New Client Questionnaire

Let us get to know a bit more about you by completing our new client questionnaire.

It is important that you are as thorough and accurate as possible so that we are across your personal details.

Name: *

Email Address: *

Date of Birth:

Address: *

Charge / Allegation:

Informant / Arresting Officer:

VIC. Pol Number:

Police Station:

Family Violence Related? *

Are there any IVO's in place? *

Names of any co-accused or key witnesses:

(Our office performs conflict checks before an Initial Consultation to ensure that there is no conflict between yourself and past or current clients).

Client Profession:

Employer:

Telephone Numbers:

Marital Status:

Next of Kin/Phone:

Medical Issues:

Medication:

Do you require an in-person consultation? *

If so, why?

Special Instructions:

Bail or Summons:

Visa Status:

Ancillary Legal Proceedings:

Other Lawyers Details:

Are you subject to a CCO or Parole Order?

Are you on bail for other matters?

Are there other court orders in place?

How did you hear about our firm? *

I, (the proposed client), acknowledge and confirm that the contents of this document are true and correct to the best of my knowledge.

Print Name: *

Date: *