Legal Assistance Application

Our Legal Assistance Application is for victims of domestic/dating violence, sexual assault, and stalking who are seeking legal assistance through the Legal Program of the Wyoming Coalition Against Domestic Violence and Sexual Assault.

You can fill out and submit a confidential application for legal assistance here.

Please understand that the demand for our services is high. Submitting an application does NOT guarantee that we will be able to assist you with your legal needs. There is no guarantee that we will be able to take your case. Filling out this application is the first step of our application process and does not mean that you are being represented by our program.

 If you are unable or unwilling to fill out an application online, you can dowload our hard copy application here. You may also click here for a Spanish-language version. Once complete, please submit your application via email or mail:

email: kosten@wyomingdvsa.org

mail: WCADVSA Legal PO Box 236 Laramie, WY 82073 

If you require assistance printing, scanning, and/or emailing your application to us, please contact your local member program for assistance. 

If you require assistance coordinating completing and submitting your application for legal services, or reaching out to your local member program, please call us at 307-755-0992.