Hall Payne Lawyers referral form – Members

Member No. (if known)

First name

 Surname

Mobile phone number

Email address

Postcode

Your legal matter

What does your matter relate to?

Please select... Employment dispute Dismissal Employment contract Discrimination/harassment/bullying Employment entitlements Criminal law Professional regulation and discipline matters e.g. complaint to health regulator

Please briefly detail the specifics of your enquiry (in 200 words or less)

What is the legal question you would like answered?

How did you find out about this service?

AASW member told me about itAASW websiteHall Payne Lawyers websiteSocial mediaMedia coverageSomething else

If something else, what?

Is there a time constraint or deadline associated with your request?