NEW MATTER – NOT FOR PROFITNEW MATTER – NOT FOR PROFITPlease complete where the client is not already existing on Affinity and continue to a matter request form. Phonebook ID (If known. If not, please provide the full name below so that we can identify the correct party in Affinity) Full name * Matter Contact (If the client is a company, please provide the contact person you will be dealing with including name, position, email and contact phone number) Matter description * Expected completion date: The date you expect the matter to be finalised. If you leave this blank, the default will be 31 December of this year. Expected completion date: The date you expect the matter to be finalised. If you leave this blank, the default will be 31 December of this year. Yes No Conflict check has been done * A matter will not be opened until a conflict check has been done Conflict check has been done * A matter will not be opened until a conflict check has been done Yes No Matter author * Matter partner Matter partnerPGLDFSRXCPHBSPW Matter controller * Matter controller *Andrew LumbChris SusiloCredit CommitteeDavid StrattonGreg DoranHelen ZhengMelissa VincentyPeter LumbPhil BrewinRichard HamiltonRyan Curtis-GrifitthsSteph ChaferStuart WilsonNathan Xu Matter type * Matter type *Institutional Abuse (LITIA)TSA DBH Issued (SADIM)TSA DBH Non-Issued (SADNI)TSA General Files (SAGEN)TSA Other Legal Representative Issued (SAOIM)TSA Other Legal Representative Non-Issued (SAOIM)TSA RCT Issued (SARIM)TSA RCT Non-Issue (SARNI)TSA Settled (SASM)TSA Unrepresented Active (SAUA)TSA Unrepresented Dormant (SAUD)TSA General (TSA) Referred by: You may have already completed this at the client level, however we need the same information here. Staff who will work on the matter * Staff who will work on the matter * Phil Brewin Greg Doran Shea Rowell Claire Stratton Caroline Mostafa Tarryn Jeffery Melonee Davies Kiah Rowell Tom Drake Fees (exc GST) * Admin Fee (exc GST) * Admin Fee (exc GST) *$100 New Credit$50 Existing Credit$50 New client (fees less than $750)$25 Existing Client (fees less than $750)Not applicable Disbursements (exc GST) * This is the out of pocket expenses likely to be incurred (and does not include the Admin Fee above) GST amount * (Fees + Admin Fee + Disbursements ) * 0.10 Total cost (inc GST) * Fees + Admin Fee + Disbursements + GST Upfront costs * The amount the client is to pay before work is commenced on this matter. Fee calculation * Fee calculation *Hourly RateFixed FeeFee Scale Retainer type * Retainer type * Full Cost Agreement - Standard Short Form Cost Agreement (where fees are $750 or less) Invoices due Invoices dueCompletionMilestonesMonthlyOthers Instructions received * "You have instructed us to...." Scope of works * Matter file note * Who has completed this form? * Submit