Request for Information/Consultation

For Legal or Social Service Workers only.

Please be advised Connecting Ottawa only provides consultation to staff members of Ottawa’s community agencies, to the public. If you are an individual and need assistance from a community agency, please call 2-1-1 or contact Community Navigation of Eastern Ontario

For Ottawa community agency workers, please complete this form to connect with one of our staff members if you require further information on our program or legal information or support, including referrals, to assist clients with communication barriers.

Legal/Social Service Worker Contact Information
Name*
First Last
Organization*
Phone*
Email*
Client information
If Applicable
Name

You may use a pseudonym, if preferred
Language or Communication Barrier
- Yes
- No
Languages Spoken
Sensory impairment
Need for Communication Support?
- Yes
- No
Communication Support Details
Area(s) of Law/Questions
Brief description of legal issue and/or questions
Please advise any pertinent dates or deadlines related to the legal issue or question
Additional questions. We also encourage you to you ask your client for this information and share with us as available: • Client’s age/date of birth • Client’s marital status (married, common-law, separated, single) • Immigration status (ex. Refugee claimant, permanent resident, visitor, Canadian citizen) • Do you have a lawyer or are you currently consulting with a lawyer, paralegal or immigration consultant? • Do you live in Ottawa or Quebec? • Were you able to pay your rent this month? Have you missed any rent payments? • What is your main source of income (ex. Ontario Works, ODSP, employment, OAS/GIS)? • Do you have children? If so, how old are they and do they live with you? • Do you have any immigration filing deadlines?

Legal/Social Service Worker Contact Information

Client information

Area(s) of Law/Questions