legaladvocate

                               LEGAL ADVOCATE DISCLOSURE STATEMENT

    I, ______________________________, understand that the staff at the Victim
Assistance Centre, including staff of the SAFE Supervised visitation and
Exchange programs, are not attorney's and that they cannot and will not
represent me in any legal matter.

    I further understand that any information regarding legal procedures is not
legal advice and does not substitute for the advice of an attorney.

    My signature below indicates that I understand the above statement. I
further acknowledge that I received a copy of this disclosure statement.

    Signed:                                                                    Date:

______________________________                        _______________________
Client Signature

______________________________
Witness Signature