APPLICATION FOR PRO BONO ASSISTANCE

The Law Society of NSW logo

1. PERSONAL DETAILS



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 Law Society of NSW logo

2. DETAILS OF MATTER



APPLICATION FOR PRO BONO ASSISTANCE

The Law Society of NSW logo

3. DETAILS OF OTHER PARTY


4. COURT PROCEEDINGS

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.





APPLICATION FOR PRO BONO ASSISTANCE

The Law Society of NSW logo

5. DETAILED STATEMENT REGARDING YOUR MATTER

Please include the following:

  1. The history of the matter;

  2. The current situation; and

  3. The type of assistance or legal  outcome sought.


Note: If you prefer, write ‘PLEASE SEE ATTACHED’ in the space above and attach a separate statement.



APPLICATION FOR PRO BONO ASSISTANCE

The Law Society of NSW logo

6. LEGAL AID

Attach a copy of Legal Aid’s refusal letter


7. ASSISTANCE FROM OTHER LEGAL SERVICES


8. AUTHORISED PERSON

Note: This means we will contact your authorised person if we cannot contact you directly.


APPLICATION FOR PRO BONO ASSISTANCE

The Law Society of NSW logo

9. YOUR FINANCIAL CIRCUMSTANCES



10. YOUR FINANCIALLY ASSOCIATED PERSON (IF APPLICABLE)

Note: A financially associated person is someone who usually provides you with financial support or could reasonably be expected to assist youfinancially eg. spouse, a relative.


APPLICATION FOR PRO BONO ASSISTANCE

The Law Society of NSW logo

11. YOUR ASSETS & LIABILITIES

Please ensure all items are filled in (if you don’t own an asset e.g. a house put “nil”).

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.)


12. YOUR FINANCIALLY ASSOCIATED PERSONS ASSETS & LIABILITIES (IF APPLICABLE)

Please ensure all items are filled in (if they don’t own an asset e.g. a house put “nil”).


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.)

APPLICATION FOR PRO BONO ASSISTANCE

The Law Society of NSW logo

13. PERMISSION TO OBTAIN INFORMATION

Draw signature|Type signatureClear

APPLICATION FOR PRO BONO ASSISTANCE

The Law Society of NSW logo

14. ACKNOWLEDGEMENT

Draw signature|Type signatureClear

15. LODGEMENT OF APPLICATION FORM

Submit form by email and attach all supporting documentation:

a2j@lawsociety.com.au

OR send the completed and signed application form and all documentation to:The Law Society of New South WalesThe Pro Bono Scheme 170 Phillip Street, Sydney NSW 2000