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Application for legal help (LawHelp)

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					                                                                           Application for legal help
                                                                                          (LawHelp)

 IMPORTANT—Please read the information on page 1 before you start to fill in this form.



 About this form
 This form is for not-for-profit Aboriginal and Torres Strait Islander corporations registered under the Corporations
 (Aboriginal and Torres Strait Islander) Act 2006 (CATSI Act) who would like to apply for legal help through LawHelp.

 Please read the LawHelp guidelines before completing this form.


 Returning the form
 You can return this form by email, fax or by post.
 Email LawHelp@oric.gov.au
 Fax    02 6281 2739
 Post   LawHelp secretariat
        PO Box 2029
        Woden ACT 2606


 Documents you need to provide with this form
 Any relevant supporting documentation that will help the LawHelp assessment panel review your application.


 What happens when you return your form?
 Your form will be checked to make sure it is filled in properly. You may be asked to provide more information.

 The LawHelp assessment panel will decide if your corporation qualifies for help and if they can give you the help you
 have asked for. You will normally be told within 21 days of lodging your application.

 If your application is successful, the LawHelp secretariat will send a copy of your application (and all supporting
 documents) to a lawyer. The lawyer will provide you with some or all of the legal help you have asked for.

 If your application is not successful, the LawHelp secretariat will return your application (and all supporting documents)
 to your corporation but will keep a record of the application to monitor and evaluate the success of LawHelp. You will
 also receive a written explanation of the reasons for the decision.

 LawHelp may also ask your corporation for permission to give the application to another pro bono organisation.


 Privacy
 Information on this form will be treated confidentially. It will only be given to the LawHelp secretariat, assessment panel
 and the lawyer (if any) which will handle the matter.

 While the application is with the secretariat and assessment panel, it may be subject to disclosure by court discovery,
 subpoena or requests made under the Freedom of Information Act 1982. You may not be able to claim legal
 professional privilege for the application and any information related to it held by the LawHelp secretariat or the
 assessment panel.


 Feedback
 You may be asked for feedback about LawHelp. This will help us improve LawHelp.

      FURTHER INFORMATION—If you need help completing this form, or you need more information:
  • call 1800 622 431 (not free from mobiles)          • email LawHelp@oric.gov.au             • visit www.oric.gov.au


Application for legal help (Design date 2010-06)      IN-CONFIDENCE                                                    Page 1 of 7
 About ORIC and LawHelp
 ORIC runs the LawHelp secretariat, which supports the assessment panel, helps corporations to complete their
 LawHelp applications if required, and acts as a mailbox between corporations and the lawyers involved.
 A representative of ORIC is on the LawHelp assessment panel.

 However, ORIC does not provide financial help to corporations to get legal advice.


 The information on these pages will help you fill in the form. Please read it carefully.

   Document access                 Small and medium corporations have a document access address (DAA) and large
   address (DAA)/                  corporations have a registered office address (ROA).
   Registered office
   address (ROA)

   Pro bono                        Pro bono comes from the latin ‘pro bono publico’ meaning for the public good. Pro bono
                                   legal services usually means free or almost free legal help.

   Legal professional              Legal professional privilege is a rule that says confidential communications between
   privilege                       lawyers and their clients cannot be disclosed.

   Corporation’s                   All corporations must lodge reports with the Registrar of Indigenous Corporations every
   financial                       year, between 1 July and 31 December. The reports for each corporation vary depending
   information                     on their registered size and income.




Application for legal help (Design date 2010-06)           IN-CONFIDENCE                                                  Page 2 of 7
                                                                            Application for legal help
                                                                                           (LawHelp)

  Corporation details
  Corporation name


  Indigenous Corporation Number (ICN)


  Document access address (DAA)/
  registered office address (ROA)
  (see notes on page 2)
                                                                                            Postcode



  Person requesting the help on behalf of the corporation
  Name

  Position within corporation

  Contact                           Telephone                                       Fax

                                         Email

                                      Address


                                                                                            Postcode



  Corporation not-for-profit information
  Is the corporation not-for-profit?         No    Yes
  Note: only not-for profit Aboriginal and
  Torres Strait Islander corporations
  registered under the CATSI Act qualify for
  help through LawHelp. The assessment
  panel will use the LawHelp guidelines to
  decide if corporations are not-for-profit.

