This survey is FOR LEGAL SERVICE PROVIDERS ONLY to provide feedback to the Department of Elder Affairs regarding the resources available and any suggestions for the provision of legal services to seniors. We welcome your feedback and thank you for partnering with us. PLEASE NOTE: THIS FORM IS NOT AN APPLICATION TO RECEIVE LEGAL SERVICES. FOR ASSISTANCE, PLEASE CONTACT THE SENIOR LEGAL HELPLINE AT 1-888-895-7873.

DISCLAIMER: Under Florida law, please remember that this webform is a public record.