Intake Form - Step 1

Intake Form - Step 1


Get Help Form

If you are an individual, family member, or advocate for someone with a disability and have questions about legal rights related to your disability, call:

or TTY call: 1-800-719-5798
Available Monday/Tuesday/Thursday/Friday from 9:00AM – 3:00PM
Our intake line is closed on Wednesdays.
We may give you general information, referrals or self-advocacy materials. Although we may represent some individuals who call us, we cannot represent every person who contacts us.
To learn more about our programs view here.

Disability Rights California CANNOT help with:

  • Direct representation in criminal law, family law, bankruptcy or evictions
  • Personal Injury (including workers’ compensation)
  • Medical Malpractice (wants to sue doctor/hospital/clinic)
  • Social Security eligibility and eligibility appeals, including filling out application forms
  • Obtaining a guardianship or conservatorship
  • Wills and trusts, including special needs trusts
(If different from the name of the person filling out the form.)
Your Preferred Method of Contact

Choose Preferred Times to Call

Choose up to two different times that would be best to contact you.

Preferred Time 1

Preferred Time 2

DRC staff availability outside of business hours is not guaranteed. If you said that no times during business hours work for you, someone will contact you via email or text message to see how we can best help.