Direct PUBLIC ACCESS INFORMATION FORM

Direct PUBLIC ACCESS INFORMATION FORM

Please complete this form leaving no section unanswered. Use N/A if appropriate. Once this is returned we can proceed with a DPA assessment of your case.
Name:
Title: / Date:
Name (Joint Applicant):
Title:
ADDRESS:
TYPE OF LEGAL ASSISTANCE REQUESTED (Please be as comprehensive as possible attaching any relevant documents – if no documents are enclosed or attached this may delay any reply)
PERSONAL DETAILS REQUIRED
E-Mail Address:
Home Telephone Number:
Mobile Number:
ARE THERE CURRENTLY ANY COURT PROCEEDINGS IN THIS CASE?
IF THERE ARE - IS THERE ANY COURT IMPOSED TIME LIMITS?
PLEASE SUPPLY THE FULL CASE NAME AND COURT REFERENCE NUMBER:
DO YOU REQUIRE ANY SPECIAL ASSISTANCE? (Interpreter etc.)
PLEASE PROVIDE DETAILS BELOW IF YOU HAVE INSTRUCTED SOLICITORS OR A BARRISTER ON THIS CASE WITHIN THE LAST 6 MONTHS
SUBJECT TO YOUR APPROVAL OF THE DPA LETTER OF CONTRACT (tHIS WILL BE SENT TO YOU UPON COMPLETION OF THE ASSESSMENT) ARE YOU IN A POSITION TO PROCEED WITH INSTRUCTIONS TO COUNSEL
YES/NO (Please delete one)