Accreditation form

To apply for accreditation with us please complete the form below. Once your firm is accredited, your clients can apply for legal loans. You can download a Word .DOCX version if you prefer.

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Legal Finance Referrer Agreement
Before you commence completing the accreditation questions, please read the Legal Finance Referrer Agreement as its acceptance is completed online at the conclusion of the form.
Contact details
Name*
First Last
Email*
Phone number*
Your firm
Firm name*
Type of firm*
Please provide further detail on type of firm
ABN*
ACN
Address
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
How many years has your firm been trading?

Due diligence
To comply with regulatory requirements Plenti is required to perform a simple due diligence assessment of the firm and its partners/directors who refer customers to Plenti to finance the purchase of services provided by the firm (or their affiliate). This brief assessment covers high-level financial, legal and reputational matters. We may conduct a credit bureau search on the business and its directors / partners. We reserve the right to request the business' financial statements.
I consent to Plenti conducting a credit bureau search on the business*
I consent
How many partners/directors does the firm have?*
For firms with only 1 or 2 directors/partners, we are required to conduct a personal credit bureau search on one of the directors/partners in addition to the credit bureau search on the business.
I consent to Plenti conducting a credit bureau search on myself
Please provide your residential address, to enable us to perform a credit bureau search
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Your Date of Birth*
Date Format: DD slash MM slash YYYY

Solvency
Please confirm that the firm is able to meet its liabilities as and when they fall due.*
Material litigation proceedings
Is the firm involved as a party in any significant past, current or pending litigation proceedings?*
Please provide details
Client disputes
Are there any significant past, current or pending proceedings or disputes with current or former clients relating to professional misconduct, misrepresentation, professional negligence or breach of a warranty or undertaking by the firm?*
Please provide details
Licensing
Does the firm hold all necessary licences in order to provide the legal services that will be financed under this accreditation?*
Insurance
Please provide details of any professional indemnity insurance the firm holds including the insurer's name and cover limits.*
At any time in the last 5 years have you or the firm been the subject of any claims which were covered under Professional Indemnity or Public Liability insurance policies?*
Please provide additional details about these claims.
Has the firm, or any of its directors or Partners, ever been denied cover by an insurer?
Please provide additional details.
Our agreement
Please confirm that you have read and that the firm agrees to the terms of the Legal Finance Referrer Agreement*
*
I confirm
Please confirm that you have read and that the firm agrees to the Privacy Statement and Electronic Communication Consent
*
I confirm
Some law firms choose to add Plenti to their home page or client resource centre of their website. Please indicate if you would like a copy of our logo in order to do this, and we can provide some information with your welcome pack once accredited.
Do you consent to Plenti displaying your logo on our webpage as an accredited referrer? If yes, we'll contact you for a copy of your logo.
Comments
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Questions? Email us or call us 02 7202 2427

Accreditation form

Step 1 of 3

Legal Finance Referrer Agreement

Contact details

Your firm

Due diligence

Solvency

Material litigation proceedings

Client disputes

Licensing

Insurance

Our agreement

Questions? Email us or call us 02 7202 2427