New Client Form

Please fill out the form below if you are a new client of Rose Alchin & Associates. If you are having issues with this form, please call the office on 07 834 9292 or email at admin@alchinlaw.co.nz or visit our contact page for further contact information.

Contact/Personal Information and Instructions

Full Legal Name

Physical Address

Postal Address

Email Address

Phone Number

Secondary Phone Number

Date of Birth

Drivers License Number

Employment Status

Employer or Company Name

Occupation

Instructions

If others, please specify

Next Court Date & Time

I agree to instruct Rose Alchin & Associates as outlined in the Terms of Engagement (a copy can be requested at any time) as set out in the button below.

I have read and understand the Terms of Engagement (a copy can be requested at any time) as set out in the button below.

Address

Message Sent.

Agreement to Terms of Instructions and Engagement Label

Terms of Engagement pdf

Client Information pdf

Proof of Identification & Address

Once you receive a confirmation email from this form, please reply with copies of photo identification and proof of address. Satisfactory photo identification includes either:

- Passport or
- Photo of front and back of your drivers' licence as well as a bank card or other card with name embossed.

Satisfactory proof of physical address includes any utility bill, bank statement or rates demand addressed to you and sent to your home address.

New Client Form

Contact/Personal Information and Instructions

Agreement to Terms of Instructions and Engagement Label

Proof of Identification & Address

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