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Appointment Request Form
Please fill out to request an appointment
19
Questions
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1
Full Name
*
This field is required.
First Name
Last Name
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2
Contact Number
*
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Please enter a valid Australian phone number.
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3
Email Address
*
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example@example.com
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4
Address
*
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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5
Is it okay for us to leave a voicemail and/or send a text?
*
This field is required.
Yes - voicemail and text are both okay
Voicemail only
Text only
No - Do not leave a voicemail or text me
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6
What is your preferred contact method?
*
This field is required.
No preference - phone, email and text are all fine
Phone
Email
Text
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7
Which describes you best?
*
This field is required.
Flinders University student
Flinders University staff member
Family member of student / staff
Other
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8
Full name of the opposing party - i.e. who are you having a problem with?
*
This field is required.
You can list more than one name. If it is an individual, we require their first and last name to conduct a conflict check.
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9
Is there anyone else involved in the dispute? If so, who?
*
This field is required.
You can list more than one name. If it is an individual, we require their first and last name to conduct a conflict check.
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10
If the opposing party or anyone else involved in this dispute is a Flinders University student, please list their name(s) below.
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11
What kind of legal problem are you seeking help with?
*
This field is required.
Relationships/Separation (divorce, parenting)
Intervention Orders
Tenancy Law (residential)
Commercial Lease
Debt
Minor Civil Dispute
Employment Law
Motor Vehicle Accident
Fines
Neighbour Dispute
Building Dispute
Consumer Law
Contract Dispute
Complaints ( or disputes against government agency/department e.g. police, housing SA)
Complaints against businesses
Other - Please detail in next section
Please Select
Relationships/Separation (divorce, parenting)
Intervention Orders
Tenancy Law (residential)
Commercial Lease
Debt
Minor Civil Dispute
Employment Law
Motor Vehicle Accident
Fines
Neighbour Dispute
Building Dispute
Consumer Law
Contract Dispute
Complaints ( or disputes against government agency/department e.g. police, housing SA)
Complaints against businesses
Other - Please detail in next section
If your problem does not fit within one of the above categories, it may be an area of law that we can't assist with. If you select 'Other' and it is unclear from your enquiry form, we may contact you for further information.
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12
Tell us about the legal problem(s) you are seeking help with (please provide as much detail as possible to enable us to assess your enquiry)
*
This field is required.
It is useful to include information such as key dates, when the dispute started, what the dispute is about, key communications between you and the opposing party (or anyone else involved), what you are hoping to achieve etc.
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13
Does your problem involve more than $12,000?
*
This field is required.
Please Select
Yes
No
Not sure
Please Select
Please Select
Yes
No
Not sure
IMPORTANT: If your problem involves more than $12,000, it is unlikely that the Flinders Legal Centre can assist you beyond providing general advice.
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14
Is any Court or Tribunal involved?
*
This field is required.
Yes
No
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15
If yes, please provide details of the Court or Tribunal matter:
Name of the Court or Tribunal, date of application / notice / order, hearing date etc.
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16
Have you seen a lawyer about this problem before?
*
This field is required.
Yes
No
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17
If yes, is that lawyer still helping you?
*
This field is required.
PLEASE NOTE: If you are still using the services of another lawyer or legal service for this matter, we will not be able to assist you.
Yes
No
Not applicable
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18
Will you require an interpreter for the appointment?
*
This field is required.
PLEASE NOTE: Flinders Legal Centre does not have access to a free interpreter service. If you require an interpreter for your appointment, you are solely responsible for organising and/or paying for an interpreter to attend the appointment with you.
Yes
No
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19
Is there anything else you would like us to know before we meet?
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