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01752 265 952
hub@DCRS-Plymouth.org

Legal Aid Referral Form

Legal Aid Referral Form Alex Vessis 1st August 2025 9th December 2025

Step 1 of 6

16%

Section 1: Referrer Details

Are you referring yourself or someone else?

Section 2: Client Details

As it appears on most recent BRP/ARC/HO document
As it appears on most recent BRP/ARC/HO document
DD slash MM slash YYYY
(If the client is in refuge leave blank and check box below)
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Client is in Refuge
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Does the Client Require an Interpreter?(Required)
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Does the client have a disability or require any access adjustments?

Section 3: Help Required

What help do you need from our legal team?(Required)
Are there any deadlines? (e.g. date your leave to remain expires, deadline to appeal etc)?(Required)
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DD slash MM slash YYYY

Section 4: Immigration History

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DD slash MM slash YYYY
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Current Status in UK
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If ILR leave blank
DD slash MM slash YYYY
Do you have a legal representative?
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Please provide a history of all of your immigration applications in the UK - starting with the most recent.

If this is the first application, leave the below blank and move on to the next section.

Most recent Application Details

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DD slash MM slash YYYY
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Result of Application #1
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DD slash MM slash YYYY
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Did you have Representation #1

Previous Application Details

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DD slash MM slash YYYY
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Result of Application #2
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DD slash MM slash YYYY
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Did you have Representation #2

Previous Application Details

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DD slash MM slash YYYY
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Result of Application #3
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DD slash MM slash YYYY
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Did you have Representation #3
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Please give details of any additional applications not listed above.

Section 5: Other Information

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DD slash MM slash YYYY
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DD slash MM slash YYYY
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Second Family Member in the UK

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DD slash MM slash YYYY
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DD slash MM slash YYYY
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Please give details of any additional family members based in the UK that are not listed above.
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If not, leave none.
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If so, please specify when, what for, and whether they have a probation officer. If not type leave none.
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If so, please specify when. If not leave none.
If not leave none.

Section 6: Confirm and Submit

Consent(Required)
DCRS Plymouth

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CHARITY NUMBER: 1130360
COMPANY NUMBER: 06271122
Our immigration workers are regulated by the IAA (Immigration Advice Authority formally the Office of the Immigration Services Commissioner)

(IAA ref N200100427) at level 3.

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7 Whimple Street
Plymouth
PL1 2DH

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Plymouth Office: 01752 265 952
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