Oregon Modest Means Program PDF Details

Oregon's Modest Means Program was created to provide attorneys with a means to offer legal services at a reduced cost. The program is open to Oregon residents who earn 125% or less of the Federal Poverty Guidelines. In order to participate in the program, applicants must complete and submit the Oregon Modest Means Program Form. The form asks for information about the applicant's income and assets. Participation in the program is not guaranteed, and decisions are made on a case-by-case basis. Attorney fees may still be waived or lowered even if an applicant does not qualify for the Modest Means Program.

You will discover information about the type of form you need to fill out in the table. It will show you just how long it will require to fill out oregon modest means program, what fields you will have to fill in, etc.

Form NameOregon Modest Means Program
Form Length5 pages
Fillable fields86
Avg. time to fill out18 min 31 sec
Other namesmeans program, modest means program, oregon state bar referral, modest means org

Form Preview Example


Oregon State Bar, Modest Means Program, PO Box 231935, Tigard, OR 97281-1935

Voice: (503) 684-3763 (800) 452-7636 Fax: (503) 431-6444


Oregon lawyers created the Modest Means Program to help moderate-income Orego- nians find affordable legal assistance. The program is intended to help those who earn too much to qualify for legal aid, but who cannot afford traditional legal fees. Modest Means lawyers have agreed to charge reduced rates for legal work provided to clients referred to them through the program. There is no grant, fund or subsidy that makes up the difference between the lawyers’ regular rates and the Modest Means Program rates. The lawyers DJUHHWRFKDUJHUHGXFHG rates because they believe in the mission of this program and want to help.

Types of Matters: Modest Means lawyers only handle certain kinds of family law, crim- inal defense, landlord/tenant and foreclosure matters. If the specific area of law with which you need help is not listed on the application, then it is not part of the program.

To Apply: Before you can be referred to a Modest Means lawyer you must apply and be pre-qualified. To apply, you must complete the application form and return it to us by fax, mail, or email (legalhelp@oregonstatebar.org--PDFs ONLY). You can call the number listed above for the application form or download it from the bar’s website at www.oregonstatebar.org.

Please do not forget to sign and date your application. Your application will not be processed if you do not fill out your application completely, or fail to sign or date it. Do not include any other documents with your application – any documents you send to us will not be returned. We process most applications within one (1) business day. If you provide an email address, please check your email account for your referral or for questions that we may have about your application.

Eligibility: Eligibility is based on the type and location of your legal matter, your in- come and assets, your location, and availability of participating lawyers in your area. It is important to understand there are a limited number of lawyers in the program, and there may not be a Modest Means lawyer in your county. We cannot guarantee that we will have a lawyer for you even if you pre-qualify. In addition, your legal matter must be in Oregon and both parties must live in Oregon to be eligible for the Modest Means Program. If both parties do not live in Oregon you will not be referred to a Modest Means Program lawyer even if your legal matter is in Oregon.

(continued on next page)


Oregon State Bar, Modest Means Program, PO Box 231935, Tigard, OR 97281-1935

Voice: (503) 684-3763 (800) 452-7636 Fax: (503) 431-6444

Qualification Process: You will be contacted by email or telephone after your application has been reviewed. If you pre-qualify, we will give you the name and phone number of a lawyer in your area for you to contact. The lawyer to whom we refer you will receive a copy of your application and may ask additional questions to confirm your eligibility for the program. The lawyer has the final say as to whether or not you qualify for the program.

Initial Consultation: If you are referred to a Modest Means lawyer, you will need to call the lawyer to make an appointment for your initial 30-minute consultation. Your consultation will cost no more than $35, payable at the time that you meet with the lawyer.

Hiring a Modest Means Program Lawyer: Whether or not you hire the lawyer to represent you after your initial consultation is a decision for both you and the lawyer to make. We cannot guarantee that a lawyer will agree to take your case. All Modest Means lawyers who participate are volunteers and have the right to choose whether or not they will accept your case.

Legal Fees & Costs: Lawyers who are willing to accept Modest Means clients have agreed to charge no more than $60, $80, or $100 per hour for any services they provide beyond the initial $35, 30-minute consultation. Which hourly rate will apply to you depends upon your income and assets. You will be asked to pay a retainer (deposit against fees) up front. The retainer amount will be determined by the lawyer following your initial consultation. The amount of the retainer will depend on the lawyer's esti-mate of how much work will be required to complete your case. You will also be charged for any court fees and other direct costs, including phone charges, photocopy expenses, etc.

