Application for assistance

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Information about this form

What is this form?

This form is to apply for legal assistance from Community Law, which is a pro bono legal service connecting volunteer lawyers to people who need legal help.

Who should apply?

We accept referrals for individuals from Community Law Centres who submit applications on behalf of their clients. We also accept applications from Not-for-profits whose sole or primary purpose is working with our priority groups or for the public good.

To be eligible, the problem needs to be something that fits our pro bono provider’s expertise, capacity, and policies. :hostName assesses each application individually in order to determine if we can assist.

What happens next?

After you submit an application, you will get a confirmation email. :hostName may call or email you asking for more information before making a determination whether we can assist.

We try to respond to applications within 7 days, however it may take longer over holiday or busy periods. If the issue has any urgent upcoming deadlines, we may not be able to assist beforehand.

Agreement

I understand that this is an application only, that I am making a request for assistance, and until Community Law indicates that legal assistance will be provided, no client-solicitor relationship is created.

Do you have authority, in writing, to submit this application on behalf of the client? * "in writing" means signed, text or email.

Yes No

Has the client agreed, in writing, to our Client Terms - General (including the acknowledgments and authorisations)? * "in writing" means signed, text or email. Do you agree to our Client Terms - General (including the acknowledgments and authorisations)? * Have you read and agreed to our Terms and Conditions ? *

Yes No

I have read and agree to the Privacy Policy *

Yes No

Application Type

Type of applicant *

Do you have authority to submit this application on behalf of this organisation and share their information? * We are only able to communicate with people who have authority to make a legal enquiry on behalf of an organisation. That means that you must either be an Executive Officer/CEO, Chairperson or board member(s) of your organisation, or someone who is authorised by any of those people to make an enquiry on behalf of the organisation. Do you have authority to submit this application on behalf of the client and share their information? * We are only able to communicate with people who have authority to make a legal enquiry on behalf of the client.

Do you have authority to submit this application on behalf of the client and share their information? * We are only able to communicate with people who have authority to make a legal enquiry on behalf of the client.

Yes No

Information about the client

Has the client applied for or received assistance from Community Law before?

Yes No

Client's name *

Client's date of birth *

Client's email address

Client's phone number *

Client's address

Client's locale

Does the client need face-to-face interaction?

Yes No

How much money has the client earned over the last 12 months?

Is the client receiving a main benefit from MSD? *

Yes No

How many people are in the client's household? * Household includes client, partner and dependents.

Does the household own their primary place of residence? *

Yes No

Estimated value of home *

Estimated mortgage remaining on home *

Cash, savings and term deposits (excluding Kiwisaver) *

Estimated value of other assets * Do not include household chattels or family car. Please include family trust, other land, boats and other vehicles.

Estimated value of other debts * Do not include the mortgage on the family home or money owed on family’s main car.

Tell us a little about the client’s background and personal circumstances We'd like to know about any access to justice issues they face or factors that will make this case appealing to pro bono lawyers. This might relate to age, disability, income, ethnicity, family violence, membership of a marginalised communities (such as new arrival, LGBTQI+), unstable housing, or being a sole parent.

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Information about your organisation

Has the organisation applied for or received assistance from Community Law before?

Yes No

Organisation name *

Organisation email address

Organisation phone number *

Organisation address

Organisation website

Organisation company/business number

How many employees does your organisation have (salaried and freelance)?

Organisation locale

Which sector is your organisation’s main or sole area of work?

What is your organisation's annual revenue? * We ask this to see if you are eligible for free legal assistance.

Tell us a little about the organisation or business What do they do? What is their structure? Any other details.

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How should we contact the organisation? E.g. only talk to the CEO/Chairperson, during work hours only, prefer email etc.

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Information about the assistance required

What has happened/what is the issue? *

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If known, what are the areas of law?

If known, what jurisdiction applies to the legal issue?

If other parties are involved, please provide their names. Other parties are the people on the other side of the legal issue (eg. a person or business they have a dispute with).

Please provide the names of any lawyers this referral should not be offered to, such as lawyers for the other parties or where conflicts might exist.

If related parties are involved, please provide their names. Related parties are the people on the client's side of the legal issue (e.g. another family member experiencing the same issue, a business owned by the client).

What help is needed from a lawyer? We're interested in understanding what you think a lawyer should do to help resolve the issue. This could include basic advice, an opinion, assistance with resolving a dispute, writing to the other side, help with a transaction or procedure, or litigation.

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What is the outcome you are hoping to achieve? What is the outcome the client is hoping to achieve?

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Are you receiving assistance with this issue from another legal assistance organisation? * Is the client receiving assistance with this issue from another legal assistance organisation? *

Yes No

Are there any upcoming court date or hearing, or any other deadlines? Please note that if there are any urgent upcoming deadlines (within 2 weeks), we may not be able to assist beforehand.

Relevant Date *

Relevant Date Description *

Upload any related documents (e.g. letters received)

Max file size: 10 MB. Max total attachments: 5
Allowed file types: pdf, doc, docx, jpg, jpeg, png, rtf, xls, xlsx, txt, csv, msg, eml, mp4

Your application has been submitted.

What happens next?

You will receive a confirmation email within the next 3 to 5 minutes confirming your application for assistance. We may call or email you asking for more information before we determine whether we can assist you.

We try to respond to applications within 7 days, however it may take longer over holiday or busy periods. If you have any urgent upcoming deadlines, we may not be able to assist you beforehand.