Referral Service Application Timely payment of your 2022 membership dues is a requirement for continuation of your referral listing. Select Referral Service * Lawyer Referral Website Referral Participate in BOTH Referrals Member Information Your Name * Firm Name * Your E-Mail Address * Phone Number * Fax Number Mailing Address * Mailing Address Line 2 City * State * AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Zip * Website/URL Select Referral Service Categories LAWYER REFERRAL participation: $100.00 for seven (7) categories, plus $50.00 each additional category WEBSITE REFERRAL participation: $200.00 for seven (7) categories, plus $50.00 each additional category Participation in both Referrals: $250.00 for seven (7) categories on each referral, plus $50.00 each additional category 1. Adoptions 2. Appeals – Criminal 3. Appeals – Civil 4. Arbitration/Mediation/Collaborative Law (Check below if no fault) 5. Bankruptcy 6. Civil Rights/Employment Discrimination 7. Collections 8. Consumer Affairs/Lemon Law 9. Contracts 10. Corporations/Partnerships/LLC’s/Business Start-ups 11. Criminal (County Court) Felony 12. Criminal (Justice Court) Misdemeanor 13. Criminal (Family Court) 14. Defamation 15. Dental Malpractice 16. Divorce/Separation 17. DWI 18. Education 19. Elder Law, including Medicaid/Medicare Planning 20. Employer/Employee Relations/Civil Service 21. Estates, Wills & Trusts 22. Environmental/Mold Litigation 23. Family Court (Custody/Visitation/Support) 24. Federal including §1983 cases 25. Foreclosure 26. Harassment 27. Health Care/Hospital Care/Nursing Home 28. Immigration/Naturalization/International 29. Insurance 30. Internet 31. Landlord/Tenant 32. Legal Malpractice 33. Litigation – Civil 34. Medical Malpractice 35. Municipal 36. Negligence –Personal Injury (Plaintiffs) 37. Negligence – Defense 38. Patents, Trademarks & Copyrights 39. Planning/Zoning 40. Real Estate (purchase/sales/encroachments) 41. Sexual Harassment/Sexual Abuse 42. Small Claims Court 43. Social Security/Disability/Appeals 44. Surrogate/Guardian Proceedings 45. Taxation 46. Traffic (Non DWI) 47. Unemployment 48. Veterans/Military 49. Worker’s Compensation OtherOther Arbitration * Check if no fault Additional Member Information Foreign language(s) spoken fluently either by you or a staff member: * Year admitted to practice: * I am also admitted to practice in the following state(s): (Please give place and year of admission.) CLE Participation Please list the following C.L.E. programs that you have participated within the last three (3) years relative to the chosen categories: Date Program Add Another Program Remove Program Areas of Practice My area(s) of practice are: Practice Area % Add Another Practice Area Remove Practice Area Website Listing Description (up to 400 words, any additional words will be at additional cost) I understand that the categories that have been circled are in areas in which I practice. I and/or my law firm will actually handle the matter, including any trial that may be required, and will not refer the matter outside of my law firm. If it becomes necessary, for reasons not anticipated at the time of acceptance of the matter, that neither I nor my law firm can handle the matter, I will so notify the Orange County Bar Association promptly in writing of the reasons thereof. I understand that if I do not have an office in Orange County I must be willing to meet the potential client in an office in Orange County. If, during that time I am listed as a referral attorney I am the subject of disciplinary action, or am convicted of any misdemeanor or felony, I will promptly notify the Orange County Bar Association of such action, and provide a copy of any such disposition. I understand that it is a condition of participation in the Lawyer Referral Service that I maintain an Errors & Omissions (Malpractice) Policy issued by an insurance company licensed and authorized by the State of N.Y. to issue such policies in the minimum amount of $250,000 at all times that I represent clients referred by the Lawyer Referral Service. Proof of such insurance is hereby submitted. I, the undersigned hereby apply for registration with the Lawyer Referral Service of the Orange County Bar Association. I recognize that the service is a means and opportunity for the legal profession to render better service to the public. I certify that I maintain Errors & Omissions (Malpractice) Policy limits of at least $250,000 as described as above. I have provided proof of the evidence of such policy and I will maintain such coverage, or equivalent coverage, at all times that I am representing clients referred by the Lawyer Referral Service. I will provide proof of renewal to the Orange County Bar Association as long as I remain of the referral list. I duly affirm, under penalty of perjury, to the truth of the statements and representations I have made in this application: Applicant agrees not to hold the Orange County Bar Association responsible for any interruption of service or any damages it may suffer as a consequence of this listing, and agrees to indemnify the Orange County Bar Association from any liability caused by material applicant places on its site. Applicant also understands that the firm’s web page details will need to be kept current and any changes will be forwarded by applicant’s firm, on its own initiative, to the Bar Association. The Applicant hereby applies for registration with the Orange County Bar Association website. Applicant recognizes that this service is a means and opportunity for the legal profession to render better service to the public. Applicant certifies that at least fifty (50%) percent of applicant’s law firm members and associates are members of the Orange County Bar Association. Applicant understands it is a condition of continued access to the Orange County Bar Association website that at least fifty (50%) percent of applicant’s law firm lawyers remain members of the Orange County Bar Association. The cover sheet of applicant’s paid up malpractice insurance policy issued by a NYS insurance company licensed and authorized by the State of New York to issue such policy with a minimum coverage of $250,000 is enclosed. The Orange County Bar Association does not accept self-insured legal malpractice insurance. Timely payment of your membership dues is a requirement of continuation of you referrals listings. Affirmation of Admission * I duly affirm, under penalty of perjury, to the truth of the statements and representations I have made in this application If I have been the subject of a grievance proceeding resulting in disciplinary action, I hereby provide a copy of the decision for each disciplinary action taken. (Upload copy of each disciplinary action.) PDF file only Drop a file here or click to upload Choose File Maximum upload size: 10MB Proof of Insurance: Upload the cover sheet of applicant’s paid up malpractice insurance policy issued by a NYS insurance company licensed and authorized by the State of New York (PDF file only) * Drop a file here or click to upload Choose File Maximum upload size: 5MB reCAPTCHA
Memorial Service – Thursday, Oct. 5, 2023Please join OCBA for Memorial Service at Harness Racing Museum on Oct. 5, 2023 at 9:00 am. More info: Memorial.Service.Flyer10.5.23