LSC CASE DISCLOSURE SEMIANNUAL REPORTING FORM FOR: ___________________
(REQUIRED BY §505 of Pub. L. 105-119 and 45 CFR 1644)
| CASE # ASSIGNED BY COURT | NAME OF CLIENT(S) | ADDRESS OF CLIENT(S) | NAME OF OPPOSING PARTY(IES) | ADDRESS OF OPPOSING PARTY(IES) | CAUSE OF ACTION | NAME OF COURT | ADDRESS OF COURT |
