Authority to Act & Privacy Waiver
  • Authority to Act & Privacy Waiver

  • I have instructed Community Law Waikato as my legal representative.

    I understand that disclosure of my personal information from third parties / organisations is necessary in relation to this help.

    I understand that the information will be used only in accordance with the policy and process as per the Privacy Act Statement.

    I herewith consent to the disclosure of my personal information, to Community Law Waikato, from the following parties / organisations / entities:

  • Date of birth*
     - -
  • Date*
     - -
  • Should be Empty: