Referral on behalf of a client

About You








About Your Client




























About the Perpetrator

Providing the details of the perpetrator and any children allows our solicitors to complete a Conflict of Interest Check. if you have this information available it allows us the speed up the process with the client.

Please note we will never contact the perpetrator. 









About any dependents



























Legal History

Prior to the clinic appointment it is helpful for the solicitor to have some background information so as to be as prepared as possible. Whilst we are not an emergency service we may use the information here to help prioritise appointments.
How long have they been considering taking action?
















Select all that apply