Criminal Case Assistance Application Form

Your Details

Name:

Address:

Telephone number:

E-mail address:

Incident

Date of incident:

Brief details of the incident:

Legal Proceedings

Have legal proceedings been issued?:

Yes

If so, in which court and on what date?:

Solicitors

Name and Address, and case reference, of your current solicitors:

Are you happy for CDF to contact your solicitors for information?:

Yes

Are you the sole defendent in your case?:

Yes

If not, who are the other defendents and who are their solicitors?:

Funding

How is your case currently funded?:

e.g. conditional fee agreement, trade union or membership organisation funding, legal expenses, etc.

If financial assistance is needed, how much?:

Assistance Required

Summary of the assistance you require from CDF:

What documents can you send that would support your application for assistance?:

Please note that we would usually expect to see:

If you are already represented by a Solicitor, copies of all documents relating to how your claim is presently funded
Copies of all Court Documents
Medical Evidence if your case relates to a claim for injuries
Correspondence – perhaps between you and your Solicitor or any other correspondence that is relevant to the issue that you are asking CDF to consider
A copy of any opinion that may have been obtained from a Barrister about your case

Insert here any comments or information not provided for in the boxes above that you consider is relevent to your request for assistance from CDF:

Contents