Lawyer Referral Service
General Information
Oregon State Bar Referral & Information Services
PO Box 231935, Tigard, OR 97281-1935
Voice: (503) 431-6408 or (800) 452-8260 ext. 408
Fax: (503) 431-6444 or Email: ris@osbar.org
2020-21 Program Summary
Percentage Fee Remiances: In addion to annual registraon fees, on a monthly basis panelists pay the LRS
a 12% remiance on each LRS-referred maer in which the panelist earns and collects aorneys’ fees. The $35
inial consultaon fee, if charged, is not subject to any remiance.
Basic Registraon Fees: Annual registraon fees are $50 for those admied in Oregon for less than 3 years and
$100 for those admied in Oregon for 3 years or more.
Territories: The state is divided into 16 territories. One territory – your home territory – is included in the
basic registraon fee. Your home territory is determined by your primary oce address. You may register for
addional territories from which you would like to receive referrals, or register statewide for all territories. Each
addional territory costs $50. A statewide registraon costs $300 in addion to your basic registraon fees.
Inial Consultaons: Potenal clients are entled to an inial consultaon of up to 30 minutes for a maximum
fee of $35. Your regular rates apply thereaer. Telephone, computer and web/video consultaons are permied
in lieu of face-to-face meengs. Mutually agreeable meeng locaons that ensure safety, privacy, and
professionalism are permied, i.e., you may have a virtual law oce.
Online Management of Your Prole: You may access and review your complete prole, request changes to your
areas of pracce and territories, and schedule a hold or reacvaon of your referrals online.
Online Reporng, Subming Payments: Online, on a monthly basis, you report back on all new and open
referrals and all aorneys’ fees earned and collected during the previous month. The reporng soware will
automacally calculate the 12% remiance for each maer and generate an invoice for you to send in with your
payment.
Program Year: The LRS operates on a 12-month program year, beginning September 1 and ending August 31.
Although registraons are accepted at any me, fees are not prorated for late registrants.
Your Contact Informaon and PLF Status: Please ensure that you are current with your PLF payment(s). Please
also make sure your contact informaon on le with the OSB is up to date and accurate before subming your
completed LRS applicaon and registraon form. Any necessary changes should be made online by logging in to
the OSB website and clicking on “Contact Informaon” under the “Manage Your Account” heading found at the
boom le-hand corner of the page.
Subject Maer Forms: Registraon for certain Subject Maer Panels requires a separate form and armaon
showing that you meet basic competency standards. The Subject Maer Panels are: 1) felony defense; 2)
interstate/independent adopon; 3) deportaon; and 4) Department of Labor (DOL)- referred FMLA and FLSA
maers. Addional informaon and forms are available online at www.osbar. org/forms.
Page 2
Lawyer Referral Service - 08/2020
Lawyer Referral Service Policies
I. Goal: The goals of the Lawyer Referral Service (LRS) are to serve lawyers and the public by referring people who
seek and can afford to pay for legal assistance (potential clients) to lawyers who are willing to accept such refer-
rals, and to provide information and other resources as appropriate. All lawyers participating in the LRS (panel-
ists) agree to abide by these Lawyer Referral Service Policies (Policies) and Lawyer Referral Service Operating
Procedures (Procedures).
II. Eligibility: Lawyers who satisfy the following requirements are eligible to apply for participation in the LRS. The
lawyer must:
A. Be in private practice;
B. Be an active member of the Oregon State Bar in good standing;
C. Have malpractice coverage with the Professional Liability Fund (PLF); and
D. Have no formal disciplinary, protective, or custodianship proceedings pending.
Additional requirements for participation on special subject matter panels are stated in the Procedures.
III. Complaints about Panelists:
A. Ethics Complaints: Complaints about possible ethical violations by panelists will be referred to the Oregon
State Bar Client Assistance Office.
B. Fee Complaints: Complaints about panelists’ fees will be referred to the OSB Fee Arbitration Program.
C. Customer Service Complaints: LRS staff monitor complaints concerning the level of customer service provid-
ed by panelists. The character, number, and/or frequency of such complaints may result in removal from the
LRS without prior notice.
