Apply for Legal Help

If you are looking for help with Medicaid / SSI / SSDI eligibility, applications, benefits, denials or appeals, click here.

If you are seeking legal help, please use the online form below or call us at 919-856-2195 to make an appointment to apply for legal help by phone. These appointments fill up quickly so applying online / calling earlier in the week gives you a better chance of getting an appointment.

We are working hard to help as many people as possible. We thank you for your patience as we increase our capacity. Please note: DRNC does not practice all areas of law. View a chart of what DRNC cannot help with.

Report abuse or neglect

To report abuse or neglect, call our hotline at (919) 343-0417.

Online Application for Help

Step 1 of 4

25%

DRNC Cannot help with:

Direct representation in criminal law, family law, bankruptcy or evictions
Personal Injury (including workers’ compensation)
Medical Malpractice (wants to sue doctor/hospital/clinic)
Social Security eligibility and eligibility appeals, including filling out application forms
Obtaining a guardianship or conservatorship
Wills and trusts, including special needs trusts

Your Name(Required)

First Name Last Name

Your Phone(Required)

County(Required)

What is the best day / time to reach you?(Required)

Please provide a few options.

Applicant Type(Required)

I am a person with a disability, and I am contacting Disability Rights NC about a problem I am having.

I am the legal guardian of a person with a disability, and I am contacting Disability Rights NC about a problem facing the person for whom I am the guardian.

I am reporting an allegation of abuse, neglect, or exploitation of a person with a disability.

Other

Please describe.(Required)

We are only able to help persons with a disability or persons with legal authority to make decisions on behalf of a person with a disability. We cannot help you if you are contacting us regarding a person with a disability and you do not have legal authority to make decisions on that person’s behalf. Please have the person with a disability or their legal guardian contact us. If you are a professional working in a disability field and are contacting us for information or technical assistance, please continue to fill out this form.

*We take reports of abuse or neglect of a person with a disability from anyone. We are required by federal law to keep the name of the person who is reporting confidential.*

I need help with:(Required)

If you do not see the issue you need help with, it is because it is not an area practiced by DRNC attorneys. Issues we cannot help with include: SSI/SSDI eligibility, custody issues, criminal law, and personal injury. See the full list here.

Abuse/Neglect/Exploitation of Children IN SCHOOL

Abuse/Neglect/Exploitation of Children

Abuse/Neglect/Exploitation of Adults

Access to places or programs in the community

Services in the Home or Community (for Children)

Education

Guardianship

Housing

Jobs / Work

Prison/Jail

Representative Payee

Other

Please describe the problem you are having.(Required)

How have you tried to resolve your problem?(Required)

Do you have any deadlines?(Required)

Yes

I don't know

Describe any deadlines you have.(Required)

(If you have a deadline to appeal a decision, you should appeal that decision before the deadline. Do not wait for Disability Rights NC to contact you before submitting an appeal.)

What are you hoping DRNC can help you with?(Required)

Is there anything else you would like us to know?(Required)

Contact information

Please provide your contact information:

Your Address(Required)

Street Address City State ZIP Code

Your Email(Required)

What is the best time/day to reach you?(Required)

If you are contacting us about someone with a disability, provide their name.(Required)

First Last

Their Address(Required)

Street Address City State ZIP Code

Their Phone

Demographic Information

We ask for this information as part of our grant requirements. We need to report the demographics of the people we help. This information is not shared or used for any other reason.

Please complete all questions below for the person with the disability

Birthdate(Required)

Sex(Required)

Please provide your sex as stated on your birth certificate.

Male

Female

Gender Identity

Please provide your gender identity

Male

Female

Non-Binary

Prefer not to answer

Other

Race

Please provide your race

American Indian / Alaskan Native

Asian

Black/African American

Native Hawaiian/ Other Pacific Islander

White/Caucasian

Two or more races

Race Unknown

Prefer not to answer

Ethnicity

Please provide your ethnicity

Ethnicity Unknown

Hispanic/Latino

Not Hispanic/Latino

Prefer not to answer

Diagnosis / Disability (optional)

What is your annual household income?

This can be an estimation.

$0 - $10,000

$10, 001 - $20,000

$20,001 - $30,000

$30,001 - $40,000

$40,001 - $50,000

$50,001 - $60,000

$60,001 - $100,000

More than $100,000

Number of people in your household?(Required)

Please enter a number from 1 to 100.

Add me to DRNC's mailing list? (Optional)

Email(Required)

TO SCHEDULE YOUR APPOINTMENT:

Follow this link to reach our online bookings calendar.

The password to access the calendar is: Intake2022

Please open the link and enter or write down the password before submitting this application form. This is the only message you will receive with the link / password. You may now submit your application and proceed with booking your appointment. If you need any help or run into problems, contact our office. Make sure to let the receptionist know that you have already submitted an application online. Thank you!

If you have any questions, please call our office at 919-856-2195.
Learn more about our current advocacy targets.