Case Appraisal Form

- Step 1 of 2

Please complete the below appraisal form and we will be in contact with you shortly.

Basic Information

First Name *

Last Name *

Phone *

Email *

How did you hear of ROG? *

Which firm or solicitor referred you?

Other - please specify

Preferred method of contact *

What is the nature of your enquiry? *

Your selection will customise Step 2 of this form so we can assist you in the best way possible.

Criminal Charges

1. What is the charge or charges?

2. When is your court date?

3. Where is your court date?

4. What are the names of any co-accused?

5. Attach relevant documents (optional)

Click or drag files to this area to upload. You can upload up to 5 files.

You can upload up to 5 files. The max file size for upload is 10MB. PLEASE NOTE: Uploading senstive information is voluntary and you may choose to mail or deliver this material to our office. Please refer to our Privacy Policy which outlines how we handle your information.

Professional Discipline

1. What is your occupation?

Other - please specify

2. What are the charges?

3. What stage have the allegations reached?

4. What are the names of the co-accused?

5. Would you like to attach any documents?

Click or drag files to this area to upload. You can upload up to 5 files.

Appeal Matter

1. When was the person convicted?

2. Has a notice of Appeal been lodged?

NOTE: THERE ARE STRICT TIMEFRAMESFOR APPEALS - YOU SHOULD CONTACT OUR OFFICE BY PHONE URGENTLY ON 07 3034 0000)

3. What was the person convicted of?

4. Did the person plead guilty or proceed to a trial?

Guilty
Proceed to trial
Other

5. What are the names of any related parties?

6. Do you have anything further to advise?

7. Attach relevant documents (optional)

Click or drag files to this area to upload. You can upload up to 5 files.

Coronial Matter

1. Has the coroner's preliminary investigation been undertaken?

2. What is your relationship to the deceased?

3. Tell us your concerns for the coroner

4. Attach relevant documents (optional)

Click or drag files to this area to upload. You can upload up to 5 files.

Domestic Violence

Please tell us a bit about your DV situation

I am the aggrieved in a DV situation
I am the respondent to a DV application
I am charged with Breaching a DV order

I am the aggrieved in a DV situation

1. I am the aggrieved in a DV situation. What is the nature of your relationship to the other party?

2. Who is the other party/ies in your matter?

3. Is your application a police application or a private application?

Police Application
Private Application

4. When is your court date?

5. Where is your court appearance?

6. Tell us about the DV you have experienced

7. Tell us about any other aspect of the matter you are concerned about.

8. Attach relevant documents (optional)

Click or drag files to this area to upload. You can upload up to 5 files.

I am the respondent to a DV application

1. I am the respondent to a DV application. What is the nature of your relationship to the other party?

2. Who is the other party/ies in your matter?

3. Is your application a police application or a private application?

Police Application
Private Application

4. When is your court date?

5. Where is your court appearance?

6. Tell us about the allegations

7. Tell us about any other aspect of the matter you are concerned about.

8. Attach relevant documents (optional)

Click or drag files to this area to upload. You can upload up to 5 files.

I am charged with Breaching a DV order

1. I am charged with Breaching a DV order. What is the nature of your relationship to the other party?

2. Who is the other party/ies in your matter?

3. What is the charge or charges?

4. When is your court date?

5. Where is your court appearance?

6. Tell us about the allegations

7. Attach relevant documents (optional)

Click or drag files to this area to upload. You can upload up to 5 files.

Bail Application

1. What is the charge or charges?

2. Has bail been refused by a Magistrate?

3. When is your court date?

4. Where is your court date?

5. What are the names of any related parties?

6. Tell us about the allegations

7. Attach relevant documents (optional)

Click or drag files to this area to upload. You can upload up to 5 files.

Complaint Against Police

1. What is the nature of your complaint?

2. Do you have any outstanding criminal proceedings?

Traffic Charges

1. What is the charge or charges?

2. When is your court date?

3. Where is your court date?

4. Tell us about the allegations

5. Attach relevant documents (optional)

Click or drag files to this area to upload. You can upload up to 5 files.

Workplace Health & Safety

1. Has the injury or incident occurred at work?

2. Are you an employer or employee?

Employer
Employee

3. Have Workplace Health and Safety Investigators commenced an investigation?

4. What are the names of any related parties?

5. Tell us briefly the nature of your concern

6. Attach relevant documents (optional)

Click or drag files to this area to upload. You can upload up to 5 files.

Other

Tell us briefly the nature of your concern

OFFICE USE ONLY

**OFFICE USE ONLY** NOTES ON CONVERSATION WITH CLIENT

*STAGE MATTER IS AT

*INITIAL EMAIL SENT

*CLIENT AGREEMENT TO BE SENT

*DATE OF CONFLICT CHECK (Secretary to do)

*BASIS OF ENGAGEMENT

*FURTHER ACTION REQUIRED (eg. Request QP9)

*SOLICITOR NAME

*AUTHORITY TO COMMUNICATE TO 3rd PARTY?

*DATE

Case Appraisal Form

Please complete the below appraisal form and we will be in contact with you shortly.

Basic Information

Criminal Charges

Professional Discipline

Appeal Matter

Coronial Matter

Domestic Violence

I am the aggrieved in a DV situation

I am the respondent to a DV application

I am charged with Breaching a DV order

Bail Application

Complaint Against Police

Traffic Charges

Workplace Health & Safety

Other

OFFICE USE ONLY

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