Claim Forms

A completed application for reimbursement along with supporting documentation must be filed with the Fund in order for a law client to be considered for an award of reimbursement. There is no application fee, and clients are not required to be represented by counsel.

Application forms may be downloaded below or may be requested by mail here.  Claimants may also write our call the Fund's offices at 119 Washington Avenue, Albany, N.Y. 12210.  Telephone   800/442-FUND (3863).

Application for Reimbursement (.PDF Format)

Statement of Facts Form (.PDF Format)

(For claims involving unearned legal fees.)
Questions? Please feel free to call 1-800-442-3863 for more information, or e-mail us at info@nylawfund.org