Respect at Work Legal Service referral form

If you've been affected by recent flooding and need legal help, call the Disaster Response Legal Service on 1800 801 529 between 9am and 5pm, Monday to Friday or visit the DRLS website. For Recovery Centre details and more, see Flood recovery updates on the NSW Government website.

Please fill out the form if you wish to contact the Respect at Work Legal Service for free, confidential advice about sexual harassment or discrimination in the workplace. You can also download a copy below.

Title

First name

Last name

Date of birth

Phone number

Email address*

Address

Best way to contact you Phone Email Text

Best time to contact you

How did you hear about our service? (select all that apply) Community organisation LawAccess NSW Information session Social media Other

If you selected information session above, please tell us the name of the session and when you attended

For support services/community workers (please complete if you have helped your client with this form)

Name

Organisation

Email address

Phone number

Date of referral

My problem is about

Ways to get help

For lawyers

About us

Contact us

Respect at Work Legal Service referral form