APPLICATION FOR FREE LEGAL ADVICE IN GARDA STATION
(Statement of Means of Person Detained)
A. Application (to be completed by person detained).
I hereby apply for free legal advice under the Garda Station Legal Advice Scheme.
I hereby declare that to the best of my knowledge and belief that the information provided in respect of this application
is accurate and complete.
I hereby give my consent to the Department of Justice, Equality and Law Reform seeking any report they consider
necessary from the Department of Social, Community and Family Affairs, The Revenue Commissioners, or any other
public body who, in the opinion of the Department of Justice, Equality and Law Reform, is likely to be in a position to
provide assistance to verify the accuracy of the information I have provided in questions (i) to (vi) below.
Signed ______________________________ Date ___/___/ 20___.
WARNING: It is the policy of the Department of Justice, Equality and Law Reform to seek reimbursement of the cost
of legal advice given to a person who makes a false declaration as to their means.
B. Statement of Means (to be completed by person detained, with assistance of solicitor, where
NOTE - Eligibility to receive advice under the Scheme.
A person whose earnings are below €20,316 or who is in receipt of Social Welfare payments is eligible to receive
advice under this Scheme.
Date of Birth
Personal Public Service No. (RSI No.) _______________________
Are you Employed:-
Are you in receipt of a Social Welfare payment
If so, indicate type:-
Solicitor should ensure that this form