Registration Form | Community Law Waikato

What is your full legal name?

First name?

Middle Name?

Surname?

Please tell us briefly what your query is about.

Who are the other people involved in this matter?

Please provide the NAMES of the other people or organisations involved in your matter and details on how they are involved - e.g. your neighbour, employer, etc. NOTE: We will not contact the other people involved in your issue.

Have you been known by any other names (for example, a maiden name)? If yes, please tell us these names below:

What name do you prefer to use (if you are not known by your legal name)?

What is your date of birth?

What is your Gender?

What is your ethnicity?

What is your email address?

What is your contact phone number?

First three digits of your phone number (eg 021, 022, 027)?

Remaining digits of your phone number

What is your address?

Street Address (number & name)?

Suburb?

Town/City?

Postcode?

https://www.nzpost.co.nz/tools/address-postcode-finder

How can we contact you? i.e. Phone call (leave a message if I don't answer); Phone call (do not leave a message if I don't answer); Text; Email; Letter.

Are you working? select all that apply?

To select more than one, please select your first option then press the down arrow to select your second option.

Do you have any special needs or impairments?

Can we contact you for feedback on our service?

How did you hear about us?

Privacy and Client Care Information - Community Law Waikato collect, use and store personal information including the details in this registration form. All personal information is handled with care and respect in compliance with the Privacy Act 2020 and any other applicable law. Anonymous data (that cannot be linked to individual personal information) is used by us for important things like service evaluations, funding reports and law reform (calling for change in laws). The Rules of Conduct and Client Care for Lawyers sets out some basic information that you must receive at the outset of a legal service. You received a full copy of our Privacy Statement and the Client Care Information when you booked your appointment. Copies are also available on this website (go to Legal Service – Terms of Service). By submitting this form you agree that you have read this information AND the information you provide to us is true and correct.

Yes I agree

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