Request for Victim Services

Please complete this form to request services from AVDA. By submitting this form, you are requesting a call back from an AVDA Advocate to begin the application process requesting legal representation. Submission of this request does not guarantee legal representation. The next step is contact from an AVDA Advocate to schedule an appointment for an in-person intake meeting. The advocate will explain to you what you need for that meeting.

  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY

“I can’t thank you enough for helping me to get my life back.”

“My attorney was very compassionate, assisting me with everything I needed.
She made me feel like I wasn’t alone.”

Victim Advocacy Pre-Registration 1

Safety alert: Computer use can be monitored and is impossible to completely clear. If you are afraid that your internet or computer usage might be monitored, use a safer computer, call your local hotline, or call the National Domestic Violence Hotline at 1-800-799-SAFE (7233) or TTY 1-800-787-3224.

AVDA
1001 Texas Ave., Suite 600 Houston, TX 77002
P: 713-224-9911
F: 713-715-6935 for Legal Advocacy
F: 713-715-6945 for Battering Intervention & Prevention

AVDA

1001 Texas Ave., Suite 600 Houston, TX 77002 P: 713-224-9911 F: 713-715-6935 | 713-715-6945

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Victim Advocacy Pre-Registration 2   Victim Advocacy Pre-Registration 3
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