Criminal Law Questionnaire Contact DetailsName(Required) First Name Surname Address(Required) Street Address City State Postcode Phone(Required)Email(Required) About the OffenceWhat have you been charged with? When is it alleged you committed the offence? DD slash MM slash YYYY Were you arrested by the police? Yes No Are you on bail? Yes No Where you asked questions by the police about the matter / did you participate in a record of interview with them? Yes No Provide a brief summary of what you said to the policeDo you have to go to court for the matter? Yes No Date of Court Appearance DD slash MM slash YYYY Time of Court Appearance Hours : Minutes AM PM AM/PM Name of CourtPlease selectAdelaide Magistrates CourtAdelaide Youth CourtDistrict Court of South AustraliaElizabeth Magistrates CourtPort Adelaide Magistrates CourtSupreme Court of South AustraliaOtherHave you even been convicted of committing a crime before? Yes No When were you convicted? DD slash MM slash YYYY What was the offence? What penalty did you receive? Tell us a bit about you (optional)How old are you? What is your relationship status?Please selectSingleMarriedDeFacto RelationshipSeparatedDivorcedWidowedDo you have any children? Yes No How many children?Please select12345678910More than 10Child 1Name Date of Birth DD slash MM slash YYYY Age Child 2Name Date of Birth DD slash MM slash YYYY Age Child 3Name Date of Birth DD slash MM slash YYYY Age Child 4Name Date of Birth DD slash MM slash YYYY Age Child 5Name Date of Birth DD slash MM slash YYYY Age Child 6Name Date of Birth DD slash MM slash YYYY Age Child 7Name Date of Birth DD slash MM slash YYYY Age Child 8Name Date of Birth DD slash MM slash YYYY Age Child 9Name Date of Birth DD slash MM slash YYYY Age Child 10Name Date of Birth DD slash MM slash YYYY What is your Age? What High School did you attend? What year did you go up to in High School?Please selectYear 7Year 8Year 9Year 10Year 11Year 12Did you complete or commence any tertiary studies, apprenticeships or traineeships?Are you currently employed? Yes No Employer Name Current Role How long have you worked for your employer? How much do you earn per week? What do you generally spend your earnings on?List any physical or mental health conditions?File Upload - Have you received a Summons, Facts of Charge or Bail Agreement? If so, please upload.Max. file size: 512 MB.
