agency referral.

Please only complete this form if you are from an agency/department who are wanting to engage our services for your client. If you need assistance yourself please see our contact us page.

 
Your Name: *
Your Name:
Name of the person being referred: (not required)
Name of the person being referred: (not required)
Have you got consent from your client to contact us:
Please provide as much relevant information as possible. Why is the referral being made? Why are they in need of legal assistance?
(e.g. Disability, Kaupapa Maori, Family, Youth, Prison)
Urgent
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