Get help version 1 Request for legal assistance Instructions for using the form Please fill in the information required below. If you are having problems understanding or using the form, please call us on (08) 6148 3636 When you have filled in all the required information, submit your form by clicking on the "Send" button After you have submitted your form, we will try to contact you by telephone from a blocked number with no caller ID within 4 - 6 working days During periods of high demand, we may not have capacity to provide you with legal advice Important message about time limits You may have a short time to take action about your legal or immigration issue. If you need help urgently, you should call or visit our office - do not submit this form. We will try to process your enquiry within 4 - 6 working days - it may be longer again before you receive legal assistance You remain responsible for meeting any time limits or court / tribunal commitments even after you submit an enquiry Depending on your issue, fact sheets, information kits and other information resources currently remain available on our merged organisation's websites as per below: The Employment Law Centre Tenancy WA The Humanitarian Group We provide legal help to the Western Australian community. In particular we help: Employees Tenants, boarders, lodgers or people living in a long stay caravan park People newly arrived in Australia and from a cultural and linguistically diverse (CaLD) background People who have experienced family violence or human trafficking We may be unable to help if: You are already receiving assistance from a lawyer with this issue You are calling on someone else's behalf - you must be the person experiencing the legal issue (if there is an exceptional reason you need to contact us on behalf of someone else, please call us) Demand for our service exceeds its capacity I understand and wish to proceedWe will ask for personal information to work out how we can help you. Please make sure the information you give us is true and correct. We will treat your personal information as confidential. You can find Circle Green’s Privacy Statement here: Privacy StatementI understand and am happy to continueYour detailsSurname or family name(required)Given name/s (required)Telephone number(required)If it is not safe for you if we make contact on this number, please do not complete this Enquiry. Ring us on xxxx xxxx or visit our office Monday - Thursday, 9:30 am - 12:30 pm: Level 1, 445 Hay Street PerthEmail addressThis is the email we will contact you on, please make sure it is correctDate of birthNEXTWhat is the problem or issue you are experiencing?What sort of issue do you need legal assistance with? (If your matter is related to something not listed below, you will need to contact us by telephone).I'm having a problem with my jobI'm having a problem with where I liveWhat is your employer’s ABN? (You usually can find this on a pay slip or tax payment summary)(required)Are you a member of a union?(required)YesNoGenerally union members can get help from their union if they have a problem at work. If you are a union member please contact your union for help before contacting Circle Green Community Legal. Are you seeking advice on workers' compensation for physical or mental illness or injury you have suffered at work?(required)YesNoCircle Green Community Legal is unable to assist with workers’ compensation. Please contact WorkCover WA for information or the Law Society of Western Australia for a referral to a private solicitor.Are you seeking advice on tax or superannuation issue?(required)YesNoCircle Green Community Legal is unable to assist with tax or superannuation. Please contact the Australian Tax Office.Have you been dismissed or forced to resign?(required)YesNoPlease note: if you have lost your job, you could have as little as 21 days to lodge a dismissal claim. Please note: if you have lost your job you could have as little as 21 days to lodge a dismissal claim. When were you dismissed / forced to resign? When is / was your last day of work?What is your landlord’s name?This is not your real estate agent or property manager. You can find the name of the landlord(s) on your lease agreement, bond lodgement receipt or court summons. (If you do not have these documents, you can contact the real estate agent and request the name of your landlord(s).)Do any of these circumstances apply?I am having trouble getting my Bond back.I have to appear in courtI am being evictedWhat is the problem or issue you are experiencing?What is the listed date of the court hearing?What date has been given for eviction?NEXTYour Personal circumstances Please check the boxes that apply to you and give further information if required.I have dependentsI am the sole income earner in a household of 2 or more peopleI am under 25 years of ageI am over 45 years of ageI receive Centrelink benefitsI live outside the Perth metropolitan areaWhere do you live (suburb, town or city)?I am an Aboriginal or Torres Strait IslanderI come from a non-English speaking backgroundI have a disabilityWhat is your disability or disabilities?I have problems speaking EnglishDo you require an interpreter? If so, which language?I'm unlawfully residing in AustraliaI have problems reading or writing EnglishI identify as LGBTQIA+I am at risk of homelessness or experiencing homelessnessI am in rental arrears (behind in paying my rent)I am an apprentice/traineeI'm currently earning less than $600 per weekI've lived in Australia less than 5 yearsI'm on a temporary visa or an international student visaWhich Australian visa do you hold?I've experienced torture and traumaI'm experiencing violenceNextNextWhat is your income?Annual income (before tax)Please select$0 - $49,999$50,000 - $59,999$60,000 - $69,999$70,000 - $79,999$80,000 - $89,999$90,000 - $99,999$100,000 - $150,000$150,000+What is your income?Personal Income (in last 12 months before tax)(required)Please select$0 - $9,999$10,000 - $19,999$20,000 - $29,999$30,000 - $39,999$40,000 - $49,999$50,000 - $59,999$60,000 - $69,999$70,000 - $79,999$80,000 - $89,999$90,000 - $99,999$100,000 - $150,000$150,000+Do you live with a partner who is earning an income?(required)YesNoDo you have access to/share your partner’s income? (required)YesNoYour partner's income (in last 12 months before tax)Please select$0 - $9,999$10,000 - $19,999$20,000 - $29,999$30,000 - $39,999$40,000 - $49,999$50,000 - $59,999$60,000 - $69,999$70,000 - $79,999$80,000 - $89,999$90,000 - $99,999$100,000 - $109,999$110,000 - $119,999$120,000 - $129,999$130,000 - $139,999$140,000 - $149,999$150,000+NEXTI declare that everything in this form is true and correct. I understand that I may be asked to provide evidence verifying the information I have provided, and agree to provide such evidence if asked.I agree with the statement aboveProviding false information can make it difficult for us to provide accurate advice.If you have made a mistake, refresh this page and provide your information again.SUBMIT YOUR INFORMATIONThis field should be left blank
