Duty Lawyer Agent Request Form

Please complete all sections of this form.

Magistrates Court number Location Date Clients full name DOB Adult Youth Personal appearance File number Yes No required? Agent for preferred supplier/in-house lawyer File Manager Firm Name Contact details Phone Fax Date received crown material Date of last client contact Charges

Co-accused? Yes No If yes – name of co-accused: Bail status In custody Correctional centre Location Own undertaking Client’s address Instructions

Result Mention Summary callover Committal callover Summary trial Committal Sentence

Appearing officer Bail enlarged / Remanded in custody Name Date Contact details

Send this form to: Brisbane (Email responses preferred) Rockhampton E [email protected] F 3229 7067 P 4938 4162 F 4922 4978 Bundaberg Ipswich Southport P 4131 5455 F 4151 4180 P 3280 1168 F 3280 1150 P 5583 5488 F 5591 3043 Caboolture Mackay Toowoomba P 5431 2588 F 5495 7102 P 4967 0688 F 4957 3354 P 4615 3678 F 4639 1740 Cairns Maroochydore Townsville P 4048 1133 F 4048 1130 P 5470 8093 F 5459 8287 P 4760 7507 F 4721 2521 Inala Mount Isa Woodridge P 3362 9292 F 3372 8756 P 4747 2386 F 4747 2394 P 3884 7899 F 3209 3053