Community Programs PROGRAM 5: Member Advocacy and Advice 5.2 Further legal costs form Applicant detailsFull name(Required) Date of Birth(Required) DD slash MM slash YYYY Gender Male Female Language Group(Required) Yinhawangka Banyjima Nyiyaparli Current home address Postcode Phone Email address Have your personal details changed?(Required) No Yes (If yes, please complete an ‘Update personal details’ form and attach it to your application.) Yes (If yes, please complete an ‘Update personal details’ form and attach it to your application.) Drop files here or Select files Max. file size: 10 MB. 5.1 Professional AdviceName of lawyer Name of legal firm Phone number Address Email Please explain what the legal matter is about and why you need legal representation?DeclarationI declare that the information I have provided in this form is true and correct and the benefits requested are for my own use.Agreement I agree that IBN: may share my information with other organisations for application assessment purposes. TO BE COMPLETED BY YOUR LEGAL REPRESENTATIVEList(Required)Description of item – estimatesName of supplierAmount Add RemoveCommentsPlease attach a lawyer’s statement addressing the following: Why this case has legal merit and is not vexatious or frivolous Duration of the matter A copy of the firm’s standard terms and conditions. Under the IBN Policy: Funding for Legal Fees and Disbursements, legal fees are only available under certain conditions listed below. Please tick the box(es) that apply to this case.Greatest value for the greatest number of IBN Community Members Greatest value for the greatest number of IBN Community Members This funding (for legal fees) will ensure that a resolution of the issues would affect or be of greatest value to the greatest number of IBN Community Member’s and their descendants or would address a point of law of public importance. Prevent a miscarriage of justice Prevent a miscarriage of justice This funding (for legal fees) will ensure a reasonable likelihood that a miscarriage of justice will be prevented or will enable an applicant access to justice where they would otherwise be significantly disadvantaged — including for reasons of illiteracy, language differences, cultural differences or mental or physical impairment or condition. Liberty or safety is at serious risk Liberty or safety is at serious risk This funding (for legal fees) is required because the applicant’s liberty or safety is at serious risk — including as a result of being charged with a serious criminal offence. Child at risk Child at risk This funding (for legal fees) is required because a child is at risk of abuse or a child’s welfare is at serious risk. Legal merit Legal merit This funding (for legal fees) is for an issue that has legal merit and is not vexations or frivolous. Applicant lacks financial resources Applicant lacks financial resources This funding (for legal fees) is for an applicant who lacks the financial resources to access legal services without assistance from IBN Corporation. Imminent risk to life/property Imminent risk to life/property This funding is for a legal matter that is urgent or involves an imminent risk to life or property. Achieve a timely, efficient resolution Achieve a timely, efficient resolution This funding is likely to achieve a timely, efficient and fair resolution of a legal issue, minimise costs and maximise the use of non-litigious resolution methods in appropriate circumstances. Other issues consistent with objects of the IBN Charitable Foundation Legal representative’s declaration Other issues consistent with objects of the IBN Charitable Foundation Legal representative’s declaration I confirm that:I am willing to execute a funding agreement in accordance with terms of the IBN Policy: Funding for Legal Fees and Disbursements. I am willing to execute a funding agreement in accordance with terms of the IBN Policy: Funding for Legal Fees and Disbursements. The Lawyer’s Statement including the estimated costs I have provided with this application is true and correct and consistent with the requirements of the IBN Policy: Funding for Legal Fees and Disbursements. The Lawyer’s Statement including the estimated costs I have provided with this application is true and correct and consistent with the requirements of the IBN Policy: Funding for Legal Fees and Disbursements. The costs referred to in the application have not yet been incurred by the applicant. The costs referred to in the application have not yet been incurred by the applicant.
