LEGAL AID  ELIGIBILITY CHECK LIST – NEW CLIENTS TO COMPLETE IF THEY ARE SEEKING LEGAL AID FUNDING SO WE CAN ASSESS IF ELIGIBLE            

Version 9.12.11

If you think you are eligible for legal aid funding or wish to apply, please print this page, complete answers and take to your first appointment.

1.     What is the balance of funds currently in your bank account?   $_____

2.     What was the highest deposit made in your bank account in the last three months?   $____

3.     Do you work? (If yes: circle)- Full-time?  Part-time?  Casual?

4.     Type of Income received per week:  

         i). Income by the hour? (if so how many hours worked a week? ___hours

         ii). fixed amount?  Yes   No

5.     Amount received each week (gross- before tax): $________

6.     Any real estate Property Owned?    Yes /  No

7.     If yes-Value $__________less    Mortgage total balance $ _________  =   Equity in real estate $______

8.     Any Shares and other assets owned?  If yes list:

      -Shares Value $________    less    any margin loan total balance $ ________ =   Equity in shares $_________

9.     Motor Vehicle  Value $__________ less  car loan total balance $______   =  Equity in motor vehicle(s) $______

10.     Other assets?  If yes check if assets are essential and if not can they be sold and what for?  Details:

11.     Do you have a financially assisted person?  (this means someone who  lives with you apart from any child under 18 or someone you financially depend upon)               Yes            No

12.    If yes, what are their names, income(s) and assets as per above?

13.    If another lawyer handled your case what was the name of their law firm?

 Please send this completed form to us either scanned and emailed to info@rigolilawyers.com.au or faxed to (03)  87423799