Migration Referral

We ask you to fill out this form so we can work out how best to support your client with their legal problem.

The information you provide here will be confidentially and safely saved in our system. Our administrative staff, paralegals and lawyers will use this information to contact your client, make an appointment with a lawyer and work out how we can assist them.

We aim to get in touch with your client within 5 business days of you submitting this form.

Your first name

Your last name

Organisation

Your contact number

Your email

Client's first name

Client's last name

Client's alias/preferred name

Client's date of birth

First name of the Other Person in the legal issue

This could include the person using violence, including ex-partners

Last name of the Other Person in the legal issue

This could include the person using violence, including ex-partners

Date of birth of the Other Person in the legal issue

This could include the person using violence, including ex-partners

Details of additional other parties (if applicable) and first name, last name and dates of birth for all the client's CHILDREN

If you do not have this information, please enter the number of dependent children the client has. If the client does not have children, please, enter "N/A"

What is the client's address?

Client's suburb

Client's state

Client's postcode

Client's best contact number

Client's email (if the client does not have one, write N/A)

Is it safe for us to call the client on the phone number you have given us?

Is it safe for us to leave the client a voicemail?

Is it safe for us to send the client an SMS?

Is it safe for us to send an email to the client?

When is a safe time to call the client? If it is not safe to call, please let us know and we will get in touch with the client by email to make alternative arrangements

What is the client's gender identity?

Is the client an Aboriginal and/or Torres Strait Islander?

What is the client's country of birth?

What is the client's country of citizenship?

What is the main language the client speaks?

Does the client require an interpreter?

Does the client have a disability

Please provide more details about the client's disability if applicable

What is the client's current visa status?

What is the client's current visa expiry date?

Client's employment status

Is the client receiving Centrelink payments? If so, what type of payment/s is the client receiving?

What is the client's average weekly income?

This include income from Centrelink and/or your employer

Has the client received legal assistance with their visa?

Have you or the client applied for a visa that is currently processing? If so, what visa?

Documents your client can provide to us

Does the client have any urgent deadlines for their legal matters?

Brief summary of assistance needed

Migration Referral

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