[Form for Service XYZ]

Name of the company
Name of the caseworker
Name of the applicant
Applicant's details
Date
Pick-up date
Pick-up type


 Picked up by Gio Legal Courier
 Sent by post
 Drop-in to our office
Requested pick-up time

...station



(see the map)
Return date
Return type


 Returned by Gio Legal Courier
 Sent by post
 Picked up from our office
Requested return time

...station



(see the map)
Further comments





I agree to Gio Legal Services' Terms and Conditions.