VAP Case Closing Form Client Name * First Name Last Name SMRLS File Number Attorney Name * First Name Last Name Date Closed * MM DD YYYY Hours of Attorney time on Case * Hours of Paralegal time on Case Year you finished work on the Case * Advice and Services Provided * (Please provide a 2-3 sentence statement about the service and advice you gave the client related to the client's specific fact situation. Including the advice you provided is required by our funders.) Reason for Closing * Advice Only Limited Action Negotiated Settlement Without Litigation Negotiated Settlement With Litigation Administrative Agency Decision Uncontested Court Decision Contested Court Decision Appeal to Court of Appeals or Supreme Court Other Extensive Service Outcome * Hearing Won Hearing Lost Settled Favorably Settled Unfavorably Other Favorable Other Unfavorable No Effect Dismissed +++Advice Only Cases Stop Here -- All Others Continue+++ All Others Continue The Legal Services Advisory Committee of the Minnesota Supreme Court requires that we gather the following information. Please check the most appropriate box for each statement below. A Blank line will be tallied as a "No" response. There can be more than one "Yes" response per case. As A Result Of My Legal Services In This Case, My Client . . . Has increased ability to pay for daily necessities Not Applicable No Yes Is less likely to be harassed by creditors Not Applicable No Yes Is in a better position to keep or find a job Not Applicable No Yes Is in a better position to keep or find housing Not Applicable No Yes Has improved housing conditions Not Applicable No Yes Has increased safety Not Applicable No Yes Has improved quality of life Not Applicable No Yes Did your legal services protect money/benefits for the client? No Yes If yes, please provide the amount and type below: Lump sum/back payment Ongoing monthly benefits If yes, please provide the amount and type Type Federal Money/Benefit State Money/Benefit Child Support Other Money/Benefit Did your legal services recover money/benefits for the clients? No Yes Lump sum/back payment Ongoing monthly benefits Type Federal Money/Benefit State Money/Benefit Child Support Other Money/Benefit Thank you for submitting the form. We will reach out shortly.
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