Refer a Matter Form • Law Access Western Australia

Refer a matter

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If you are uploading multiple documents, please be aware that the total document upload limit for this form is 40MB.

Law Access will need signed permissions and acknowledgements from your client.

Please download our permission to share and obtain information and acknowledgement form and upload the signed copy when requested at the end of the form.

Alternatively if you have existing signed permissions to share and obtain information, you can upload those in addition.
Your contact details (the referrer)
Referrer Name*
Organisation/Firm*
State*
Postcode*
Email Address*
Enter Email Confirm Email
Phone Number*
Contact details of person seeking legal assistance

If they do not live in WA, please be aware our service can only assist if their legal matter can be pursued in a court located in WA.
Name*
Address
Address 2
Suburb
State
Postcode
Email Address
Phone Number
Date of birth of person seeking legal assistance*
Date Format: DD slash MM slash YYYY
Details of the other party or parties (if applicable)

Please provide:

- name of other party or parties

- date of birth of other party or parties

- name of other party's or parties' lawyers (if any)
Does the matter have any critical deadlines? If so, please specify.
Please note: Law Access cannot assess applications on an urgent basis. We may not be able to do so in time for any hearing or other deadline in the near future.
Date Format: DD slash MM slash YYYY
Please provide a brief history of the matter, the current situation, and the outcome your client hopes to achieve through legal assistance.
If you prefer, write 'PLEASE SEE ATTACHED' in the text boxes below and attach a separate statement.
Please upload copies of relevant documentation (including separate detailed statement, if applicable)
Alternatively, you can also email or post copies of your documents to Law Access.

Preferred filetype(s): pdf and word format (no images).
Drop files here or
I have not uploaded the relevant documents. I will email copies or post copies of documents within 7 days of submitting this application to Law Access.
- I understand the referral cannot be assessed until Law Access has received the documents.
Are there any circumstances facing your client which make it more difficult for them to deal with this legal matter? For example a language barrier, a particular disability, experience of violence including family violence.
Has a means and merits test been conducted?
- Yes
- No
If yes, please provide the assessment or upload the assessment.
Upload the assessment
Alternatively, you can also email or post copies of your documents to Law Access.

Preferred filetype(s): pdf and word format (no images).
Will you be instructing on this matter and seeking assistance to find counsel?
- Yes
- No

Refer someone to Law Access continued
Have you approached any other legal services for assistance? If so, please specify.
Permissions and acknowledgement

Law Access will need signed permissions and acknowledgements from your client.

Please download our permission to share and obtain information and acknowledgement form and upload the signed copy below.

Alternatively if you have existing signed permissions to share and obtain information, you can upload those in addition.
Please upload the signed permissions and acknowledgement or email or post to us.
Preferred filetype(s): pdf and word format (no images).

Permissions and acknowledgement

Law Access will need signed permissions and acknowledgements from your client.

Please download our permission to share and obtain information and acknowledgement form and upload the signed copy below.

Alternatively if you have existing signed permissions to share and obtain information, you can upload those in addition.
Please upload the signed permissions and acknowledgement or email or post to us.
Preferred filetype(s): pdf and word format (no images).
Comments
This field is for validation purposes and should be left unchanged.

Refer a matter

Your contact details (the referrer)

Contact details of person seeking legal assistance

Details of the other party or parties (if applicable)

Refer someone to Law Access continued

Permissions and acknowledgement

Permissions and acknowledgement

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