<p>Please complete all sections of this form.</p><p>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</p><p>Co-accused? Yes No If yes – name of co-accused: Bail status In custody Correctional centre Location Own undertaking Client’s address Instructions</p><p>Result Mention Summary callover Committal callover Summary trial Committal Sentence</p><p>Appearing officer Bail enlarged / Remanded in custody Name Date Contact details </p><p>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</p>