Client Registration and Payment Form

Full Name *

First Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Mobile Number *

Phone Number

Please enter a valid phone number.

E-mail *

example@example.com

How did you hear about us? *

Name of organisation you are filing a complaint against *

Name of person(s) involved in dispute or complaint *

Phone Number of organisation / person you are filing a complaint against *

Area Code Phone Number

Email of organisation / person you are filing a complaint against *

example@example.com

Please describe the incident / dispute in as much details as possible, including dates, times and person(s) involved. *

Please upload any relevant documents in relation to this matter.

How would you like to see this matter resolved? *

Do you have a preferred day and time to be contacted? If so, please specify here.

Please select which service you require *

Advocate Consultations If you would like to speak to one of our friendly and professional advocates, for an advocacy opinion, we are here to help. Business owners, consumers and the general public are welcome to reach out for help. You will receive up to 60 minutes phone consultation with an experienced advocate which may include both verbal and written assistance.

$ 149.00 AUD

Urgent Advocacy (same day service) Consultation If you would like to speak to one of our friendly and professional Advocates, for an URGENT (same day) consultation service, we are here to help. Business owners, employees, consumers and the general public are welcome to reach out for our advocacy opinion & assistance. You will receive up to 60 minutes phone consultation with an experienced advocate which may include both verbal and written assistance.

$ 250.00 AUD

Employment Advocacy You may have concerns about workplace, health and safety; unfair treatment or favouritism; sexual harassment; bullying; or not being afforded your entitlements and we can help with these issues. Sometimes all that is required is a well-crafted letter from a professional to sort out these employment issues.

$ 250.00 AUD

Consumer Advocacy Human Rights Advocates are a nationwide organisation, who represent thousands of consumers victimized by fraudulent, abusive, discriminatory and predatory business practices. We are committed to advancing the cause of just treatment and ethical representation for consumers.

$ 200.00 AUD

Fair Work Commission Representation If you have been terminated unfairly & would like to escalate this to the Fair Work Commission as a complaint, Human Rights Advocates Australia can assist. We provide administrative and advocacy work and represent you in the proceedings, or if you prefer, we can empower and support you in representing yourself.

$ 550.00 AUD

Human Rights Commission or Other Relevant Tribunal / Commission These commission's are independent third parties which investigates complaints about discrimination and human rights breaches. It does not act as an advocate or legal representative for a party to a complaint. This is where Human Rights Advocates Australia steps in, to represent you and fight for your rights and resolve the matter with the best possible outcome.

$ 550.00 AUD

Unlawful Arrests & Fines If you have experienced an unlawful arrest or received a fine, please lodge a complaint here. Once you complete the form, one of our Senior Advocates will be assigned to your case. The Advocate will set an initial consultation (up to 60 minutes) with you to discuss your matter. We will advocate on your behalf, request for your fine to be revoked and lodge a complaint against the officer(s) involved, if necessary.

$ 250.00 AUD

Family Advocacy and Legal Matters Consultation If you would like to speak to one of our friendly and professional advocates, for an advocacy opinion in relation to your family matter, we are here to help. Types of matters can include Denial of access to see children, Custody disputes, Orders of one parent to make medical decisions, Orders of one parent to make schooling decisions, Parental disagreements, Urgent family matters, Intervention Order Applications, Family & non family IVO/AVO (Intervention Orders) matters.

$ 149.00 AUD

Total

$ 0.00 AUD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

IFirst Name* Last Name* of Street Address* Address Line 2* City* State* Zip* understand and agree that I am paying for Advocacy Services with Human Rights Advocates Australia (HRA Australia, HRAA). In using the Website, the Services or when making any payment in relation to my use of the Services, I warrant that I have read, understood and agree to be bound by the Human Rights Advocates Australia terms and conditions which are available on their website.

Refund Policy: Human Rights Advocates Australia will only provide a refund of the Services Fee in the event they are unable to action the Services or if the manager of Human Rights Advocates Australia makes a decision, at its absolute discretion, that it is reasonable to do so under the circumstances (the ‘Refund’).

By my signature below, I acknowledge, understand, accept and agree to comply to these terms and conditions, which are also viewable on our website www.humanrightsadvocates.com.au. *

Clear