Are you the Client? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }

Referrer Details

Referrer Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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{ binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }
Do you have permission from the client to make this request? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }

Please upload a form of authority confirming that you are entitled to receive information regarding this client.

 

{ binding firstError.message }

Your Details

What is your name? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
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Your Case

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This should be in the format of two letters, three numbers and then a year. For example AJ-123-2020 or AJ/123/2020 and can be found on any letter you have received from us. If you do not have this reference number, please do not worry.

What do you need to speak to your lawyer about? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Please let us know what you need to speak to your lawyer about. If you need to speak to your lawyer about more than one thing please complete the form again or use the further information box below.

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Please use this box to provide any further information that you want your lawyer to know.

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New Contact Details

New Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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New Documents/ Evidence 

{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
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Please use this box to upload any documents that you wish for your lawyer to see

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Internal

Is the client an existing client? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Has the client provided the correct Leap Reference? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Pleaser replace any '/' with '-'

Who is their lawyer? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Who is completing this form? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Has the referrer provided a valid FOA? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

The obtaining, handling, use and disclosure of the information contained within this questionnaire is principally governed by the General Data Protection Regulation 2016/679, the Data Protection Act 2018, Article 8 of the Human Rights Act 1998, and the common law duty of confidentiality.

The processing of this data will allow Asylum Justice to act on your behalf with the Home Office should you instruct us to do so in relation to your immigration status/query. Your data will not be used for any other purpose unless expressly agreed by you.

By completing and submitting this form you explicitly agree to:

  • Asylum Justice collecting, holding, and processing your data in accordance with our Privacy Policy, including data in respect of your racial or ethnic origin.
  • Cognito Forms collecting, processing, storing and transferring your data, on behalf of Asylum Justice, in accordance with their Privacy Policy.

    The obtaining, handling, use and disclosure of the information contained within this questionnaire is principally governed by the General Data Protection Regulation 2016/679, the Data Protection Act 2018, Article 8 of the Human Rights Act 1998, and the common law duty of confidentiality.

    The processing of this data will allow Asylum Justice to act on your behalf with the Home Office should you instruct us to do so in relation to your immigration status/query. Your data will not be used for any other purpose unless expressly agreed by you.

    By completing and submitting this form you explicitly agree to:

    • Asylum Justice collecting, holding, and processing your data in accordance with our Privacy Policy, including data in respect of your racial or ethnic origin.
    • Cognito Forms collecting, processing, storing and transferring your data, on behalf of Asylum Justice, in accordance with their Privacy Policy.

 

I have understood and agree to the terms of the Privacy Statement {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
Are you the Client? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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{ binding firstError.message }

Referrer Details

Referrer Name {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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{ binding firstError.message }
Referrer Organisation {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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{ binding firstError.message }
Referrer Telephone Number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Referrer Email Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Do you have permission from the client to make this request? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Form of Authority {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
{ binding firstError.message }

Your Details

What is your name? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
What is your date of birth? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
What is your mobile number? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
What is your email address? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

Your Case

What is your Asylum Justice Reference number? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
What do you need to speak to your lawyer about? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Further information {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{ binding firstError.message }
{ binding firstError.message }

New Contact Details

New Address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
New telephone number {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
New Email address {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

New Documents/ Evidence 

Documents to Upload {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{{ Cognito.resources['fileupload-dropzone-message'] }}
{binding Name, mode=oneTime}
{binding Description}
{ binding firstError.message }
{ binding firstError.message }

Internal

Is the client an existing client? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Has the client provided the correct Leap Reference? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Who is their lawyer? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Who is completing this form? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
Has the referrer provided a valid FOA? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }
{ binding firstError.message }

The obtaining, handling, use and disclosure of the information contained within this questionnaire is principally governed by the General Data Protection Regulation 2016/679, the Data Protection Act 2018, Article 8 of the Human Rights Act 1998, and the common law duty of confidentiality.

The processing of this data will allow Asylum Justice to act on your behalf with the Home Office should you instruct us to do so in relation to your immigration status/query. Your data will not be used for any other purpose unless expressly agreed by you.

By completing and submitting this form you explicitly agree to:

  • Asylum Justice collecting, holding, and processing your data in accordance with our Privacy Policy, including data in respect of your racial or ethnic origin.
  • Cognito Forms collecting, processing, storing and transferring your data, on behalf of Asylum Justice, in accordance with their Privacy Policy.

    The obtaining, handling, use and disclosure of the information contained within this questionnaire is principally governed by the General Data Protection Regulation 2016/679, the Data Protection Act 2018, Article 8 of the Human Rights Act 1998, and the common law duty of confidentiality.

    The processing of this data will allow Asylum Justice to act on your behalf with the Home Office should you instruct us to do so in relation to your immigration status/query. Your data will not be used for any other purpose unless expressly agreed by you.

    By completing and submitting this form you explicitly agree to:

    • Asylum Justice collecting, holding, and processing your data in accordance with our Privacy Policy, including data in respect of your racial or ethnic origin.
    • Cognito Forms collecting, processing, storing and transferring your data, on behalf of Asylum Justice, in accordance with their Privacy Policy.

 

I have understood and agree to the terms of the Privacy Statement {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
{binding displayValue}
{ binding firstError.message }