Website 'contact us' form

Name*

First NameLast Name

Phone Number*

Email address*

We only collect what we need in order to provide our lawful services to you. We will not use your personal information for any other purpose without your written authorisation.

Privacy Statement

What is your financial situation? (so we can assess your eligibility to our services)*

I receive my income from Work and Income? (Benefit or Superannuation)I am unemployedI earn minimum wage (currently $23.15 per hour)Other (Please enter your yearly income here. e.g. $45,000 pa)

Please tell us a little bit about your legal problem, including the area of law (e.g. family law)*

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Who else is involved - e.g. if you are having problems with your boss we will need their name and the name of the company your work(ed) for. *

Please provide the NAMES of the other people or organisations involved in your matter and details on how they are involved - e.g. your neighbour, employer, etc. NOTE: We will not contact the other people involved in your issue.0/100

How did you hear about us?