Appointment Request Form

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Eastern Community Legal Centre (ECLC) provides free and confidential legal assistance, referral and other support services to people in Melbourne's East.

ECLC can give advice about these types of problems:

Crimes compensation (victims of crime)
Magistrates Court
Criminal law (including Traffic Matters)
Debt
Family law (no property)
Family violence matters (including Intervention Orders & Personal Safety)
Infringements
Motor vehicle accidents – property damage
Neighbourhood disputes (Trees, Noise, Fences, Animals)
Personal Safety Intervention Orders
Other

ECLC can provide a FREE language interpreter & AUSLAN help.

How we use and what we do with your personal information

We are committed to ensuring client confidentiality and privacy at all times.

To access a copy of ECLC's Privacy and Confidentiality Policy, please refer to https://eclc.org.au/privacy/

Completing this form

To help us provide you with the right legal help, we need to ask you some questions. The Appointment Request Form has four parts:

2. Contact Details
3. Information about your legal problem
4. Information to help us assist you better
5. How did you hear about ECLC

If you don’t have a valid email address, please contact ECLC on 1300 32 52 00 to enquire about an appointment

3. Information about your legal problem

Is your query about a new legal problem?

Yes, I need help with a new legal problem

No, I need more help with an existing problem

Other party involved in your legal problem/query (person/company/organisation)?

Please provide the full name of the person, company or organisation involved in your legal query.

Please note: Any information provided to ECLC is private and confidential. ECLC will not contact the other party in your matter, under any circumstances.

If you are unsure who the other party is, please contact us on 1300 32 52 00.

Is your legal problem related to or impacted (made worse) by an extreme weather event, such as Storms, Floods, Bushfire, extreme heat?(Required)

Some examples include:

Problem related to insurance – following a bushfire/flood/storm
Problems with neighbour’s tree - following a bushfire/flood/storm.
Problems complying with a court order ( family law orders, child protection or family violence intervention order, bail conditions) due to impacts of a bushfire/storm/flood

Yes

No

If yes, please describe

Please provide a brief description of the legal problem, including important dates e.g. court dates. 250 words max.

If it is not safe for a member of our team to contact you via phone or to leave a message, we recommend you call our centre when safe to do so.

6. Your Feedback

Evaluation of our Service

In the future, we may ask you to participate in an evaluation survey in order to help improve our service. This may involve an online survey, an email, or telephone conversation. Your response will not affect your access to the legal service in any way.

Evaluation of our Service

I agree to be contacted for feedback and evaluation purposes

Thankyou for your request for an appointment, your form has been sent.

Please press 'SUBMIT' below to send your form

ECLC may need to get some more information from you to help us work out the best legal referral pathway for your legal problem. While you wait to hear back from us, take a look at our website www.eclc.org.au & also check out: https://vimeo.com/764781853/13ad0a25c6 , https://vimeo.com/764782033/fa24074a41

Our team will be in contact with you soon, usually within 2-3 days.

2. Contact Details

3. Information about your legal problem

4. Information to help us assist you better

5. How did you hear about ECLC?

6. Your Feedback

Appointment Request Form