Thank you so much for contacting our law office! We are looking forward to working with you. Please take a few minutes and complete our Family Law Intake Form. All of the information provided helps us assist you throughout the whole process. Thank you for trusting us!

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 256-bit SSL encryption.

Your Social Security number and other personal information will only be used in the event that you hire the firm to represent you in your legal matter, and then only when necessary in limited use during the course of your case.

Social Security numbers are most often used to positively identify parties. Most courts require the Social Security numbers of all parties in a case. Some other examples of how this information may be used include:

initial service
in court orders
in required reports or other documents filed with the State

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

Contact information: Your Name and Contact Information

Prefix

First name *

Middle name

Last name *

Date of birth

Emails

Address *

Type

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

Add email

Addresses

Street address

Country

City

State/Region

Zip/Postal code

Address type

Add address

Phone numbers

Phone number

Type

Add phone number

Contact information: Your Name and Contact Information

What type of legal action do you need?

Which county have you or do you intend to file a court action?

Has a court action been filed in this case?

Is this a modification to an existing court order?

Has a Protection from Abuse Order been filed and/or entered?

Previous Last Name

Your Social Security Number

Potential Client Gender

Potential Client Race

Do you have any military history?

Your Spouse or Opposing Party Personal Information

Name:

Social Security Number:

Opposing Party Address:

Opposing Party County:

Opposing Party Phone Number:

Opposing Party Email Address:

Opposing Party Date of Birth:

Opposing Party Gender

Opposing Party Race

Opposing Party Previous Last Name:

Does this person have any military history?

Was this person previously married?

Marriage Information

Date of Marriage:

Date of Separation:

Place of Marriage:

Number of marriages for client

Number of marriages for opposing party

Are Parties Sharing the Same Household?

Are there any children born during the course of this marriage?

Child 1 Date of Birth

Child 2 Date of Birth

Child 3 Date of Birth

Child 4 Date of Birth

Are any children adopted?

Are you and your spouse expecting?

Who are the minor children residing with?

Education

State the total number of years of formal education you have completed:

State the total number of years of formal education the opposing party has completed:

Additional Information

Any additional information?

If a court action has been filed, please attach a copy.

Thank You