IV. Removal: Panelists may be removed from the LRS or any LRS panel without prior notice if they no longer meet
the eligibility requirements, if they violate any of the LRS Policies or Procedures, or as otherwise provided in
these Policies and Procedures. Panelists against whom disciplinary, protective, or custodianship proceedings
have been approved for filing will be removed from the LRS until those matters have been resolved. A matter
will not be deemed resolved until all such proceedings, including appeals, have been concluded and the matter
is no longer pending in any form.
V. Fees & Refunds:
A. Fees: All panelists must pay the LRS registration fees and percentage remittances set by the Board of Gover-
nors (BOG) and provided below.
1. Registration Fees: All panelists must pay registration fees annually for each program year and, except as
provided in Paragraph V.B. “Refunds” (below), registration fees are nonrefundable and will not be pro-
rated. The registration fees are:
a) Basic Registration Fee (including home territory and up to four panels):
i) $50 for those admitted in Oregon for less than 3 years
ii) $100 for those admitted in Oregon for 3 years or more
b) Enhanced Services Fees:
i) Additional Territories: $50 for each additional geographic territory
ii) Statewide Listing: $300
iii) Additional Panels: $30 for each additional panel beyond the four included in a basic registration
2. Remittances: Panelists owe the LRS a remittance when: 1) the panelist has earned and collected at-
torney fees on an LRS-referred matter, and; 2) the amount earned and collected meets or exceeds the
threshold set by the BOG. The remittance owed is a percentage of all attorney fees earned and collect-
ed by the panelist on the LRS-referred matter beyond the initial $35 consultation fee. The percentage
rate and threshold used to calculate the remittances owed are:
a) Percentage Rate: 12%
b) Threshold: $250
Lawyer Referral Service - 08/2020
Page 3
3. Communications Regarding Remittances: Upon settlement of a matter, the panelist must include the LRS
with those who have a right to know about the terms of a selement to the extent necessary to allow
the LRS to determine the poron of the fees to which it is entled.
B. Refunds:
1. Upon written request, a panelist who has been removed from the LRS is entitled to a prorated refund of
registration fees provided that the panelist has no unpaid balances for LRS registration fees or remit-
tances. The amount of the refund will be based on the number of full months remaining in the program
year for which the fees were paid, as measured from the date the written request is received. A
removed panelist who again meets all of the eligibility requirements prior to the expiration of the
program year during which the removal occurred may reapply and be reactivated for the remainder of
that program year upon written request and payment of any amount refunded.
2. Upon written request, a panelist who is required to refund to a client a portion of a flat fee that was
earned upon receipt will be refunded the percentage paid to LRS of the portion refunded to the client.
VI. Review and Governance:
A. Public Service Advisory Committee (PSAC):
1. The PSAC advises the BOG on the operation of the LRS. The PSAC works with LRS staff in the develop-
ment and revision of these Policies and the Procedures. Amendments to these Policies must be approved
by the BOG. Amendments to the Procedures may be approved by the PSAC. The BOG may amend these
Policies and Procedures at any time. The RIS Manager has discretion to waive and suspend Procedures
for good cause.
2. Upon written request, the PSAC will review a decision to remove a panelist at its next regularly sched-
uled meeting. Such written request must be submitted to the PSAC within 30 calendar days of the date
notice of the decision is given to the removed panelist. The PSAC’s decision regarding removal is final.
3. Upon written request, the PSAC may review a decision regarding a panelist’s registration, renewal, and/
or special subject matter panel registration (collectively, registration issues). Such written request must
be submitted to the PSAC within 30 calendar days of the date notice of the decision is given to the law-
yer. The PSAC’s decision regarding registration issues is final.
