PBA Pro Bono Awards Nomination Form

2021 PBA Pro Bono Awards Nomination Form

Please complete and submit this form no later than Thursday, December 31, 2020. If you need this form sent to you as a Word document, please email Gabriele Miller-Wagner at gmw@pabar.org, and place “Pro Bono Awards Form” in the subject field.

For Pro Bono Award, please answer all questions. For all others, please answer questions 1, 7-10 only. Email supporting documents to David.Trevaskis@pabar.org or mail to: PBA Pro Bono Office, PO Box 186, Harrisburg, PA 17108)

Enter the code shown above:



100 South Street, Harrisburg, PA 17101

Phone: 800-932-0311

Western Pennsylvania Office:

Heinz 57 Center, 339 Sixth Avenue, Suite 760
Pittsburgh, PA 15222 Phone: 412-914-8840