Court Support Form

IDRS Justice Support
P.O Box 20228 World Square NSW 2002
t - (02) 9265 6300
f - (02) 9318 2887
e - info@idrs.org.au
w - www.idrs.org.au

ABN- 11 216 371 524
Translating and Interpreting Service- 131 450
Court Support Form

This form should only be used by Justice Support volunteer workers.
FOR OFFICE USE
Name of the coordinator: Signature: Date: CLSIS:__________/__________/__________
YOUR DETAILS
Your Name*
Your email address*
Are you:*

StaffVolunteer
Office you report to*

OutreachHunter RegionSouthern RegionSydney
CLIENT DETAILS
Name of the client*

First NameMiddle NameLast Name
Contact details of other contacts (family or friends of the client)
Contact details of service providers (disability workers/ caseworkers)
Did the client agree to have a support person?*

YesNo
Do you need to send the the release of information form signed by the client?*

Yes, I will send it (if you are unsure please get one signed)No, IDRS already have signed consent formNo, client either refused or did not have capacityNo, unable to get signed
SUPPORT DETAILS
Date of support*

DayMonthYear
Time spent at support location - arrival and departure times*

:HourMinutesAM/PM Option
until
until :HourMinutesAM/PM Option
Court location*
Court Type*

Local courtDistrict courtChildren's courtSupreme court
Client status*

DefendantVictimWitness
AVL Support (in prison)*

YesNo
IF AVL, which gaol?
Was the client in custody prior to court?

YesNo
Legal Representation

Legal AidAboriginal Legal Service (ALS)Not RequiredIDRSPrivateClient refused legal representation
Name of the solicitor
Solicitor's telephone
Solicitors other contact details (email, address etc.)
Names of opposing parties*
If the opposing parties have disability, please state it here:
CHARGE DETAILS
What offences(s) is the client charged with/ victim of / witness to?*
OUTCOMES AT COURT
Did the client show-up at court?*

YesNo
What happened at court
(Observations, problems, contact details etc.)
Any comments or feedback about the support?
Are there things Justice Support Coordinators should follow-up?
DOES THE CLIENT NEED ANY REFERRALS?

Do you think the client will benefit from any of the services listed below?
Referral to services relating to specific community:

Aboriginal and Torres Strait Islander community specific servicesCultural and linguistic background specific servicesLGBTI specific servicesSocial/community activities, networks and groupsOther
Referral to clinical services:

Behavioural/ gambling etc. servicesDrug and alcohol servicesFamily, relationship issues, parenting related servicesLiving skills, nutrition, personal hygiene related servicesMental health, counselling, psychiatric servicesPhysical health, medical servicesOther
Referral to other specialist services:

Disability support services (eg ADHC, NDIS)Financial, Credit/Debt, banking servicesHousing/ accommodation servicesOther
Any comments about referral needs of the client?
NEXT SUPPORT DETAILS
Is the client going to have another support coming up?*

YesNoDon't know
What type of support?

CourtLegal meetingOther
When?

DayMonthYearHourMinutesAM/PM Option
Where?
What is expected to happen at the support?
Are you able to provide support at the next date?

YesNoWill confirmNot required
Date and time:

DayMonthYearHourMinutesAM/PM Option
Should be Empty: