Family Law Intake Form

Personal Information

First Name

Last Name

Date of Birth

Social Security Number

Current US Address

City

State

Zip

Phone Number

Case Information

Type of case

Brief description of legal issues

Is there an existing court case?

If yes, please bring copies of all court orders to your consultation.

Are there any immediate deadlines or court dates

Marriage Information (If Applicable)

Date of marriage

Date of separation(if applicable)

Place of marriage

Spouse/other part information

First name

Last name

Date of birth

Contact information

Current Address

Children Information (if applicable)
Note: Information about minor children is particularly sensitive and confidential

Child 1

Number of children

First name

Last name

Current Living Agreement

Financial Information
This information is important for cases involving support or property division

Employment status

Current Employer

Monthly Income

Other income sources

Vehicle Owned

Significant Asset

Document Ckecklist
Please bring the following documents to your consultation (if applicable)

Confidentiality Notice: The information provided in this form is confidential and protected by attorney-client privilege
Accuracy Statement: I certify that information provided is true and accurate to the best of my knowledge
Legal Representation: Completing this form does not establish an attorney-client relationship. We will discuss representation during your consultation

Family Law Intake Form

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