Lawyer Referral Service Operang Procedures
1) What LRS Will Do:
a) Referrals: LRS will refer potential clients to panelists based on legal need, geographic area, language
spoken, and other requested services (credit cards accepted, evening appointments, etc.).
b) Rotation: Referrals are made in rotation to ensure an equitable distribution of referrals among similarly
situ-ated panelists.
c) Processing: Generally, potential clients receive one referral at a time and will not be provided more than
three referrals within a 12-month period for the same legal issue. Under certain circumstances, LRS may
pro-vide more than three referrals and may also provide several referrals at the same time. Such
circumstances may include, but are not limited to, emergency hearings, referral requests from those who
live out of state, and lawyers interviewing panelists to represent their clients in other matters. LRS tells
potential clients:
i) To tell the panelist that they have been referred by the LRS;
ii) They are entitled to an initial consultation of up to 30 minutes for $35;
iii) The panelist’s regular hourly rate will apply after the first 30 minutes; and
iv) All fees beyond the initial consultation will be as agreed between the potential client and
the panelist.
d) Follow-up: After processing a referral, confirmation is emailed to the panelist. LRS may also send referral
confirmations and follow-up surveys to potential clients referred by the LRS. Any pertinent information
from surveys will be forwarded to panelists, and, if deemed necessary by LRS staff, to the PSAC. The LRS
also rou-tinely monitors referrals by checking court dockets, legal notices, etc.
Page 4
Lawyer Referral Service - 08/2020
2) What Panelists Will Do:
a) Initial Consultations:
i) Amount: Panelists agree to charge potential clients who live in Oregon and are referred by the LRS no
more than $35 for an initial consultation, except that no consultation fee may be charged where:
(1) Such charge would conflict with a statute or rule regarding attorneys’ fees in a particular type of
case (e.g., workers’ compensation cases), or
(2) The panelist customarily offers or advertises a free consultation to the public for a particular type of
case.
ii) Duration: Potential clients are entitled to an initial consultation of up to 30 minutes for a maximum fee
of $35. If the potential client and panelist agree to continue consulting beyond the first 30 minutes, the
panelist must make clear what additional fees will apply.
iii) Communication Method: Each panelist may decide whether to provide initial consultations in person, by
telephone, by video conference, or by some other method of real-time communication. Panelists may
indicate their preferences on their LRS applications.
iv) Location of In-person Consultations: In-person consultations between potential clients and panelists
must take place in an office, conference room, courthouse, law library, or other mutually agreeable loca-
tion that will ensure safety, privacy, and professionalism.
b) Fees: Panelists agree not to charge more fees and expenses to an LRS-referred client than they would to a
client who is not referred by LRS.
c) Customer Service:
i) Panelists will participate only on those panels and subpanels within the panelist’s competence and
where the LRS has approved the panelist to participate on one or more special subject matter panels, as
applicable;
ii) Panelists will not charge or bill for any fee beyond the initial consultation fee unless and until the
panelist and potential client have agreed to the attorney’s fees and costs for additional time or services
beyond the initial 30-minute consultation;
iii) Panelists will use a written fee agreement for any services provided beyond the initial consultation;
iv) Panelists will communicate regularly with LRS staff, including updating online profiles and providing no-
tice if a panelist is unable to accept referrals for a period of time due to vacation, leave of absence, heavy
caseload or any other reason; and
v) Panelists will keep clients reasonably informed about the status of their matters and respond promptly
to reasonable requests for information. Panelists will return calls and emails promptly and will provide
clients with copies of important papers and letters.
d) Except as provided below, panelists will refer back to the LRS any potential client with whom the panelist is
unable to conduct an initial consultation for any reason.
i) Panelist Substitution: A panelist may offer the potential client a referral to a substitute lawyer, provided:
(1) The substitute lawyer is a panelist;
(2) The potential client is informed of the option to call the LRS back for another referral rather than ac-
cepting the offered substitution;
(3) The potential client agrees to the substitution; and
(4) Both panelists notify LRS of the substitution.
ii) Non-Panelist Referral: A panelist may request LRS to waive this requirement when adherence to this re-
quirement is contrary to the panelist’s independent professional judgment.
e) Panelists will use the Oregon State Bar Fee Arbitration Program for any fee disputes with LRS-referred
clients.
f) Panelists must have access to a computer with one of the following Internet browsers installed and running
the most recent version: Internet Explorer, Chrome, Firefox, or Safari.
