Roster Application Form

Page Content

Thank you for your Application

It has been successfully submitted to Legal Aid Alberta and our staff will contact you when your credentials are ready to access the Lawyer Portal.

General Information

Type of Account


Personal Information

Please identify other names you may have used with Legal Aid Alberta using the Alias Name text boxes. This will assist Legal Aid staff in determining whether or not you have been on the LAA Roster in the past as a Lawyer or an Assistant to a Lawyer.
Last Name
First Name
Middle Name
Gender
Alias Name
Alias Name


Lawyer Information

Are you exempt of GST?
Alberta Law Society Number
Alberta Year of Call
GST Registration Number
   


Student Lawyer Information

Name of Principal
Firm Email Address
Year of Admission (or Expected) to Alberta Bar


Contact Information

Firm Name
Work Number
Work Extension
Mobile Number
Fax Number
Email
Preferred Method of Contact
Address 1
City
Address 2
Province
Address 3
Postal Code

Pursuant to the Personal Information Protection Act, Legal Aid Alberta is committed to protecting the personal information and privacy of all law firms and lawyers who accept legal aid certificates. Personal information of law firms and lawyers will not be released to any person, institution or agency unless it is deemed necessary for the provision of legal aid services or is legally required by Federal or Provincial laws.

I understand and agree that when I accept appointment to act for a recipient of Legal Aid, I will be bound by the terms of the retainer contained on the Legal Aid Certificate and by the Legal Aid Tariff and the Legal Aid Rules as amended from time to time.

Submit Application