Referrals

Acknowledgement

If you are in an unsafe situation, call 000. You should prioritise your safety before seeking legal help. We receive a high volume of referrals and your incoming referral will be triaged and allocated based on a number of factors, including staffing and our centres’ current capacity to assist. By continuing with this referral you acknowledge this and understand that waitlists can be in place.

Referral Date*

Referrer's Name and Agency*

(If you are self-referring, please write 'Self')

Referrer's Email Address (for confirmation email to be sent to)*

This referral does not meet our eligibility criteria and cannot proceed.

Clients Details

Client's DOB*

Phone Number*

Email

Other Party's Information

Other Party's DOB (if known)

Other Party's Phone Number (if known)

Other Party's Email (if known)

Other Party's Lawyer/Legal Firm (if known)

Dependant's

Demographic Information

Year of Arrival

Visa Type

Main language spoken at home*

Referral Details

Referral Summary*

Provide details of the main issue/s being faced and the legal issue/s that have been identified, include key dates of the relationship, concerns, current care arrangements if children are involved.

MARAM Summary*

Copy and paste MARAM 'Rationale'

This field is hidden when viewing the form

Additional Documents

Please email any supporting documents (FVIO, MARAM, L17, Court Orders, Parenting Plan etc) through to legal@safvcentre.org.au.