Fillable APPLICATION FOR PRO BONO ASSISTANCE 1. PERSONAL DETAILS (Australian National University)

Fill Online, Printable, Fillable, Blank APPLICATION FOR PRO BONO ASSISTANCE 1. PERSONAL DETAILS (Australian National University) Form

Use Fill to complete blank online AUSTRALIAN NATIONAL UNIVERSITY pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

APPLICATION FOR PRO BONO ASSISTANCE 1. PERSONAL DETAILS (Australian National University)

On average this form takes 46 minutes to complete

The APPLICATION FOR PRO BONO ASSISTANCE 1. PERSONAL DETAILS (Australian National University) form is 6 pages long and contains:

  • 0 signatures
  • 62 check-boxes
  • 154 other fields

Country of origin: AUSTRALIA
File type: PDF

Australia forms for Australian National University

BROWSE AUSTRALIAN NATIONAL UNIVERSITY FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
The Pro Bono Scheme | T: (02) 9926 0364 | W: www.lawsociety.com.au/probonoscheme Page 1 of 6
APPLICATION FOR
PRO BONO ASSISTANCE
First name: Family name:
1. PERSONAL DETAILS
Address:
Suburb:
Telephone (home): Telephone (work): Mobile:
Marital status:
Title:
Email address:
Postcode:
Date of birth:
Number of dependents:
Mr.
Single
No proceed to section 2
No proceed to section 3
Yes (provide details below)
Yes (provide details below)
Married Defacto Other (eg. separated):
Mrs. Ms. Miss Other:
Are there any circumstances facing you which make it more difficult for you to deal with this legal matter?
(For example, you require a translator; have a disability; cultural or religious reasons)
Has a solicitor previously assisted you with this matter?
Please indicate the type of legal problem(s) from those listed below:
How did you find out about The Law Society Pro Bono Scheme?
Why are they no longer assisting you?
2. DETAILS OF MATTER
Administrative Law
Debt & Credit
Not for profit organisations
AVO
Discrimination
Tenancy
Child Care & Protection (FaCS)
Employment Law
Wills & Estates
Coronial Matters
Family Law – Children
Other:
Criminal Law
Immigration Law
Note: You do not need to disclose these, but it will make it easier for us to assist you if we understand any difficulties you are facing.
Attach additional page if necessary.
//
Application for Pro Bono Assistance
The Pro Bono Scheme | T: (02) 9926 0364 | W: www.lawsociety.com.au/probonoscheme Page 2 of 6
Name of the other party:
Name of other party’s solicitor:
Next court or tribunal date:
Court or tribunal name:
Type of proceeding (e.g. Mention/Directions/Hearing):
3. DETAILS OF OTHER PARTY
4. COURT PROCEEDINGS
5. DETAILED STATEMENT REGARDING YOUR MATTER
Are there any current court proceedings in relation to your matter?
Please include the following:
1. The history of the matter;
2. The current situation;
3. The type of assistance or outcome sought;
Court or other relevant documents
Reasons for Legal Aid refusing assistance
Copy of payslips or Centrelink benefits received in the last three months
Bank statements covering the last three months
No proceed to section 5 Yes
*If there are current court proceedings, please supply copies of the latest court/tribunal orders or directions which indicate the nature and date of
the next hearing date and type.
Note: If you prefer, write ‘PLEASE SEE ATTACHED’ in the space above and attach a separate statement.
Please also provide the following:
Application for Pro Bono Assistance
The Pro Bono Scheme | T: (02) 9926 0364 | W: www.lawsociety.com.au/probonoscheme Page 3 of 6
What assistance did they provide you with?
6. LEGAL AID
7. ASSISTANCE FROM OTHER LEGAL SERVICES
8. AUTHORISED PERSON
Have you contacted Legal Aid for assistance?
Have you been refused Legal Aid for this matter?
Have you sought assistance from a community legal service or organisation?
Have you appealed this decision?
What was the outcome?
If yes, why is this?
Why are they unable to assist you further?
Would you like to authorise another person to contact the Scheme on your behalf?
No
No proceed to section 8
No proceed to section 9
No proceed to section 7
No proceed to section 7
Yes
Yes (provide name below)
Yes (provide details below)
Yes
Yes
Lack of merit
Granted
Lack of merit Lack of resources Your financial situation Other (provide details below):
Refused
Your financial situation Matter type not within Legal Aid’s Guidelines
First name: Family name:
Telephone:
Email address:
Attach a copy of Legal Aid’s refusal letter.
Attach additional page if necessary.
Note: This means we will contact your authorised person if we cannot contact you directly.
Application for Pro Bono Assistance
The Pro Bono Scheme | T: (02) 9926 0364 | W: www.lawsociety.com.au/probonoscheme Page 4 of 6
If not, when did you last work in paid employment?
If not, when did they last work in paid employment?
Job title/role:
Job title/role:
9. YOUR FINANCIAL CIRCUMSTANCES
10. YOUR FINANCIALLY ASSOCIATED PERSON (IF APPLICABLE)
Are you currently employed?
Are they currently employed?
Are you receiving any government or welfare benefits?
Are they receiving any government or welfare benefits?
