Domestic & Family Law Intake Form If you are a human and are seeing this field, please leave it blank. Fields marked with a * are required Details of Your Legal Matter What type of divorce is this? UncontestedAdversarial Are you the husband or wife? HusbandWife Are you currently living in the same home? YesNo How many years have you been married? - Select One - Less than one year 1-2 years 3-4 years 5-10 years 15-20 years More than 20 years How many children do you have, if any? - Select One - None One Two Three Four or more If there are children, might custody be an issue? YesNoNot sure Do you own any assets worth negotiating over, other than cars? YesNoNot sure Have you discussed property division and child support with your spouse? YesNo Is there drug or alcohol abuse in the situation? YesNoNot sure Is there domestic violence in the situation? YesNoNot sure Additional Details General Info Business First Name * Last Name * Email * Home Phone Work Phone Cell Phone Preferred Contact Method - Select One - Email Home phone Work phone Cell phone 2 + 5 = * The contents of this contact form are provided by and are the responsibility of the person posting the email communication. Your email will not create an attorney-client relationship and will not necessarily be treated as privileged or confidential. You acknowledge that any reliance on material in email communications is at your own risk. If you are a human and are seeing this field, please leave it blank.