Authority to Act & Privacy Waiver

Authority to Act & Privacy Waiver

I instruct Community Law Waikato as my representative in relation to my legal matter(s). I authorise the release of my personal information/documentation to Community Law Waikato.
Full Name*

First NameLast Name
Email*
Date of birth*

DayMonthYear
Date*

MonthDayYear
Date
Signature*
Solicitor / Legal Assistant / Advocate*
Should be Empty: