REQUEST FOR ASSISTANCE FINANCIAL LEGAL (RESEARCH LETTER OF SUPPORT

Request for Assistance: Financial Legal (research, letter of support, amicus brief, etc.)

Issue(s):

     

Names of parties involved:

     

Please list the laws (i.e. K.S.A., K.A.R., etc.) that may be involved, if any:

     

Please list Kansas Farm Bureau Policies that may be involved, if any:

     

What information is needed:

     

What is your timeline for completion:

     

What is your goal or expectations for this issue(s):

     

What, specifically, are you requesting from the Kansas Farm Bureau Legal Foundation (what action to be taken, or what amount of financial assistance).

     

Statement of applicant:

I certify to the best of my knowledge, and under penalty of perjury under the laws of the United States of America, that all the information provided in the foregoing application is true and correct. I understand that there is no guarantee of receiving a financial award or other legal assistance. If I am awarded funds, they will be used for the sole and lawful purpose of paying legal fees for the legal action described above. I understand that any assistance provided to me by the Kansas Farm Bureau Legal Foundation does not and can not create an attorney-client relationship. This certification is executed on the date next to my signature. [If you choose to apply an electronic signature, typing your name in the signature box below will serve as an electronic signature.]

Signature:

     

Date:

     

Check this box to verify that you have read and agree to the terms above.

County support for this request:

This matter has been considered by the county farm bureau board of which the applicant is a member, and we approve and support this matter for referral to The Kansas Farm Bureau Legal Foundation. [If you choose to apply an electronic signature, typing your name in the signature box below will serve as an electronic signature.]

Signature of County Board President:

     

Date:

     

Kansas Farm Bureau state board member support for this request:

I am a member of a state board of directors for Kansas Farm Bureau and I approve and support this matter for referral to The Kansas Farm Bureau Legal Foundation. [If you choose to apply an electronic signature, typing your name in the signature box below will serve as an electronic signature.]

Signature of KFB State Board Member:

     

Date:

     

Kansas Farm Bureau staff member support for this request:

I am staff member of Kansas Farm Bureau and I approve and support this matter for referral to The Kansas Farm Bureau Legal Foundation. [If you choose to apply an electronic signature, typing your name in the signature box below will serve as an electronic signature.]

Signature of KFB Staff Member:

     

Date: