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Community Support Submission Form

If you think your community would benefit from community planning legal services and you are located in Ohio or West Virginia please fill out this form and we will get back to you!

Email Address*

First Name*

Last Name*

Address, line 1

City

State

Zip Code*

Are you a community leader (by title or self-identification)?*

How has your community been impacted by Oil & Gas?*

How do you think we can help you?*

Tell us about your community!*

Submit

Unfortunately, we do have limited capacity and we will not be able to provide this service to everyone who requests it. We will be making our decisions based on Census and EPA data and providing our services to those who are most in need. Thank you for your understanding.

Community Support Submission Form

Thank you!