Application for Inclusion on Additional Categories form

LEGAL SERVICES MULTI-USE LIST
Application for Inclusion
PART 3 – Application for Inclusion on Additional Category Form
APPLICATION FOR INCLUSION ON ADDITIONAL
CATEGORY/CATEGORIES FORM
Section 1 - Applicant Details
TABLE 1a: APPLICANT DETAILS
Applicant Name / Trading Name
[Insert]
ABN/ACN
[Insert]
Address for Notices
[Insert]
Registered Address
[Insert]
Small and Medium Enterprise (SME)
[Check box if Applicant is an SME]
(an Australian or New Zealand firm
with fewer than 200 full time
equivalent employees)
TABLE 1b: CATEGORY/IES OF LEGAL WORK APPLYING FOR
Government and Administrative Law
Corporate and Commercial Law
Dispute Resolution and Litigation
All Other Legal Services
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LEGAL SERVICES MULTI-USE LIST
Application for Inclusion
PART 3 – Application for Inclusion on Additional Category Form
TABLE 1c: CATEGORY/IES OF LEGAL WORK IN WHICH THE APPLICANT IS CURRENTLY
INCLUDED ON THE LSMUL
Government and Administrative Law
Corporate and Commercial Law
Dispute Resolution and Litigation
All Other Legal Services
TABLE 1d: PRIMARY LSMUL CONTACT
The same LSMUL contact previously identified by the Applicant
Name
State/Location
Category of legal work
Position
Telephone
Email
[Insert]
[Insert]
[Insert]
[Insert]
[Insert]
[Insert]
Note: the contact listed in Table 1d will be listed as the primary contact in the LSMUL Information
System and will be sent notifications from OLSC concerning the evaluation process and
administration of the LSMUL.
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LEGAL SERVICES MULTI-USE LIST
Application for Inclusion
PART 3 – Application for Inclusion on Additional Category Form
TABLE 1e: ADDITIONAL RELATIONSHIP CONTACTS
The same LSMUL contact previously identified by the Applicant
Name
State/Location
Category of legal work
Position
Telephone
Email
[Insert]
[Insert]
[Insert]
[Insert]
[Insert]
[Insert]
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LEGAL SERVICES MULTI-USE LIST
Application for Inclusion
PART 3 – Application for Inclusion on Additional Category Form
Section 2 - Categories of Legal Work
Identify the categories of legal work for which the Applicant is now applying (do not identify
categories of legal work in which the Applicant is currently included on the LSMUL)
TABLE 3a: SUMMARY OF PRACTICE AREAS
Category of Legal Work
Practice Areas
Government and
Administrative Law
Public administration and governance
Judicial review and merits review
Ombudsman inquiries
Crown liability
Commonwealth employment law
Statutory interpretation
Freedom of Information (FOI)
Privacy
Royal commissions and inquiries
Coronial inquiries
Military discipline
Commissions of enquiries
Tort law
Tied work
Other:
[List additional practice areas within this category]
Corporate and
Commercial Law
Taxation law
Property law
Contract law
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LEGAL SERVICES MULTI-USE LIST
Application for Inclusion
PART 3 – Application for Inclusion on Additional Category Form
TABLE 3a: SUMMARY OF PRACTICE AREAS
Insurance law
Banking and finance law
Intellectual property (IP) law
Construction law
Corporations law
Competition and consumer protection law
Information technology (IT / ICT) law
Media and communications law
Probity
Environmental law
Tort law
Bankruptcy and Insolvency
Other:
[List additional practice areas within this category]
Dispute Resolution and
Litigation
Litigation
Arbitration
Mediation
Conciliation
Expert determination
Case management
Other:
[List additional practice areas within this category]
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LEGAL SERVICES MULTI-USE LIST
Application for Inclusion
PART 3 – Application for Inclusion on Additional Category Form
TABLE 3a: SUMMARY OF PRACTICE AREAS
All Other Legal Services
Family law
Criminal law (including justice and enforcement
services)
Criminal law (including justice and enforcement
services)
Other:
[List additional practice areas within this category]
TABLE 3b: KEY PERSONNEL AND SIZE OF PRACTICE AREA(S)
Category of Legal Work: [insert]
[Insert details]
Please provide information about the number of practitioners in the relevant practice
area/s.
Page limit: 10 pages for response to Table 3d per category of legal work.
TABLE 3c: EXPERIENCE AND EXAMPLES TO DEMONSTRATE CAPACITY
Category of Legal Work: [insert]
[Insert details]
Please outline the experience of key personnel in the relevant category/categories of legal
work.
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LEGAL SERVICES MULTI-USE LIST
Application for Inclusion
PART 3 – Application for Inclusion on Additional Category Form
Section 3 - Referee Reports
Referees should be able to comment on the Applicant’s capacity to provide quality legal
services in the additional category/categories of legal work for which the Applicant is now
applying.