3) Program Year: The LRS operates on a 12-month program year. The program year begins September 1 and ends
August 31. Although the LRS will accept applicaons at any me, registraon fees are not prorated for late
registrants. Payment of the registraon fee entles the panelist to parcipaon only for the remainder of the
applicable program year. The LRS may refund registraon fees in full only if requested prior to the beginning of
the applicable program year.
4) Territories: LRS registraon uses geographic territories based upon populaon density, counes, court locaons
and potenal client and panelist convenience. A chart of the territories and the counes in each territory may
be found on the applicaon. Payment of the basic registraon fee includes registraon for the territory in which
a panelists oce is located, known as the panelist’s home territory. For an addional fee, panelists may elect to
register for addional territories outside of his or her home territory for some or all of the panels selected.
5) Special Subject Maer Panel Qualicaons: Registraon for special subject maer panels requires a separate
form and armaon showing that the panelist meets basic competency standards. The special subject
maer panels currently include: felony defense; interstate/independent adopon; deportaon; and Department
of Labor-referred FMLA/FLSA maers.
6) Reporng and Remiance Requirements:
a) Reporng: With limited excepon, panelists must regularly report on all LRS-referred maers. Panelists who
have not reported on any given LRS-referred maer for more than 60 days are considered past due in their
reporng requirements. Panelists whose reporng is past due may be removed from LRS without noce unl
all reporng is brought up to date.
b) Reporng Payments: Panelists must report payments they receive on LRS-referred maers within 30 days
of receipt.
c) Remiance Payments: Panelists must pay remiances when due and owing. Remiances are calculated in
accordance with the Policies. The remiance is a percentage only of the panelists aorney fees and does not
apply to any costs advanced and recovered or to the $35 inial consultaon fee.
i) Remiances are due to LRS within 30 days of reporng payments received or within 60 days of
receiving payment, whichever is sooner.
ii) A panelist who fails to pay remiances when due may be removed from LRS without noce unl all
remiances are paid in full.
iii) If a panelist fails to pay remiances within 90 days of when they are due, the bar may take any
reason-able and nancially prudent methods to collect amounts owed to LRS.
iv) A panelist who has been more than 30 days past due in payment of remiances three mes is subject
to permanent removal from the LRS. The PSACs decision on the removal is nal.
v) A panelists obligaon to pay remiances owed to the LRS connues regardless of whether the panelist
is in breach of this agreement, fails to comply with these Policies or the Procedures, is removed from the
LRS, is no longer eligible to parcipate in the LRS, or leaves the LRS.
d) Special Circumstances:
i) If an LRS-referred client puts one or more other potenal clients in touch with the panelist for the same
maer (e.g., a mulple-vicm auto accident or mulple wage claims against the same employer), the
remiance due to the LRS will be based on a percentage of all fees earned and collected on the new
clients’ maer in addion to the LRS-referred maer.
(1) This secon does not apply to class-acon lawsuits. In a cered class acon case, a panelist need
only remit fees earned and collected from the LRS-referred client in that maer. This applies
whether the LRS-referred client is a member of the class or the class representave.
ii) If an LRS-referred maer closes and someme later the client contacts the panelist on an unrelated
maer, no remiance is due to the LRS on the new, unrelated maer.
iii) If a panelist elects to share or co-counsel an LRS-referred maer with another lawyer for any reason,
the panelist is solely responsible to the LRS for remiances on all fees earned and collected during the
course of representaon of the client in that maer (including any fees paid to the other lawyer brought
in on the maer).
e) Remittance Disputes: LRS may request panelists to verify that correct remittances have been paid.
Upon request, panelists must provide verification to LRS to the extent reasonably necessary to resolve the
remittance dispute and to the extent the rules of professional conduct allow.
