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PRIVATE PRACTITIONER DUTY LAWYER RECORD

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					 PRIVATE PRACTITIONER DUTY LAWYER RECORD

 Title                    Mr        Ms         Mrs     Miss

 Given Names                                                      Practitioner

 Family Name                                                      Court Location

 Other Names Used                                                 Hearing Date            /        /



 Date of Birth                  /        /                          VLA Application Form Lodged?



 Address                                                         Phone
                                                                  Home
 Suburb:                            P/Code                        Work/Mobile


   MAGISTRATES’ COURT                        CHILDREN’S COURT                       FAMILY COURT


     Bail                                Contest Mention                         Advice Only

     Advice Only                         Hearing                                 Directions Hearing

     Mention                             Appearance with File                    Interim Hearing

     Plea                                Subsequent appearance with file         Pre Hearing Conference

     Directions Hearing                  Other


Judge / Magistrates Comments




            MATTER              NO. OF                      OUTCOME                           ADJOURNED DATE
                               CHARGES
                                            TAX INVOICE
                                    VICTORIA LEGAL AID (recipient)
                                                         ABN: 42335622126
                                       DUTY LAWYER - CLAIM FORM

                                           Please complete Items 1 – 13
                    This claim cannot be certified unless submitted with the Private Practitioner
                                 Duty Lawyer Record form for each client assisted.


1.


2.
      PRACTITIONER NAME:


      FIRM (supplier) NAME:
                                       TA X
                                     .................................................................................................................................
                                                               (Please Print)

                                     ........................................................................ ABN:          .........................................

3.    COURT LOCATION:                .................................................................................................................................

4.    DATE OF SERVICE:               .................................................................................................................................

5.    TIME OF ARRIVAL AT COURT:.......................................... 6. TIME OF DEPARTURE:................................

7.    LUNCH BREAK:                         Yes           No                       If yes, actual time taken                   ......................................

8.    DURATION:                      ..............................................            (Round up or down to nearest half hour)

9.    DUTY LAWYER SERVICES PERFORMED:
      (Please indicate total numbers in each court and numbers of each work type)
     MAGISTRATES’ COURT                                                    CHILDRENS COURT

      A            Advice Only                                             A                    Advice Only
      M            Mentions                                                M                    Mentions
      C            Bail Applications                                       C                    Bail Applications
      P            Pleas                                                   P                    Pleas
      H            Hearing                                                 H                    Hearing




                  I N V OI CE
                   TOTAL

10. DUTY LAWYER DECLARATION:
                                                                                                TOTAL




             I performed the duty lawyer services referred to in this report and claim form under the Legal Aid Act.

             I attended court as a duty lawyer on the date referred to in this report and claim form but I did not
             perform any duty lawyer services.

11. AMOUNT CLAIMED INCLUDING GST: $

12. DUTY LAWYER'S SIGNATURE                    ......................................     13. DATE OF ISSUE:                        .....…./........../20 ...


Certification Officer:                                                                       Date Certified: .....…./........../20 ...

NB: Hourly rate is $128.70 per hour plus 10% GST
Total (including GST): $143.00 per hour or maximum of $858.00 per day

				
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Description: PRIVATE PRACTITIONER DUTY LAWYER RECORD