LBS Form - New Members

Full name:(*)

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Phone number:(*)

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Mobile number:(*)

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Work email:(*)

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Home email:(*)

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Have you applied to join the CPSU/CSA?(*)

Yes
No

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Only CPSU/CSA Members may apply for the Legal Benefits Scheme. Please join online and then return to complete this form.

On what date did you complete your membership application?(*)

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Which situation of permitted LBS matters does your referral relate to:(*)

Member is facing investigation and possible criminal charges as a result of their employment.
Member is a witness or respondent in a Coroners Court as a consequence of their employment.
Member is appearing before Inquiry/Commission (as a result of their employment) which could result in criminal investigation/charges.

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Is the members' employer or any other public sector entity providing funds to cover their legal costs?(*)

Yes
No

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As the member's employer, or another public sector entity, is providing funds to cover the member's legal costs the member is not eligible for the Legal Benefits Scheme. For futher adivce or assistance please contact our Unionlink team on 1300 733 800.

Have you approached your employer or any other public sector entity for assistance with legal representation in this matter?(*)

Yes
No

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If you answered 'Yes' above, what were you told?

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Please provide details of the issue for which you seek LBS assistance.

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Please enters the characters shown:(*)

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