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  1. Form 42a Civil Victims Order [pdf, 246 KB]

    Version 20 – January 2023 page 1 01/23 form 42a Tax Invoice Civil Legal Aid Fixed Fees Victims' Orders against Violent Offenders (Applicant & Respondent) Legal aid file no. Invoice date Invoice number GST number Lead provider’s ref. To: Legal Aid, DX Box Number City Customer Lead provider Provider number Law firm Firm number Details of claim Fixed Fee: Date fixed fee(s) completed Fixed Fee Plus: Covers period from...

  2. Form-42_Civil_Victims-Order.pdf [pdf, 248 KB]

    Version 21 – October 2023 page 1 10/23 form 42 Tax Invoice Civil Legal Aid Fixed Fees Victims' Orders against Violent Offenders (Applicant & Respondent) Legal aid file no. Invoice date Invoice number GST number Lead provider’s ref. To: Legal Aid, DX Box Number City Customer Lead provider Provider number Law firm Firm number Details of claim Fixed Fee: Date fixed fee(s) completed Fixed Fee Plus: Covers period from...

  3. Form 42 Victims Orders against Violent Offenders [pdf, 414 KB]

    Templates V13 – November 2017 page 1 11/17 form 42 Legal aid file no. Tax Invoice Civil Legal Aid Fixed Fee/Fixed Fee Plus Victims' Orders against Violent Offenders (Applicant & Respondent) Invoice date Invoice number GST number Lead provider’s ref. To: Legal Aid, DX Box Number City Name of aided person Name of lead provider Provider number Name of law firm Firm number Details of claim Covers period from: to:...

  4. Treaty Principles Urgency claimant funding reimbursement form [pdf, 280 KB]

    1 Privacy Statement We collect personal information from you, including your name, contact and bank account details. We collect this so we have all the information we need to process your application. We will use this information only for the purpose of processing your claim for reimbursement. You have the right to ask for a copy of any personal information we hold about you, and to ask for it to be corrected if you think it is wrong. If you’d like to ask for a copy of your

  5. Form-52_Family_Civil-Amendment.pdf [pdf, 207 KB]

    Version 21 – October 2023 page 1 10/23 form 52 Amendment to Grant Family Legal Aid Civil Legal Aid Legal aid file no. Lead provider’s ref. Customer Provider Type of proceeding Court/Tribunal Amendment sought Replace fixed fee Estimate Additional work when fixed fee has been claimed Disbursements Non-Fixed fee (go to funding sought) Forum category 1 2 3 4 Please tick the following criteria that is specific to your case....

  6. Form-51_Criminal-Amendment.pdf [pdf, 184 KB]

    Version 21 – October 2023 page 1 10/23 form 51 Amendment to Grant Criminal Legal Aid Legal aid file no. Lead provider’s ref. Customer Provider Court Amendment sought Replace fixed fee High Cost Case Additional work when fixed fee has been claimed Disbursements Estimate Applicable fee schedule A-C D-F G H & I J Please tick the following criteria that is specific to your case. Fixed fee criteria Volume/...

  7. Form 39 ACC legal aid Fixed Fee [pdf, 578 KB]

    ...GST) $ $ Activities Hours Total fees Hours Total fees Templates V12 – August 2017 page 2 Prior-approved Disbursements (specify using GST excl. amount) Note: If requesting approval for an expert or expert witness, ensure a completed Form 50 – Expert request is attached to this amendment. Photocopying (specify number of pages) Report – Second medical Report – Other specialist Travel –...

  8. Form 49 Children's Workers Exemption Appeals [pdf, 673 KB]

    Templates V12 – August 2017 page 1 08/17 form 49 Amendment to Grant Civil Legal Aid Fixed Fee/Fixed Fee Plus Children’s Workers Exemption Appeals Legal aid file no. Lead provider’s ref. Name of aided person Name of lead provider Name of law firm Applicable fee schedule(s) Amendment sought: To replace fixed fee (start at A below) For additional work required when fixed fee has already been claimed (start at A below)...

  9. Ministry of Justice Claimant Funding Reimbursement Form [pdf, 441 KB]

    ...Kaupapa Inquiry  Wai 3300 Constitutional Kaupapa Inquiry Date of event: ____________________________ Location: ________________________________ Bank account details If you are GST registered you will need to fill in a GST Registered New Creditor Form Bank Name: _____________________________________________________________________ Account Number: Claimant Funding Reimbursement Form Wai 3060: Te Rau o Te Tika Wai 3300: Tomokia ngā tatau o Matangireia When to use this form Fi...

  10. Form13 Police Detention Legal Assistance invoice [pdf, 351 KB]

    Templates V14 – April 2018 page 1 04/18 form 13 Tax Invoice Invoice date Invoice number GST number Police Detention Legal Assistance Scheme (PDLA) To: Legal Aid, PO Box/DX City Name of PDLA lawyer Provider number Name of law firm Postal address Personal attendance If claiming for telephone attendance and visit, enter details on back Police Station (or other location attended) Name of assisted person Type of offence eg assault, EBA...