Lawyer Referral Service - 08/2020
Page 5
Territory Territory Composition
Downtown, SW and NW Portland Downtown Portland, SW Portland, NW Portland
NE and North Portland North Portland, NE Portland
SE Portland SE Portland
East Multnomah, Hood River and Wasco Counes
Bridal Veil, Corbe, Fairview, Gresham, Troutdale, Wood Village,
Gresham, Hood River County, Wasco County
South Washington County Beaverton, Aloha, Tigard, Tualan, King City, Durham
North Washington and Yamhill Counes
Banks, Buxton, Cornelius, Forest Grove, Glenwood, Gales Creek,
Gaston, Hillsboro, Manning, North Plains, Sherwood, Timber, Amity,
Carlton, Dayton, Dundee, Lafayee, McMinnville, Newberg, Yamhill,
Sheridan, Willamina
North Clackamas County
Boring, Brightwood, Government Camp, Timberline Lodge,
Rhododendron, Sandy, Welches, Zigzag, Happy Valley, Damascus,
Milwaukie, Johnson City, Eagle Creek, Colton, Estacada, Clackamas
West and South Clackamas County
Lake Oswego, Lake Grove, Rivergrove, Marylhurst, West Linn,
Wilsonville, Beavercreek, Barlow, Canby, Gladstone, Molalla, Mulino,
Oregon City
North Coast & Columbia Counes Clatsop County, Lincoln County, Tillamook County, Columbia County
Marion - Polk Counes Marion County, Polk County
Linn - Benton Counes Linn County, Benton County
Lane County Lane County
South Coast and Douglas Counes Coos County, Curry County, Douglas County
Southern Oregon Counes Jackson County, Josephine County, Klamath County, Lake County
Central Oregon Counes
Crook County, Deschutes County, Grant County, Harney County,
Jeerson County, Wheeler County
Eastern Oregon Counes
Baker County, Gilliam County, Malheur County, Morrow County,
Umalla County, Sherman County, Union County, Wallowa County
Lawyer Referral Service Territories
Page 6
Lawyer Referral Service - 08/2020
08/2020
Lawyer Referral Service Registration Form
I. Panelist Bar Number (please use 6 digit number)
Name ___________________________________________ Phonetic spelling of name _____________________________
Firm Name _________________________________________________________________________________________________
Office Address _____________________________________________________________________________________
Mailing Address (if different from above) ____________________________________________________________________
City __________________________________________ State _____________________________ Zip ______________________
Phone _______________________ Fax _______________________ Email* ___________________________________________
* Required: All referral notices will be sent by email to this address. Potential clients may request email and/or telephone number due to disability.
II. Registration
Please review sections A (Panels) and B (Other Services) of this form.
Under each general area of law or “Panel” for which you would like to register (e.g., Family Law), please select any number of
subpanels that match your areas of practice (e.g., divorce/separation, child custody, etc.). Registration fees are based on the number
of Panels, not subpanels, for which you register.
Please Note: Additional subject matter registration and qualification forms are required for Interstate/Independent Adoption,
Deportation and certain Labor and Employment and Criminal Law subpanels. These additional forms are available at
www.osbar.org/forms.
Basic Registration Fee (includes first 4 Panels):
Bar Number (begins with) 17 (or after) = $50
= $100 $
Additional Panel Fees ($30 - each additional panel beyond 4 Panels)
Number of additional Panels ______ x $30 = $
Additional Territory Fees:
Enter the amount from the Additional Territories Form here:
+ $
Payment by: c
Check** c Credit Card TOTAL FEE ENCLOSED = $
III. Signature and Acknowledgement
I will accept referrals and provide services as indicated on this form. I have read and understand the Lawyer Referral Service
Policies and Operating Procedures included with this form and agree to abide by them.
Signature _________________________________________________________ Date ____________________________________
Please make a copy for your records.
** If paying by check please make payable to the OSB Lawyer Referral Service.
Please type or print information in the spaces provided and check the boxes you wish to
select. Please sign your completed form and mail it back to us with your payment.
