Consultation Intake Form

    FAMILY LAW PROSPECTIVE CLIENT INFORMATION

    CONFIDENTIAL CLIENT INTAKE SHEET

    * Skip any section with an asterisk if there are no children from this marriage.

    I. GENERAL INFORMATION:

    MaleFemale


    PetitionerCo-PetitionerRespondent

    ContestedNot ContestedBy Default

    II. PERSONAL DATA:

    NoYes

    III. OPPOSING PARTY: ( spouse, former spouse, or co-parent)

    MaleFemale

    YesNo

    YesNo

    IV. OTHER POTENTIALLY INTERESTED PARTIES:(Grandparents, etc.)

    V. CHILDREN AT ISSUE*

    First Child Information:

    MaleFemale

    Second Child Information:

    MaleFemale

    Third Child Information:

    MaleFemale

    *If additional space is required, use the back of this form

    VII. MARRIAGE FACTS: (complete regarding your present marriage)

    Dissolution of MarriageLegal Separation

    YesNo