Family Law Divorce Intake

Thank you so much for contacting our law office! Please read the privacy policy below, and then fill out this form in its entirety prior to our consultation.

Privacy Policy

All information received from a client is strictly confidential. Our firm takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 128-bit SSL encryption.

If you have any questions, please don't hesitate to contact our law office. We look forward to working with you!

CLIENT INFORMATION

Contact information

Prefix

First name *

Middle name

Last name *

Date of birth

Emails

Email Address *

Type

Upon submission, a copy of this form will be sent to the primary email.

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Addresses

Street address

Country

City

State/Region

Zip/Postal code

Address type

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Phone numbers

Phone number

Type

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CASE INFORMATION

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THANK YOU

Thank you so much for completing this intake questionnaire. This information will be extremely helpful in evaluating your case. We will contact you as soon as possible with any updates.

Please click the SUBMIT button below when you have finished answering all questions.

Today's Date

CLIENT INFORMATION

Contact information

Preferred Contact Method

Driver's License Number

Are you currently employed?

How were you referred to our law firm?

If our law firm ends up representing you in this matter, will you be the person who pays the legal fees?

CASE INFORMATION

Date of Present Marriage

Date of Separation

Date of Prenuptial Agreement

Where was your marriage performed?

Name of Spouse or Opposing Party

Reason(s) for Divorce

Do you have any children under 18?

Do you have significant assets or property to be divided?

Do you have joint debts or liabilities?

Do you seek spousal support/alimony?

Is the divorce contested or uncontested?

Have there been any incidents of domestic violence or abuse?

Is there any other information that might be relevant to your case?

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ACKNOWLEDGEMENT AND ACCEPTANCE

THANK YOU