion; and shall have completed nine CLE credits in criminal practice in the last three years.
5.(f) Probation Violation/Post-Conviction Relief*: For cases in which the original offense was a misdemeanor/gross misdemeanor, the attorney shall have been in practice a minimum of two years; and shall have completed nine CLE credits in criminal practice topics in the last three years. For cases in which the original office was a felony, the attorney shall have been in practice a minimum of five years and shall have completed 15 CLE credits in criminal practice topics including procedure, trial, negotiation, and research in the last three years.
6.(b). Employment discrimination/harassment: The attorney shall have handled four employment discrimination/harassment matters to conclusion, either settlement or trial, in the last two years.
6.(h). FMLA issues: The attorney shall have handled four Family & Medical Leave Act matters to conclusion, either settlement or trial, in the last three years.
6.(i). FLSA issues: The attorney shall have handled two federal Fair Labor Standards Act matters to conclusion, either settlement or trial, in the last three years.
7.(c). Construction law: The attorney shall have handled one construction law matter to conclusion; or shall have completed three CLE credits in related real estate law in the last three years.
7.(f). Title/boundary/easement disputes: The attorney shall have handled one such matter to conclusion; or shall have completed three CLE credits in related real estate law in the last three years.
7.(g). Mortgage/foreclosure issues: The attorney shall have handled one such matter to conclusion; or shall have completed three CLE credits in mortgage and foreclosure law in the last three years.
7.(j). Real estate litigation: The attorney shall have handled one such matter to conclusion, either settlement or trial; or shall have completed three CLE credits in related real estate law in the last three years.
8.(a). Juvenile crime: The attorney shall have been in practice a minimum of two years with at least 25 percent of the practice in criminal law; and shall have completed nine CLE credits in criminal practice topics in the last three years.
8.(b). Child protection: The attorney shall have been in practice a minimum of two years; and shall have handled two CHIPS hearings and two Termination of Parental Rights proceedings.
8.(c). Adoption: The attorney shall have been in practice a minimum of two years; and shall have handled two adoption proceedings to completion.
11.(a). Chapter 7; or 11.(b). Chapter 13: The attorney must have CM/ECF certification with appropriate software; shall have handled one such case to conclusion; and shall have completed six CLE credits in bankruptcy law in the last three years.
11.(c). Chapter 11: The attorney must have CM/ECF certification with appropriate software; shall have handled four Chapter 11 cases with the reorganization accepted by Bankruptcy Court; and shall have completed six CLE credits in bankruptcy law in the last three years.
11.(d). Complex/Contested Bankruptcy: The attorney shall have handled a minimum of one contested bankruptcy through to completion; and shall have completed six CLE credits in bankruptcy law in the last three years.
12. (a). Securities: The attorney (or the firm in which he/she is employed) must have been the attorney of record with regard to the public offering of shares which was approved by the appropriate state or federal regulating authority.
13.(a). Simple will: The attorney shall have completed three CLE credits in probate law in the last three years.
13.(b). Estate planning/trusts: The attorney shall have completed six CLE credits in probate law in the last three years
13.(c). Probate: The attorney shall have handled one probate matter through petition, estate inventory, final accounting and discharge of personal representative in the last three years.
13.(d). Guardianship/conservatorship: The attorney shall have handled one such case to conclusion; and shall have completed three CLE credits in related probate law issues in the last three years.
13.(e). Medical Assistance planning: The attorney shall have been in practice a minimum of two years; and shall have completed six CLE credits in related probate issues in the last three years.
13.(f). Health care directives/end of life issues: The attorney shall have completed three CLE credits in related probate issues in the last three years.
14.(a.). Social Security Disability: The attorney shall have been in practice a minimum of one year; shall have handled three Social Security Disability appeals to completion; and shall have completed three CLE credits in Social Security topics in the last three years.
14.(e). Supplemental Security Income: The attorney shall have been in practice a minimum of one year; shall have handled three Supplemental Security Income cases to completion; and shall have completed three CLE credits in Social Security topics in the last three years.
15.(a). Commitment Defense Project: The attorney shall have applied for and been appointed to the Commitment Defense Panel by the CDP Advisory Board.
19.(c). Patents: The attorney shall have successfully completed a minimum of one patent registration.
20.(a). Asylum; 20.(b). Citizenship/permanent residency; 20.(c). Family petitions; 20.(d). Employment; or 20.(e). Deportation: The attorney shall have been in practice a minimum of one year; shall have represented four clients in such Master Calendar hearings; and shall be a member of the American Immigration Lawyers Association.
24.(a). Arbitration; or 24.(b). Mediation: The attorney shall be listed on the Minnesota Supreme Court’s Neutral Roster

LRIS Member Agreement