Form 39 ACC legal aid Fixed Fee [pdf, 578 KB]
Templates V12 – August 2017 page 1 08/17 form 39 Amendment to Grant ACC Fixed Fee Plus Legal aid file no. Lead provider’s ref. Name of aided person Name of lead provider Name of law firm Applicable fee schedule(s) Amendment sought: To replace fixed fee (start at A below) For disbursement requiring prior approval (start at B below) Amendment criteria A. Please tick the criteria that best describe the reason(s) for this amendment...