Victims Legal Services Referral

We ask you to fill out this form so we can work out if we can support you with your legal problem and if you are eligible for our services.

 

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 you, make an appointment with a lawyer and work out how we can assist you.

 

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

Please hold down the 'ctrl' button to select more than one option.

Please hold down the 'ctrl' button to select more than one option - full consent will require both options to be selected

This may include children, other family members or people who are not related to your client

Please hold down the 'ctrl' button to select more than one option

Please hold down the 'ctrl' button to select more than one option