Legal Aid Queensland application form (LAQAPP) Completed Form Examples and Samples

MEMORANDUM

TO: Grants Department
FROM: Intake Officer, Brisbane
DATE: 2026-01-28
SUBJECT: Client Intake – David Smith – Family Law Application

This memo details the intake of Mr. David John Smith, born on January 15, 1988, for a legal aid application primarily concerning family law matters. David identifies as male and was born in Australia. He is currently separated from his de facto partner, Sarah Jane Williams. He does not have any previous names, nor does he require an interpreter. He states he has no disabilities affecting access to services. David has indicated special circumstances, noting he was recently made unemployed due to his previous employer, 'Builders Inc.', going into liquidation in December 2025. This has significantly impacted his financial stability.

David resides at Unit 3, 24 River Street, West End, QLD 4101, which also serves as his postal address. His mobile number is 0412 345 678 and his email is [email protected]. He is not currently in prison.

Financially, David is receiving Newstart Allowance (part-time) from Centrelink, which amounts to approximately $450 per week gross. He holds a Health Care Card, number 123456789X, valid until October 2026. He is currently not working. He supports two dependent children under 18: Liam David Smith, born March 10, 2018, and Chloe Jane Smith, born September 5, 2020. Both children currently live with their mother, Sarah, and are involved in the current dispute. He is not self-employed and does not receive financial help from another person. He does not own his home or any other real estate, as he is renting. He owns a 2015 Toyota Corolla with an estimated equity of $8,000. He has $1,500 in his bank account. He has no other valuable assets he can sell.

The core legal issue is a family law problem. David is seeking aid for parenting arrangements regarding where his children, Liam and Chloe, live and how much time they spend with him, as well as property settlement and divorce from his de facto partner. The other party involved is Sarah Jane Williams, born April 22, 1989, residing at 45 Beach Rd, Gold Coast, QLD 4215. Her mobile is 0400 987 654 and email is [email protected]. She was David's de facto partner from January 1, 2010, until their separation on July 1, 2025. David confirms Sarah does not have a lawyer currently, to his knowledge. They attended one mediation session in October 2025, but it was unsuccessful. There are no existing court orders related to this matter.

David has a Family Court hearing scheduled for February 20, 2026, at 9:30 AM in the Brisbane Family Court of Australia. This is for a first return hearing concerning property and parenting matters. He is currently represented by Ms. Emily Green of Green & Associates, located at 123 Court St, Brisbane, QLD 4000.

He is not facing any criminal charges, nor does he have a criminal record. No civil law problem is noted.

Regarding question 18, the applicant's recent unemployment due to Builders Inc. liquidation is a critical factor impacting his ability to support himself and contribute to his children's upbringing. He seeks assistance to formalize parenting arrangements and ensure a fair property division considering his significantly changed financial circumstances. He confirms he is completing this application for himself and consents to the release of his QPS Court Brief if applicable.