Fill in authorization form Sending... The form has been sent successfully. I will contact you as soon as possible. The form cannot be sent yet. First fill in the required fields. Information Completing this form means you have requested me to act on your behalf as your legal representation and that you grant me authorization to gather further information at the Legal Aid Board (Raad voor Rechtbijstand), the IND and in the case of replacing your current lawyer, that I may request to take over your file. I will only formally become your lawyer and authorized representative when I have honored your request and confirmed this with you in writing. Full name Gender (male/female/LGBTI) V-number BSN-number (optional) Address and house number Postal code City Date of birth Partner I have a partner Full name Gender (male/female/LGBTI) V-number BSN-number (optional) Date of birth Children I have one or more children (up to 16 years old) Full name child 1 Date of birth child 1 Add child General information Country of origin Telephone number Email address Signature I herewith request you to act on my behalf as my legal representative and grant for this purpose authorization to gather further information at the Legal Aid Board (Raad voor Rechtbijstand), the IND and if necessary from your current lawyer. It is my understanding that you will only formally become my lawyer and authorized representative after you have honored this request and confirmed this to me in writing. Draw your signature(s) here: Try again Full name: - Try again Full name partner: - Submit