Victims Legal Services Referral Duty Lawyer

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

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

Where a conflict is identified, please select this box and then submit the form. No further details are to be completed.

Where the is no conflict, please select this box and continue filling out the rest of the form

This box is for non-lawyers who cannot determine whether or not there is a conflict. Where you are unable to identify a conflict, please select this box and then submit the form. No further details are to be completed.

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

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

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