Legal Aid Financial Eligibility Form Completed Form Examples and Samples

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A filled out Legal Aid Financial Eligibility Form showing extracted client details

Source document used: Attorney Consultation Memo

Subject: Consultation summary for Sarah Jenkins (formerly Sarah Miller). Dear Solicitor, following my meeting today, March 12, 2026, with my client, Ms. Sarah Jenkins, I am providing the necessary details for her legal aid application. Sarah resides at 42 Maple Street, Wellington 6011. She has never lived anywhere else, but she previously used the surname Miller before her divorce three years ago. Her date of birth is July 14, 1982. She can be reached on her mobile at 021 555 0199 or at home on 04 888 2344. If she is unavailable, her mother, Helen, can be contacted at 04 999 4566. Her primary email for correspondence is [email protected]. Sarah lives with her partner, Mark Jenkins; he is currently employed at 'BuildRight Construction' in Porirua, earning $850 gross per week. Sarah herself works part-time at 'The Garden Cafe' where she earns $420 weekly. She has two children under 18, both of whom reside with her. Regarding other financial details, Sarah receives a small interest payment of $15 per month from a minor savings account. She does not receive any trust income, nor does the trust owe her any money. She is currently not receiving any government pensions or benefits like Jobseeker Support. She is quite stressed about the upcoming court appearance and mentioned that she is mainly supporting the household costs through her part-time wages and Mark's salary. She does not have a WINZ number as she has never accessed those services.