TABLE 4a: REFEREE DETAILS
Category of Legal Work
Referee 1
Referee 2
Government and
Administrative Law
Name: [insert]
Name: [insert]
Position: [insert]
Position: [insert]
Organisation: [insert]
Organisation: [insert]
Phone: [insert]
Phone: [insert]
Email: [insert]
Email: [insert]
Reference attached? Y/N
Reference attached? Y/N
Name: [insert]
Name: [insert]
Position: [insert]
Position: [insert]
Organisation: [insert]
Organisation: [insert]
Phone: [insert]
Phone: [insert]
Email: [insert]
Email: [insert]
Reference attached? Y/N
Reference attached? Y/N
Name: [insert]
Name: [insert]
Position: [insert]
Position: [insert]
Organisation: [insert]
Organisation: [insert]
Phone: [insert]
Phone: [insert]
Email: [insert]
Email: [insert]
Reference attached? Y/N
Reference attached? Y/N
Corporate and
Commercial Law
Dispute Resolution and
Litigation
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LEGAL SERVICES MULTI-USE LIST
Application for Inclusion
PART 3 – Application for Inclusion on Additional Category Form
TABLE 4a: REFEREE DETAILS
Category of Legal Work
Referee 1
Referee 2
All Other Legal Services
Name: [insert]
Name: [insert]
Position: [insert]
Position: [insert]
Organisation: [insert]
Organisation: [insert]
Phone: [insert]
Phone: [insert]
Email: [insert]
Email: [insert]
Reference attached? Y/N
Reference attached? Y/N
REFEREE REPORT Template
Referee Firstname Surname
Position
Referee Contact
T 00 0000 0000
M 0000 000 000
E [email protected]
Nature of
relationship
between referee
and applicant
Applicant's name
Category of law
Please describe the type of work the Applicant has undertaken for you or your organisation/agency in
the relevant category/categories of legal work.
Has the Applicant provided quality legal services to your organisation/agency in the relevant
category/categories of legal work? Please provide examples.
In your opinion does the Applicant have capacity to provide quality legal services to the
Commonwealth in the relevant category/categories of legal work? If so, please provide
examples/supporting reasons.
Please provide any other details of the Applicant’s experience that would be relevant to assessing their
application for inclusion on the Commonwealth Legal Services Multi-Use List in the relevant
category/categories of legal work.
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LEGAL SERVICES MULTI-USE LIST
Application for Inclusion
PART 3 – Application for Inclusion on Additional Category Form
Signed:
Date:
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LEGAL SERVICES MULTI-USE LIST
Application for Inclusion
PART 3 – Application for Inclusion on Additional Category Form
Section 5 - Applicant CVs
CVs should be provided for key personnel in the additional category/categories of legal work for which
the Applicant is now applying
Page limit: 10 pages of CVs per category of legal work.
CV Template
Firstname Surname
Position
–
Contact
Office
T 00 0000 0000
M 0000 000 000
E [email protected]
–
Areas of law
–
Qualifications
Qualification (Honours), University, 200X
Qualification, University, 200X
Qualification, University, 200X
–
Admissions
State, 200X
State, 200X
–
Security clearance
Yes/No
Profile
CV profile details. - summary of key achievements
Key experience
Client name : description of matter in general terms
Agency secondments
Agency name: Project description.
Relevant experience from other past positions
Project name: Project description.
Project name: Project description.
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LEGAL SERVICES MULTI-USE LIST
Application for Inclusion
PART 3 – Application for Inclusion on Additional Category Form
Project name: Project description.
Memberships
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LEGAL SERVICES MULTI-USE LIST
Application for Inclusion
PART 3 – Application for Inclusion on Additional Category Form
Section 6 – Applicant’s Declarations
Table 6a: APPLICANT’S DECLARATION – KEY PERSONNEL
I, ^INSERT NAME^, confirm that as required by threshold condition 7.1.a, the key personnel
nominated in the application for inclusion and listed below are admitted to legal practice in
Australia and are subject to the regulation of a relevant State/Territory law society or
professional body, or the National Board on its commencement, or Part VIIIB of the
Judiciary Act 1903. This confirmation relates to the following key personnel:
•
•
•
•
^insert full name of key personnel 1^
^insert full name of key personnel 2^
^insert full name of key personnel 3^
Note: no limits apply to the number of key personnel you can nominate.
Dated this ^insert day^ day of ^insert month^ 201^year^
^Name of signatory^
Signature
In the presence of:
^Name of witness^
Signature of witness
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LEGAL SERVICES MULTI-USE LIST
Application for Inclusion
PART 3 – Application for Inclusion on Additional Category Form
Table 6b: APPLICANT’S DECLARATION – GENERAL
YES
NO
Have there been any changes to the Applicant’s staffing or resources
that would impede its ability to provide quality legal services in the
LSMUL categories of legal service for which it has already been
approved?
Has the Applicant had any judgment against it from any Court or
Tribunal (including overseas jurisdictions but excluding judgments
under appeal or instances where the period for appeal or
payment/settlement has not expired) relating to a breach of workplace
relations law, work health and safety law or workers’ compensation
law?
If yes, has the Applicant fully complied with any such judgement?
After having made all reasonable enquiries, does the Applicant have
any actual or potential perceived conflicts of interest in respect of
participating in the LSMUL arrangements or the provision of legal
services?
Is the Applicant (including its personnel) the subject of any disciplinary
investigations, proceedings or orders by a law society or other
professional body?
* It is Australian Government policy not to purchase goods or services from suppliers who do not
comply with their obligations, if any, under this Act. Applicants should note their potential obligations
under the LSMUL Deed in relation to workplace gender equality.
Please provide details below, where an Applicant has answered YES to one of the above
questions.
Table 6c: DETAILS
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