Client Registration Form

You have been sent the link to this page to help us set up your appointment. We are required to provide anonymous statistical data to Government as part of our funding. These statistics ensure we can provide our legal services to people who otherwise could not afford legal assistance.

Please complete the below form, and we will get in touch to confirm your appointment booking.

Your privacy is important to us. Please only provide phone number/s or an email address that you are happy for us to contact you on. 

Name *
Name
Postal Address
Postal Address
Date of Birth *
Date of Birth
Gender *
Do you identify as Aboriginal or Torres Strait Islander? *
Do you require an interpreter? *
What is your employment status? *
Centrelink payments received: *
Do you have any known disabilities? *
Relationship *