Application – Test You can apply for the legal aid representation using one of the below methods: Visiting the nearest office Fill in the form and drop in to the nearest office Apply online (may require supporting documents to be uploaded or dropped to the nearest office) Online ApplicationPreferred Language English iTaukei Hindustani Enter your full name(Required) Title(Required) Mr Ms Date of Birth(Required) DD slash MM slash YYYY Residential Address(Required) Street Address City/Town Postal Address Phone Contact (Landline or Mobile)(Required)Phone Contact (Landline or Mobile)(Required)Number Email address(Required)This is so that we can send your application details back to you for your records. Have you applied for legal assistance before?(Required) No Yes When did you apply?(Required) DD slash MM slash YYYY LAC Client ID Number(Required) Are you in police custody or remand?(Required) No Yes Which remand Centre or Police Station? Enter your full name (as on Birth Certificate)(Required) Birth Registration Number(Required)Birth CertificateMax. file size: 8 MB.TIN Number (FNPF/FRCS Joint Card)(Required)Valid ID (Driving License,Passport,Voter, Student ID,FNPF)Max. file size: 8 MB.Are you currently employed ?(Required) Yes No Employer Details(Required) Occupation/ Job Tittle(Required) Work Contact(Required)Preferable communication mode?(Required) Phone Call Email Visit LAC Nearest Office (Face to Face) Please answer the following:(Required) Do you have difficulty seeing, even if wearing glasses? Do you have difficulty hearing, even if using a hearing aid? Do you have difficulty walking or climbing steps? Do you have difficulty remembering or concentrating? Do you have difficulty (with self-care such as) washing all over or dressing? Using your usual language, do you have difficulty communicating, (for example understanding or being understood by others)? None of the above is required. Do you need an intepreter? No Yes Language What is your marital status?(Required) Single Divorced Widowed Separated Married Spouse name Who do you live with?NameRelationship What matter are you applying for assistance in?(Required) Family Law Criminal Law Civil Law Are you under 18 years of age?(Required) Yes No Financial detailsWhat is your gross monthly income?SourceAmount Payslip/Income LetterPlease attach your latest payslip (stamped by the company seal/letterhead) or a letter from the employer verifying your employment details.Max. file size: 8 MB.What are your monthly expenses?SourceAmount Rent, Transportation, Water bills, etcPlease attach your expenses such as: Rent, Transportation, Water bills, etc. Max. file size: 8 MB.Bank detailsPlease list all bank accounts.BankAccount DetailsBalance Bank StatementPlease attach your bank statement for the last 6 months (stamped by the bank) or a letter from the bank verifying your account details. we may request further details where necessary.Max. file size: 8 MB.Assets details (Please list all assets you own)Asset/ItemValue Statutory declarationMax. file size: 8 MB.Total $ 0.00 Criminal Law MatterIn order to apply for Legal Aid assistance in Criminal Law matters, we will require Disclosures and/or any court documents which you may have in order for us to assess your application. What are DISCLOSURES? If you are charged with an offence you have a right to know the evidence which the Police will use against you. Please provide the following information to our office when you submit your Application Form: First Phase Disclosures which include: - Your charge sheet; - The summary of facts; - Your caution interview statement (this is the statement you made to the police) Second Phase Disclosures which include: - Any witness statement; and - Any medical report of a victim, and/or any other report, sketches, plans, documents, etc.What is the offence with which have you been charged?(Required) What are you pleading?(Required) Guilty Not Guilty Do you have any previous conviction?(Required) No Yes Provide detailsDo you have any witness who may be able to give written statement on your behalf?(Required) No Yes NameAddressContact StatementAre you appealing a court decision-a conviction/ sentence or both?(Required) No Yes What are you appealing against and to what court?Was anyone else charged with you for this offence? No Yes Please give their full names: Which court is your case in? Tribunal Magistrates Court High Court Court of Appeal Supreme Court Where is the court?SuvaLautokaLabasaNasinuNausoriNavuaNadiBaRakirakiTavuaTailevuSigatokaLevukaSavusavuTaveuniOtherOther(Required) Court Case Number Next Court Date: DD slash MM slash YYYY Please explain in your own words what happened and why you need legal assistance.Terms and Condition(Required)This application will help us decide if you can be granted Legal Aid Assistance. You must complete all required section with relevant documents. If you provide any FALSE or MISLEADING information in this application, you may be prosecuted for 6 months imprisonment or may be fined for $3000.00 or your application may also be rejected. Agree Disagree Civil Law MatterYou should only fill this section if you are seeking assistance in a Civil Law related