Visa Assist Referral Form

Visa Assist Referral Form

  • Referrer details

    Please put the name and details of the organiser (yourself) who is assisting the member in accessing Visa Assist.

    • Not in the US?
  • Date of Referral *

  • Client details

    Please fill out this section of the form with the details of the member who requires immigration assistance.

  • Given Name *
  • Family Name *
  • Email *
  • Phone *
  • Is it safe to call them on this number? *
  • Post code *
  • Date of Birth *
  • Gender? *
  • Union *
  • What is the members profession or occupation?
  • Membership ID (optional)
  • How long have they been a member? *
  • Country of Birth? *
  • Languages spoken? *
  • Is an interpreter needed? *
  • Visa held (if any)? *
    • What info is being sought? *
    This refers to the nature of the visa inquiry i.e. what matter does the member need assistance with?
  • Has the person had a visa refused or cancelled? *
    This refers to any decision made by the Department of Home Affairs to refuse or cancel the member’s visa. It is important that organisers obtain information about the nature of any decision made.
  • Would they prefer to see a female/male lawyer? *
    • Are there any matters that would mean they need urgent advice about their immigration status? e.g. workplace exploitations, threats to terminate employment, health or housing issues? *
    This question refers to any immigration issues that are time sensitive and enables Visa Assist to assess the urgency of referrals coming through to enable people at most imminent risk to obtain advice.
  • Date of Referral *

  • Client details

    Please fill out this section of the form with the details of the member who requires immigration assistance.

  • Given Name *
  • Family Name *
  • Email *
  • Phone *
  • Is it safe to call them on this number? *
  • Post code *
  • Date of Birth *
  • Gender? *
  • Union *
  • What is the members profession or occupation?
  • Membership ID (optional)
  • How long have they been a member? *
  • Country of Birth? *
  • Languages spoken? *
  • Is an interpreter needed? *
  • Visa held (if any)? *
    • What info is being sought? *
    This refers to the nature of the visa inquiry i.e. what matter does the member need assistance with?
  • Has the person had a visa refused or cancelled? *
    This refers to any decision made by the Department of Home Affairs to refuse or cancel the member’s visa. It is important that organisers obtain information about the nature of any decision made.
  • Would they prefer to see a female/male lawyer? *
    • Are there any matters that would mean they need urgent advice about their immigration status? e.g. workplace exploitations, threats to terminate employment, health or housing issues? *
    This question refers to any immigration issues that are time sensitive and enables Visa Assist to assess the urgency of referrals coming through to enable people at most imminent risk to obtain advice.
    Sponsored by: Visa Assist