Oregon State Bar Referral & Information Services, PO Box 231935, Tigard, OR 97281-1935
Voice: (503) 431-6408 or (800) 452-8260 ext. 408 • Fax: (503) 431-6444 • Email: ris@osbar.org
16 (or before)
Please select only one of the following two options:
c Total No. of Additional Territories ____________ x $50 = $ ________________
OR
c Statewide $300 = $ ________________
08/2020
Additional Territories Form
Please Note: Only use this form if you wish to receive referrals from additional territories. One territory – your home
territory – is already included in the basic registration fee. Your home territory is determined by your OSB address of
record. For example, if your office address is in Salem, the "Marion-Polk Counties" territory is already included in your
basic registration fee.
Instructions: Please check the box for each additional territory you would like or check the “Statewide” box at the
bottom of this form to indicate that you would like to receive referrals from all territories. Each additional territory costs
$50. A statewide registration costs $300. Please check the appropriate box at the bottom of this form, total the cost of
your selection(s), and add that amount to the first page of the registration form where indicated.
c
Territory Territory Composition
c
Downtown, SW and NW Portland Downtown Portland, SW Portland, NW Portland
c
NE and North Portland North Portland, NE Portland
c
SE Portland SE Portland
c
East Multnomah, Hood River and Wasco Counes
Bridal Veil, Corbe, Fairview, Gresham, Troutdale, Wood Village,
Gresham, Hood River County, Wasco County
c
South Washington County Beaverton, Aloha, Tigard, Tualan, King City, Durham
c
North Washington and Yamhill Counes
Banks, Buxton, Cornelius, Forest Grove, Glenwood, Gales Creek,
Gaston, Hillsboro, Manning, North Plains, Sherwood, Timber, Amity,
Carlton, Dayton, Dundee, Lafayee, McMinnville, Newberg, Yamhill,
Sheridan, Willamina
c
North Clackamas County
Boring, Brightwood, Government Camp, Timberline Lodge,
Rhododendron, Sandy, Welches, Zigzag, Happy Valley, Damascus,
Milwaukie, Johnson City, Eagle Creek, Colton, Estacada, Clackamas
c
West and South Clackamas County
Lake Oswego, Lake Grove, Rivergrove, Marylhurst, West Linn,
Wilsonville, Beavercreek, Barlow, Canby, Gladstone, Molalla, Mulino,
Oregon City
c
North Coast & Columbia Counes Clatsop County, Lincoln County, Tillamook County, Columbia County
c
Marion - Polk Counes Marion County, Polk County
c
Linn - Benton Counes Linn County, Benton County
c
Lane County Lane County
c
South Coast and Douglas Counes Coos County, Curry County, Douglas County
c
Southern Oregon Counes Jackson County, Josephine County, Klamath County, Lake County
c
Central Oregon Counes
Crook County, Deschutes County, Grant County, Harney County,
Jeerson County, Wheeler County
c
Eastern Oregon Counes
Baker County, Gilliam County, Malheur County, Morrow County,
Umalla County, Sherman County, Union County, Wallowa County
Name Bar Number
Oregon State Bar Referral & Information Services, PO Box 231935, Tigard, OR 97281-1935
Voice: (503) 431-6408 or (800) 452-8260 ext. 408 • Fax: (503) 431-6444 • Email: ris@osbar.org
1) Administrave Law
c
DMV (Non-Criminal)
c
General (Federal)
c
General (Local/Municipal)
c
General (State)
c
Medicare/Medicaid
c
Military/Veterans
c
PERS
c
Professional Licensing
c
Schools – Special Needs Educ.
