Please select your preferred format for the client intake form:

Adobe PDF File

Microsoft Word

Corel WordPerfect

Print it, fill it out, and bring it with you on our regular client intake days (Monday and Wednesday afternoons, 1:30 to 3:30).  Remember, this form is not used for bankruptcy intakes, and you must be a Milwaukee County resident who meets our financial eligibility guidelines, namely:

        Annual Income   Monthly  Weekly

   1*       13,963           1164     269
   2*       18,913           1576     364
   3*       23,863           1989     459
   4*       28,813
          2401     554
   5*       33,763
          2814     649
   6*       38,713
          3226     745
   7*       43,663
          3639     840
   8*       48,613
          4051     935

 +1          4,950             413      95

* This refers to the number of people in
   your household.  Remember to count
   yourself along with the other members
   of your household.



What, Me Worry?  Picture of Gil Bates, Director of IT
Gil Bates
IT Director