Appointment Request Form | Eastern Community Legal Centre

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 three parts:

1. Contact Details
2. Information about your legal problem
3. 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

1. Contact Details

Name(Required)

First Name Family Name

Pronouns (ctrl+click multiple)

Date of Birth(Required)

Address

Suburb State Postcode

Council Area(Required)

Other Council Area

Phone(Required)

Email(Required)

Do you need an interpreter?

Yes

Please tell us the language you need - so we can book an interpreter.

Do you identify as an Aboriginal or Torres Strait Islander person?(Required)

Yes, Aboriginal and/or Torres Strait Islander

Prefer not to say

Is this your first time using Eastern Community Legal Centre's services?

Yes

When was your last appointment with Eastern Community Legal Centre?

Within the last month

Within the last 3 months

Within the last year

Longer than a year ago

Can't remember

2. 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

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.

3. How did you hear about ECLC

I found out about Eastern Community Legal Service from:(Required)

Other

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.

Name

This field is for validation purposes and should be left unchanged.