Referral Form

Disclaimer

The free legal advice provided by FLAG DV is available only to people experiencing domestic abuse.  Domestic abuse is defined as an incident or pattern of incidents of controlling, coercive, threatening, degrading and violent behaviour, including sexual violence, in the majority of cases by a partner or ex-partner, but also by a family member. 

Domestic abuse can include, but is not limited to, the following:

  • Coercive control (a pattern of intimidation, degradation, isolation and control with the use or threat of physical or sexual violence)
  • Psychological and/or emotional abuse including 'gaslighting'
  • Physical or sexual abuse
  • Financial or economic abuse
  • Harassment and stalking
  • Online or digital abuse
Anyone forced to alter their behaviour because they are frightened of their partner’s reaction is being abused. 

If you are unsure that you would qualify for our service you can call our office Monday - Wednesday - Friday between 10-1 to speak to us. The number is 01635 015854.

Tell us about why you are contacting us today












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About you

The more information we can collect about you the better we are able to advise you during any appointment we offer you.  This saves valuable time during the appointment itself.  If you are able, please complete as much information as you can before submitting this form



















About the Perpetrator

Before a Flag DV Volunteer Solicitor can speak with you they need to complete a Conflict of Interest Check. We therefore require details of the perpetrator and any children to ensure we can offer an appropriate clinic appointment. 

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 you been considering taking action?

















Unfortunately FLAG DV is unable to provide you with legal advice. If you require other legal advice you can find more information at https://www.lawworks.org.uk/legal-advice-individuals

Thank you