c
Social Security/SSI
c
SSD
c
Student Rights
c
Transportation
c
Unemployment
c
Utilities
c
Welfare
c
Other__________________________
2) Bankruptcy
c
Business
c
Creditors
c
Document Review
c
Farm
c
Personal
c
Pro Se Coaching
c
Other__________________________
3) Business & Corporate
c
Agriculture/Farm
c
Construction
c
Entertainment
c
Environmental
c
Franchise
c
General (contracts, entities)
c
Litigation
c
Marijuana Business
c
Non-Profit
c
Publishing
c
Restaurants/OLCC
c
Sale Of Business
c
Securities
c
Other__________________________
4) Consumer Law
c
Automobiles/RVs/Mobile Homes
c
Banking
c
General
c
Identity Theft
c
Insurance
c
Mortgage Issues (non-foreclosure)
c
Problems Between Consumers
c
Small Claims Advice
c
Other__________________________
5) Criminal Law
c
Capital Murder ***
c
DMV (DUII Related)
c
DUII/DWS
c
Expunction
c
Forfeiture
c
Game Violations
c
Gun Rights
c
Juvenile Offender
c
Lesser Felony ***
c
Local Ordinances
c
Major Felony ***
c
Mental Commitment
c
Misdemeanor
c
Non-Capital Murder ***
c
Parole/Probation
c
Post Conviction/Appeals
c
Traffic Offenses
c
White Collar Crime
c
Other__________________________
6) Debtor/Creditor
c
Collection/Harassment
c
Debt Counseling/Workouts
c
General (Creditor)
c
General (Debtor)
c
Student Loans
c
Other__________________________
7) Family Law
c
Adoption/DHS
c
Child Custody/Parenting Time
c
Child Support/Modification
c
Collaborative Family Law
c
Document Review
c
Emancipation
c
General (Divorce/Separation,etc.)
c
Grandparent/Third Party Rights
c
Guardianship
c
Informal Living Arrangements
c
Interstate/Independent Adoption ***
c
Juvenile/DHS Issues
c
Military
c
Parental Responsibility
c
Paternity
c
Prenuptial Agreements
c
Pro Se Coaching/Process Question
c
QDROs
c
Restraining Orders
c
Same Sex Couples & Parents
c
Terminate Parent Rights
c
Other__________________________
8) General Ligaon
c
Actions Against Police
c
Animal Law
c
Aviation
c
Child Abuse Victims
c
Civil Rights
c
Crime Victims
c
Elder Abuse
c
General Litigation
c
General Torts/Privacy
c
Health Law/HIPAA
c
Insurance (Health/Disability)
c
Insurance (Liability)
c
Libel/Slander/Defamation
c
Malpractice (Dental)
c
Malpractice (Legal)
c
Malpractice (Medical)
c
Maritime
c
Mold Claims
c
Neighbor Disputes/Nuisance
c
Personal Injury/Wrongful Death
c
Products Liability
c
Property Damage
c
Services for Plaintiffs
and Defendants
c
Stalking Orders
c
Tort Claims Act
c
Other__________________________
9) Intellectual Property
c
Computer Law & Internet Law
c
Entertainment
c
Patent (Reg Patent Attys Only)
c
Trademark/Copyright
c
Other__________________________
10) Internaonal Law
c
Business and Corporate
c
Customs, Quotas & Duties
c
Deportation ***
c
Family Law
c
General Immigration/Visas
c
Import/Export Regulation
c
Litigation
c
Taxation
c
Other__________________________
A. Panels Instructions: Under each general area of law or "Panel" for which you would like to register (e.g., Family Law),
please select any number of subpanels that match your areas of practice (e.g., divorce/separation, child custody, etc).
Registration fees are based on the number of Panels, not subpanels, for which you register. Four (4) Panels are included in the
Basic Registration Fee. Each Additional Panel is $30. Subpanels in bold, if any, are recent additions.
*** Additional subject matter registration and qualification forms are required for these sub-panels.
These forms are available at www.osbar.org/forms.
Name Bar Number
08/2020
11) Labor & Employment
I represent:
c
employees
c
employers
c
both
c
ADA (Disability) Act Issues
c
Discrimination
c
FLSA ***
c
FMLA ***
c
General
c
Pensions/Benefits/ERISA
c
Public Employees
c
Union Issues
c
Wage and Hour Claims
c
Whistleblowers
c
Wrongful Discharge
12) Workers’ Comp
c
Employers
c
Federal
c
LHWA
c
State
c
Stress Related
c
Third Party Litigation
c
Other_________________________
13) Real Property
c
Agriculture/Farm
c
Condemnation
c
Construction/Contractors
c
Environmental
c
Foreclosure
c
General (Commercial)
c
General (Residential)
c
Government Loans (VA, FHA, etc.)
