Please fill in your details bellow and we will be in contact within 7 days to organise an appointment.
If your matter is urgent, call Victorian Legal Aid on 1300 792 387.

If you are experiencing family voilence and are in danger please call 000.
If you are experincing family violence and need support please call 1800 015 188 or 1800 737 732 for 24 hour support.

Contact information: Client

Prefix

First name *

Middle name

Last name *

Date of birth

Company

Emails

Address *

Type

Upon submission, a copy of this form will be sent to the primary email.

PrimaryDefault email false

Add email

Addresses

Street address

Country

City

State/Region

Province/Region

Zip/Postal code

Address type

PrimaryDefault address false

Add address

Phone numbers

Phone number

Type

Primary

Add phone number

Legal Issue

Who is the other party in this matter. (We require this information to check for conflicts)

Describe you legal issue (Please provide as much information as possible)

Please upload any documents relevant to you matter.

Add attachment

Choose file

This file could not be attached because it exceeds the 50MB limit.

Please choose a file.

Statistics.

As we are a non for profit Organisation, we are required to collect statistics for continued funding. We appreciate if you could fill in the details bellow.

Please describe option that best identities your living situation.

Gender

Age Bracket

What is your Post Code

Where were you born?

Are you of Aboriginal and Torres strait Islander Descent

Yes

LGBT

Yes

Is the Matter Family Violence Related

Yes