Duty Lawyer CLASS form (INTERNAL ONLY)

If no other names used, please write NA

Please write NA if already described above

If the client is homeless, please write 'Homeless' here

If this field is not applicable, please write NA

If there are no other children please write NA. These details will need to be added individually to Actionstep as contacts

If the date of birth is unknown or a guesstimate, please write 1/1/[year]and make a file note to reflect your instructions.

If there are no other other parties please write NA. These details will need to be added individually to Actionstep as contacts

If you do not have a current partner, please write 'not applicable'.

If you do not have a current partner, please write 'not applicable'.

If not applicable, write 'NA'

If the client is on a Visa, or their Visa has expired, please ask the following questions

If you have nothing further to add, please write NA

If there have been no previous IVOs, please write NA

If the answer to this question is yes, or unsure, please complete ALL other questions below as this information is needed to complete a VLA application for funding. The questions are not compulsory because not all clients will be assessed for, or eligible for, VLA funding at this stage.

Next are a set of questions about the client's current partner.

If the partner is a known perpetrator of, or alleged to have perpetrated family violence, you can select no to this question

Next are a set of questions about income, expenses and assets. if the client does not know the income details before tax, please ensure that the income Tax field = $0

Please write the amount received (before tax) and the frequency

Please write the amount received (before tax) and the frequency

Please write the amount received (before tax) and the frequency

Please write the amount received (before tax) and the frequency

Please write the amount received (before tax) and the frequency

Please write the amount paid and the frequency

Please write the amount paid and the frequency

Please write the amount paid and the frequency

Please write the amount paid and the frequency

Please write the amount paid and the frequency

Please write the amount paid and the frequency

Please write the amount paid and the frequency

Please write the amount received (before tax) and the frequency

Please write the amount received (before tax) and the frequency

Please write the amount received (before tax) and the frequency

Please write the amount received (before tax) and the frequency

Please write the amount received (before tax) and the frequency

Please write the amount paid and the frequency

Please write the amount paid and the frequency

Please write the amount paid and the frequency

Please write the amount paid and the frequency

Please write the amount paid and the frequency

Please write the amount paid and the frequency

Please write the amount paid and the frequency

This is in relation to businesses/trusts etc

This generally refers to lump sums above $2,000 received in the last two months, subject to what the payment was for and an explanation about why it shouldn't be used to pay for legal fees

The next set of questions relates to influencing factors for this application

The next set of questions relates to any VLA (CP specific) referrals received to assist this client

The next question relates to restrained property

Copies of any restrains need to be submitted via ATLAS after the application has been submitted

The next set of questions form the applicant declaration on the grant application