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SOLICITOR APPOINTMENT FORM

Please take a moment to review and complete the following appointment form so we can best handle your request

Date of Birth
Have we acted on your behalf before?
Yes
No
Do you hold a Current Pension Card?
Yes
No
Do you require Legal Aid Services?
Yes
No
What matter of law are you seeking assistance with?
Do you require disability access to our office/s
Yes
No
Home Visit (additional fees apply)
Your preferred DGA Office
DGA Ipswich Office
DGA Lowood Office
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