in-language helpline submission form

Asian Americans Advancing Justice-Southern California (AJSOCAL) would like to text you with upcoming programs, direct services, and community events for the Asian Community. Carrier rates may apply. To consent, please reply YES.

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Your preferred contact method:

PhoneEmail
Best hours to reach you between 9 am to 5 pm: -- Your preferred hour --9:00am9:30am10:00am10:30am11:00am11:30am12:00pm12:30pm1:00pm1:30pm2:00pm2:30pm3:00pm3:30pm4:00pm4:30pm5:00pm
Your preferred language: -- Your preferred language --EnglishCantoneseMandarinKhmerKoreanTagalogThaiVietnameseHindiOthers
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Your questions: (mark all that applies)

CIVIL RIGHTS/DISCRIMINATION

EmploymentHousingOther
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FAMILY LAW

Divorce/SeparationChild custody/Visitation/Child supportDomestic Violence Restraining OrderElder Abuse Restraining Order

HOUSING

Eviction (Unlawful Detainer) Summons and ComplaintNotice from LandlordLiving ConditionSecurity Deposit

HEALTH ACCESS

Application Assistance for Covered California or Medi-CalGeneral Questions Regarding Health Coverage

IMMIGRATION

Citizenship ApplicationCertificate of CitizenshipDACA Initial ApplicationDACA RenewalGreen Card RenewalGreen Card Petition for FamilyAdjustment of StatusEmployment AuthorizationRemoval HearingOther
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Please briefly state your questions:

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