c
Homeowners Assoc
c
Land Use/Zoning
c
Landlord Commercial
c
Landlord Residential
c
Litigation
c
Mining, Oil & Gas
c
Mobile Home (Landlord)
c
Mobile Home (Tenant/Owner)
c
Property Tax
c
Section 8/HUD
c
Tenant (Commercial)
c
Tenant (Residential)
c
Water Law
c
Other_________________________
14) Taxaon
c
Business & Corporate
c
Criminal
c
Estate & Gift
c
Litigation
c
Personal Income
c
Other__________________________
15) Wills & Trusts
c
Conservatorship/Guardianship
c
Document Review
c
General (Wills/Trusts/Estates)
c
Litigation
c
Living Trusts
c
Long-term Care Issues
c
Medicare/Medicaid Planning
c
Probate
c
Special Needs/Including Cap Trusts
c
Other_________________________
Accessibility
c
Civil Matters for Inmates
c
Evening Appointments
c
Initial Consultations by Phone
c
Initial Consultations by Web/Video Conferencing
c
Jail Visits
c
Office is Accessible to the Disabled
c
Out-of-Office Appointments
c
Out-of-State Clients
c Weekend Appointments
Other Languages
Language Proficiency
Language Proficiency
Language Proficiency
Payment Options
c
Credit Cards
c
Payment Plans
Venues & Forums
c
Federal Appellate
c
Federal Court Case
c
State Appellate
Other Active Law Licenses
State Year Admitted
State Year Admitted
State Year Admitted
Specialty Bar
c
OAPABA
c
OGALLA
c
OHBA
c
OMLA
c
OWLS
c
O C N B A
Other Biographical Information
B. Other Services (Selections apply to all Panels and Territories except as indicated)
Name Bar Number
08/2020
Office Use Only
PDM PLF Status Subject Matter Form(s): On File Received Needed
Home Territory No. of Panels No. of Additional Territories or Statewide
Fee Paid UP OP
Date Entered By
Oregon State Bar Referral & Information Services, PO Box 231935, Tigard, OR 97281-1935
Voice: (503) 431-6408 or (800) 452-8260 ext. 408 • Fax: (503) 431-6444 • Email: ris@osbar.org
Credit Card Authorization
Oregon State Bar Referral & Information Services
PO Box 231935, Tigard, OR 97281-1935
Voice: (503) 431-6408 or (800) 452-8260 ext. 408
Fax: (503) 431-6444
Phone or Email: _______________________________________________________________________________________
Please provide a phone number or email address in case we experience problems charging your card.
NOTE: If you provide an email address, a receipt will be sent when the card is charged.
6-Digit Bar Number #:
Member Name: _______________________________________________________________________________________
Cardholder Name: _____________________________________________________________________________________
Credit Card Number: __________________________________________________ Expiraon Date: ___________________
Card Street Billing*: ____________________________________________________________________________________
Card Zip Billing*: ________________________________________ *card street billing & zip is the address on record
with your credit card company
I authorize the Oregon State Bar to charge my
c
Visa
c
MasterCard for this transacon.
Cardholder Signature**: _________________________________________________________________________________
** NOT Valid without cardholder signature
Total Authorized Charge Amount: $ ___________________________
Accounng Code #: 128-4565-000 - Lawyer Referral Registraon
c
Total Authorized Charge Amount includes the registraon for the following aorney(s):
(Please enclose all applicable forms.)
Bar # Name Ay Registraon Amount
___________________________________________________________ ___________________
___________________________________________________________ ___________________
___________________________________________________________ ___________________
___________________________________________________________ ___________________
___________________________________________________________ ___________________
___________________________________________________________ ___________________
Visa or MasterCard Only
Please DO NOT mail a conrmaon copy if faxing your payment.
Doing so may result in duplicate payments.
Please DO NOT email your credit card informaon
since it is not a secure method of communicaon.
08/2020