If yes, what capacity are you working?
If yes, what capacity are they working?
Casual / Full-Time
Casual / Full-Time
Casual / Part-Time
Casual / Part-Time
Permanent / Full-Time
Permanent / Full-Time
Seasonal
Seasonal
Permanent / Part-Time
Permanent / Part-Time
Other (please provide details below)
Other (please provide details below)
What was your taxable income in the last 12 months?
What was their taxable income in the last 12 months?
What is your current weekly income after tax?
What is their current weekly income after tax?
No
No
No
No
Yes
Yes
Yes (provide details below)
Yes (provide details below)
Note:
A financially associated person is someone who usually provides you with financial support or could reasonably be expected to assist you
financially eg. spouse, a relative.
Application for Pro Bono Assistance
The Pro Bono Scheme | T: (02) 9926 0364 | W: www.lawsociety.com.au/probonoscheme Page 5 of 6
Please ensure all items are filled in (if you don’t own an asset e.g. a house put “nil”).
Please ensure all items are filled in (if they don’t own an asset e.g. a house put “nil”).
Asset/Liability Total value Your share (%) Money owing Monthly payments
Date payments
will cease
House
Other Property
Rent
Bank/Building Society
Stocks & Shares
Car
Other Assets
Utilities (gas, electricity, etc.)
Other Liabilities
(school fees, sporting fees,
health insurance, etc.)
Asset/Liability Total value Your share (%) Money owing Monthly payments
Date payments
will cease
House
Other Property
Rent
Bank/Building Society
Stocks & Shares
Car
Other Assets
Utilities (gas, electricity, etc.)
Other Liabilities
(school fees, sporting fees,
health insurance, etc.)
11. YOUR ASSETS & LIABILITIES
12. YOUR FINANCIALLY ASSOCIATED PERSONS ASSETS & LIABILITIES (IF APPLICABLE)
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Application for Pro Bono Assistance
The Pro Bono Scheme | T: (02) 9926 0364 | W: www.lawsociety.com.au/probonoscheme Page 6 of 6
I/We hereby
AUTHORISE
and
REQUEST
any lawyer who has acted for me/us, the Legal Aid Commission and any Court or Tribunal to provide The Law Society
of New South Wales Pro Bono Scheme any information and documents it may request in order to assist The Law Society of New South Wales Pro Bono
Scheme to assess this Application.
OR send the completed and signed application form and all documentation to:
The Law Society of New South Wales
The Pro Bono Scheme
170 Phillip Street, Sydney NSW 2000
Submit form by email and attach all supporting documentation:
Signed:
Signed:
I
ACKNOWLEDGE
that:
1. Applications will not be processed until the Law Society of New South Wales Pro Bono Scheme has received all requested documentation.
This includes:
• Legal Aid refusal letter;
• Bank statements from the last three months for yourself and any financially associated persons;
• Payslips received in the last three months for yourself and any financially associated persons;
• Centrelink statements outlining benefits received in the last three months for yourself and any financially associated persons;
• Details outlining assets and liabilities for yourself and any financially associated persons;
• Any relevant court documents relating to the matter; and
• Any other supporting documents.
2. Updates will not be provided during the Application process;
3. I/We agree to adhere to a code of conduct that includes dealing with staff in a courteous and respectful manner. I/We will not swear; be racist; make
sexist, rude or offensive comments; yell; threaten to harm myself or others; or contact the Scheme when I/we have been drinking or taking drugs.
We reserve the right to cease communication with you if you fail to comply, and your Application will be returned.
4. I/We remain responsible for meeting all Court commitments or commencing all legal action within the statutory time limits;
5. The Law Society of New South Wales Pro Bono Scheme takes a minimum of ten working days to process my/our Application after all documentation
has been received;
6. It may not be possible to find a solicitor willing to do the work on the basis requested, or in the location or legal area concerned;
7. I/We may not be eligible for assistance under the Law Society of New South Wales Pro Bono Scheme guidelines or at the discretion of the Pro Bono
Scheme Solicitor;
8. The Law Society of New South Wales Pro Bono Scheme is not required to provide reasons for their decision as to whether or not they accept my/our
Application for referral;
9. I/We have no right of action against the Law Society of New South Wales or its employees in any event arising from this application or any assistance
obtained from a firm referred by the Scheme;
13. PERMISSION TO OBTAIN INFORMATION
14. ACKNOWLEDGMENT
15. LODGEMENT OF APPLICATION FORM
a2j@lawsociety.com.au
Date: / /
Date: / /
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

APPLICATION FOR PRO BONO ASSISTANCE 1. PERSONAL DETAILS (Australian National University)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 14 April 2022

Message

View Audit Log
Print With Audit Log
Duplicate Document