  Has the Australian Taxation Office given No      Yes   > If yes, please list them below
  any tax concessions to the corporation?
  (for example, deductible gift recipient
  status, income tax exemption, public
  benevolent institution status)




Application for legal help (Design date 2010-06)     IN-CONFIDENCE                                     Page 3 of 7
  Corporation’s financial information
  If the corporation has not lodged annual reports with the Registrar of Indigenous Corporations, please provide the financial
  information below based on the most recent financial year.
  If you need more space, attach an extra sheet.

  For which financial year is this financial information?                    Financial year ending 30 June               (e.g. 2009)

   Income                                                                                 Government funding and grants $

                                                                                                                    Donations $

                                                                               Income from business/program activities $

                                                                                                        Other income, if any $

                                                                                                               Total income $

   Expenditure                                                          Expenditure of government funding and grants $

                                                                            Expenditure on business/program activities $

                                                               Distributions to deductible gift recipients, charities and $
                                                                                     other not-for-profit organisations

                                                                                                 Other operating expenses $

                                                                                                         Total expenditure $

   Major assets                                     Details (including purpose for which the corporation currently uses the            Estimated value
   If you need more space, attach an extra sheet.   asset)

                                                                                                                                       $



                                                                                                                                       $



                                                                                                                                       $



                                                                                                                                       $



                                                                                                                                       $




Application for legal help (Design date 2010-06)                        IN-CONFIDENCE                                                               Page 4 of 7
  Details of legal help your corporation needs
  Please tell us about the legal help your
  corporation needs (include if your
  corporation needs the help by a
  specific date).
  If you need more space, attach an extra sheet.
  Attach supporting documentation if you need to.




  Please tell us about any other people or organisation involved in or affected by this matter
   Person or organisation                          Name
                                             Address
                                                                                                 Postcode

   Person or                                       Name
   organisation's                            Address
   lawyer                                                                                        Postcode

                                          Telephone                                        Fax
                                                   Email



   Person or organisation                          Name
                                             Address
                                                                                                 Postcode

   person or                                       Name
   organisation’s                            Address
   lawyer                                                                                        Postcode

                                          Telephone                                        Fax
                                                   Email




Application for legal help (Design date 2010-06)            IN-CONFIDENCE                                   Page 5 of 7
  Help your corporation has already tried to find
  Please tell us about any other lawyers who have helped your corporation with this matter
                               Lawyer’s name
                             Lawyer’s address
                                                                                                                   Postcode

                    What did they do for you?




                  Did they act free of charge? No             Yes
  (for example, deductible gift recipient
  Has your corporation asked for help from any other source?
                                                   No         Yes      > If yes, please describe below
                    Who did you ask for help?

         What help did you ask for or receive?




  Declaration
   1.   I am authorised by the corporation, <insert corporation name>


        to apply for legal help through LawHelp.
   2.   The corporation and I shall have no right of action against the Office of the Registrar of Indigenous Corporations (ORIC) (including in its
        capacity as the LawHelp secretariat) or a member of the LawHelp assessment panel in any event arising from this application or its
        referral. I authorise the LawHelp secretariat to give information in this application (including any document attached to, or provided with,
        it) to:
         a) any person volunteering as a member of the LawHelp assessment panel
         b) any lawyer the application is referred to.
   3.   The corporation and I understand that while ORIC (including in its capacity as the LawHelp secretariat) or the LawHelp assessment panel
        possesses the information in, or attached to this application, it may be subject to disclosure by court discovery, subpoena or requests
        made under the Freedom of Information Act 1982. The corporation and I understand that we may not be able to claim legal professional
        privilege in relation to the application and any other information provided while it is held by ORIC’s LawHelp secretariat or the assessment
        panel.
   4.   It is my and the corporation’s responsibility to provide the LawHelp secretariat with any further information that may arise that is relevant
        to this application.
   5.   The LawHelp secretariat and/or the assessment panel, and any lawyer to which the corporation’s matter is referred, may stop helping the
        corporation with legal advice if it becomes aware that any information provided in or with this application is false, misleading or
        incomplete.




Application for legal help (Design date 2010-06)                 IN-CONFIDENCE                                                              Page 6 of 7
   I declare that the information provided on this form and the attached documents is true and correct.

     Signature



     Full name

          Date




  Checklist
  Please provide a copy of these                     Supporting documents (if you have any)
  documents with this form




Application for legal help (Design date 2010-06)                IN-CONFIDENCE                             Page 7 of 7

				
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