Form for the transmission of a legal aid application | eJustice Portal

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ANNEX

STANDARD FORM

Form for the transmission of a legal aid application

Special Reason -

Special reasons, if any, for requesting urgent action on this application

Special reasons, if any, for requesting urgent action on this application

Dossier reference:

Dossier transmitted by:

Date of transmission

Details of transmitting authority

Name of the transmitting authority:

Member State

Member State:

Person responsible for the dossier:

Address:

Telephone:

Fax:

Email:

To:

Details of the receiving authority

Name:

Member State

Member State:

Address:

Telephone:

Fax:

Email:

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