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Title
(Required)
Mr
Ms
Enter your full name
(Required)
Residential Address
(Required)
Street Address
City/Town
Postal Address
Whats your nearest Legal Aid office?
(Required)
41 Loftus Street, Legal Aid Building, Suva
16 Kimberly Street, Suva
73 Gordon Street
Nasinu- Valelevu Complex
Nausori Level 1 YM Haniff Arcade
Korovou Waimaro Circuit Society Building
Navua Level 1, 4 Naitata Shankar & Son's Apartments (Above Nationwide/ Universal Church)
Sigatoka Level 1, Magistrate’s Court Complex
Nadi 1st Floor, Units 10-13 GT Plaza
Lautoka Level 1, Magistrate’s Court Complex Tavewa Avenue
Lautoka Marine Drive
Ba Magistrate’s Court Complex Old Bridge Road
Tavua 1st Floor, Dalpat Singh Building Opposite Tavua Magistrate Court Nasivi Street
Rakiraki 1st Floor, Naidu Investments Limited Building Vaileka Sub Division Main Street
Labasa Old Court House Building Jaduram Street
Savusavu Level 1, Vunilagi House Main Street
Seaqaqa 70, Seaqaqa Township
Nabouwalu Naulumatua House
Levuka Laomaiviti Holdings Building Beach Street
Taveuni First Light Inn Building Ground Floor
Keiyasi
Vunidawa
Kadavu
Rotuma
Other Maritime
Phone Contact (Landline or Mobile)
(Required)
Phone Contact (Landline or Mobile)
(Required)
Number
Add
Remove
Email address
(Required)
This will assist the client information officer to contact you for further required information.
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 Certificate
Max. file size: 30 GB.
Date of Birth
(Required)
DD slash MM slash YYYY
Are you under 18 years of age?
(Required)
Yes
No
TIN Number (FNPF/FRCS Joint Card)
(Required)
Valid ID (Driving License,Passport,Voter, Student ID,FNPF)
Max. file size: 30 GB.
Are you currently employed ?
(Required)
Yes
No
Employer Details
(Required)
Occupation/ Job Tittle
(Required)
Work Contact
(Required)
Preferred communication mode?
(Required)
Phone Call
Email
Visit LAC Nearest Office (Face to Face)
Other
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
Other
Spouse name
Who do you live with?
Name
Relationship
Add
Remove
Financial details
What is your gross monthly income?
Source
Amount
Add
Remove
Payslip/Income Letter
Please 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?
Source
Amount
Add
Remove
Rent, Transportation, Water bills, etc
Please attach your expenses such as: Rent, Transportation, Water bills, etc.
Max. file size: 8 MB.
Bank details
Please list all bank accounts.
Bank
Account Details
Balance
Add
Remove
Bank Statement
Please 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/Item
Value
Add
Remove
Statutory declaration
Max. file size: 30 GB.
Total
Court Details
Is the matter in court?
(Required)
Yes
No
Which court is your case in?
(Required)
Magistrates Court
High Court
Court of Appeal
Supreme Court
Which court location is the matter/case filed at ?
(Required)
Suva
Nasinu
Nausori
Vunidawa
Korovou
Navua
Sigatoka
Keiyasi
Nadi
Lautoka
Ba
Tavua
Rakiraki
Labasa
Savusavu
Seaqaqa/Nabouwalu
Levuka
Taveuni
Kadavu
Rotuma
Other Maritime Court
Court Case Number
(Required)
Next Court Date:
(Required)
DD slash MM slash YYYY
What matter are you applying for assistance in?
(Required)
Family Law
Criminal Law
Civil Law
Criminal Law Matter
In 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 details
Do you have any witness who may be able to give written statement on your behalf?
(Required)
No
Yes
Name
Address
Contact
Add
Remove
Statement
Are 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:
Add
Remove
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 Matter
You 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 Minor
Will
Probate
Letter of Administration
Eviction
Personal Injury
Injunction
Property Dispute
Conveyancing (TBD, Transfer, Renunciation)
Provisional Title
Removal of Caveat
Withdrawal of Caveat
Caveat
Other
Please specify:
Who are you in dispute with? (Respondent)
Full Name
Address
Contact
Add
Remove
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:
Is 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 Matters
You 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.
Download forms or requirement list here: http://www.legalaid.org.fj
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 Contact
Phone 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)?
Husband
Wife
Father
Mother
De facto Partner
Other
Other
(Required)
What type of order are you seeking?
Divorce Injunction
Residence/Custody
Child Recovery
Contact/ Access
Adoption
Parental Maintenance
Stay Order
Spousal Maintenance
Property
Child Maintenance
Restraining Order
Absconding Warrant
Other
Other
(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
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
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