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Request for a Legal Aid Provider Certificate of Standing

The Certificate may take 4-10 weeks during the peak initial application round. Therefore, please factor in this time when making your application. (Please read the update on the extended processing timeframe , November 2011.) Please note certificates are valid for three months only.

Payment for the Certificate (NZ$30) is to be made at the time of applying. Note - if you pay by bank transfer you must include your name and the reference "LACOS" on the bank detail.

Name Full name:

Nee:

Admission/Practising Certificate Admitted in the High Court at:

Date admitted (approx):

State all District Law Societies where Practising Certificates held:

Previous application Have you applied previously for a Certificate of Standing?

If so, when?

Contact details Postal address for mailing:

Email address:

Payment Details of payment

Cheque for NZ$30 to NZ Law Society, P.O. Box 5041 Wellington
Bank Transfer to yield NZ$30 to ASB Bank, Account No. 123140.0119103.07 (Please include your name and the reference "LACOS" on the bank detail)

Date cheque posted or date of money transfer

I hereby authorise the New Zealand Law Society to collect all information about me that is relevant to the provision of a Legal Aid Provider Certificate of Standing.

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Request for a Legal Aid Provider Certificate of Standing