Working Women’s Legal Service Request Form

Please complete the details below to send us an email with your request for advice

* indicates required fields

Your First Name*

Your Surname*

Your Email*

Your Date of Birth*

Address Line 1*

Address Line 2

State NSWACTNTQLDSATASVICWA

suburb*

Postcode*

Your Phone*

Name of your employer*

Have you been dismissed?

If YES, when were you told that your work would be ending?

If your employment has ended, on what date did you last work?

Name of any individual person at your place of employment who you want to complain about*

Supporting Information

Describe what happened and what you are seeking advice about.*

You will get a call-back from one of our solicitors within 5 business days. Please note the call will be on a blocked number for security reasons.