The Modest Means Program is not a legal aid program and it is not a pro bono (free) program. You must be able to pay $35 for an initial consultation, plus $60/80/100 per hour (as applicable) for any work done beyond the initial consultation. In order to be referred to a Modest Means Program lawyer, your application must demonstrate that you have the ability to pay these fees. If someone will be helping you pay for your legal fees and costs please explain that on your application. If you are unable to pay these fees and costs, you should contact the legal aid office in your county of resi- dence. The Oregon State Bar does not have a referral program for pro bono (free) lawyers.

Portland Metro Area: (503) 684-3763

Elsewhere in Oregon: (800) 452-7636

Fax: (503) 431-6444

Modest Means Program - PUBLIC APPLICATION FORM (Page 1-3)

Oregon State Bar, Modest Means Program, PO Box 231935, Tigard, OR 97281-1935

Voice: (503) 684-3763 (800) 452-7636 Fax: (503) 431-6444

INSTRUCTIONS: Please print clearly or type. Please sign and date your application. Your application will not be processed if you do not fill out your application completely, or fail to sign or date it. Do not include any other documents with this application – any documents you send to us will not be returned. We process most applications within one (1) business day. If you provide an e-mail address, please check your e-mail account for your referral or questions we may have about your application. Fax or mail your completed application to us:


FAX: (503) 431-6444 EMAIL: legalhelp@oregonstatebar.org

Please note: All information provided will be treated as confidential communications made for the purpose of facilitating the rendering of professional legal services to you. We will preserve the confidentiality of all such information unless otherwise required by law.

First Name

Last Name




Zip Code

Phone Number

E-mail Address [If you provide an e-mail address that is how you will be notified.]

Family Law (No Appeals)

Criminal Law (No Capital Charges or Appeals)



Custody/Parenting Time

Lesser Felony


Major Felony

Juvenile/DHS/CSD/SCF issues




Restraining Orders


Process Questions


Domestic Violence

Real Property (No Appeals)

Grandparent/3rd Party Rights


Spousal Support

Landlord-Tenant (Tenant)

Coaching (General)

Landlord-Tenant (Landlord)

Document Review

Mobile Home (Tenant)


Mobile Home (Landlord)

In which city/county do you need assistance?


When is your next court date (if applicable)?


What is the name of the opposing party?


Does the opposing party have an attorney?


If yes, what is the attorney’s name?


Are both parties in Oregon?


Have you already consulted with an attorney?


If yes, what is the attorney’s name?


Reason you are looking for another attorney:



Modest Means Program - PUBLIC APPLICATION FORM (Page 2-3)

First Name

Last Name

Phone Number

E-mail Address

A household consists of people with whom you share income and expenses, who live in your home at least 50% of the time.

How many people live in your household including you?





Marital Status:

Unmarried or Widowed




Do you and your spouse live in the same household?





Do you rent or own the home in which you are living?





Do you own any land or a house, even if you do not live there?




Make of each vehicle owned





Value (est.)



Gross Income (before taxes)


(per month)




Spousal Support:



Child Support:



Veteran's Benefit:









TANF (not SNAP):



Public Benefits, Aid, SNAP:



Retirement/Investment Income:



Other income (please specify):



Total Gross Income:



Special Expenses & Debts1


(Per Month)







Liquid Assets



Checking Account Balance



Savings Account Balance



Money Market/Other Account



Total Liquid Assets:



Non-liquid Assets



Amount in Retirement Plans (401k),



mutual funds, securities, bonds, etc.:



Other non-liquid assets (please specify):






Total Non-liquid Assets:



Partner/Family Members in Household :

(Gross Income



per month)

Medical2(see explanation below):






Child Care3(see explanation below):






Transportation4(see explanation below):






Spousal Support:






Child Support:



If not already listed above, what is your





spouse's gross income per month?


Total Special Expenses/Debts:



(Please estimate, if separated.)


1Ordinary expenses that most people have (such as rent, food, utilities) are considered in the basic income calculations and should not be listed here. Other personal and discretionary expenses such as car payments, car insurance, and credit card debts are not considered under our guidelines.

2“Medical” refers to medical expenses that are not covered by insurance. 3“Child Care” refers to costs incurred while a parent is at work.

4“Transportation” refers to basic transportation costs to get to and from work (bus tickets, gas).

Have you submitted an application before?


No If so, when?

By signing below, I certify that all information provided is true and correct to the best of my knowledge. I understand and agree that if I provide inaccurate, incomplete, misleading or false information on this application, or to any Modest Means Program attorney, I may be disqualified from participation in any and all Referral & Information Services programs, including the Modest Means Program.













/hour Notes:

(rev. 5/18


Modest Means Program - PUBLIC APPLICATION FORM (Page 3-3)

First Name

Last Name

Phone Number

E-mail Address

Briefly describe the legal matter for which you are seeking assistance:

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