matter. You MUST submit and provide all important documentation and information relevant to your application with your application. Once you have submitted all the relevant documents pertaining to your application, apart from the Means Test, a further Merits Test will be undertaken. A Merits Test will determine the “reasonable prospects of success” in the matter. The Grant of assistance in a Civil Law matter is dependent on an applicant meeting and passing the Merits Test. NOTE: The submission of an application form for legal aid assistance does not automatically entitle or grant assistance to an applicant. You will be informed of the decision in writing. In which area of Civil Law do you require assistance in?FNPF for MinorWillProbateLetter of AdministrationEvictionPersonal InjuryInjunctionProperty DisputeConveyancing (TBD, Transfer, Renunciation)Provisional TitleRemoval of CaveatWithdrawal of CaveatCaveatOtherPlease specify: Who are you in dispute with? (Respondent)Full NameAddressContact Have you or the person you are in dispute with filed an action in court, or have you been served with court documents? No Yes Please briefly state what the document is: Have you been given a court date to appear on? No Yes Court Case Number What is your next court date? DD slash MM slash YYYY Where is the court?SuvaLautokaLabasaNasinuNausoriNavuaNadiBaRakirakiTavuaTailevuSigatokaLevukaSavusavuTaveuniOtherIs there a lawyer representing the person you are in dispute with? No Yes What is the name of the lawyer or the Law Firm? Briefly explain your legal problem and why you need legal assistance.Terms and Condition(Required)This application will help us decide if you can be granted Legal Aid Assistance. You must complete all required section with relevant documents. If you provide any FALSE or MISLEADING information in this application, you may be prosecuted for 6 months imprisonment or may be fined for $3000.00 or your application may also be rejected. Agree Disagree Family Law MattersYou should only fill this section of the form if you are seeking assistance in a Family law related matter. In order to apply for Legal Aid assistance in Family Law matter.General Case: 1. Marriage Certificate (if applicable). 2. Valid photo identification (ID). Following ID card only be used: Driving License/Joint Card/Voter ID/Passport) 3. Birth Certificates of any children of the parties under the age of 18 years. 4. Any Court documents such as Form 1 – 26 Family Court Application. 5. If you are asking for spousal or child maintenance or variation of maintenance, you must inform us what your spouse or children does and how much they earn. 6. For variation of Orders, please provide the Orders that you wish to very.General Case: Marriage Certificate (if applicable). Valid photo identification (ID). Following ID card only be used: Driving License/Joint Card/Voter ID/Passport) Birth Certificates of any children of the parties under the age of 18 years. Any Court documents such as Form 1 – 26 Family Court Application. If you are asking for spousal or child maintenance or variation of maintenance, you must inform us what your spouse or children does and how much they earn. For variation of Orders, please provide the Orders that you wish to very. Name(Required)Who are you in dispute with? (Not Applicable to Adoption Application) Full Name: First Middle Last Address(Required)Address of dispute with. (Full Address) : Street Address City/Town Phone ContactPhone contact of dispute with:Who are you in dispute (if more than one person)(Required) Yes No Name (1)(Required)Who are you in dispute with? (Not Applicable to Adoption Application) Full Name: First Middle Last Address (1)(Required)Address of dispute with. (Full Address) : Street Address City/Town Phone Contact (1)(Required)Phone contact of dispute with:Name (2)Who are you in dispute with? (Not Applicable to Adoption Application) Full Name: First Middle Last Address (2)Address of dispute with. (Full Address) : Street Address City/Town Phone Contact (2)Phone contact of dispute with:What is your relationship with this person (Respondent)?HusbandWifeFatherMotherDe facto PartnerOtherOther(Required) What type of order are you seeking?Divorce InjunctionResidence/CustodyChild RecoveryContact/ AccessAdoptionParental MaintenanceStay OrderSpousal MaintenancePropertyChild MaintenanceRestraining OrderAbsconding WarrantOtherOther(Required) Has the matter been filed in court? Yes No Which court will your matter be called in? Magistrates Court of the Family Division High Court of the Family Division Where is the court?SuvaLautokaLabasaNasinuNausoriNavuaNadiBaRakirakiTavuaTailevuSigatokaLevukaSavusavuTaveuniOtherOther(Required) Court Case Number Next Court Date:(Required) DD slash MM slash YYYY Briefly explain your problem and why you need assistance.Terms and Condition(Required)This application will help us decide if you can be granted Legal Aid Assistance. You must complete all required section with relevant documents. If you provide any FALSE or MISLEADING information in this application, you may be prosecuted for 6 months imprisonment or may be fined for $3000.00 or your application may also be rejected. Agree Disagree