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Domestic & Family Law Intake Form

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Details of Your Legal Matter

What type of divorce is this?

Uncontested
Adversarial

Are you the husband or wife?

Husband
Wife

Are you currently living in the same home?

How many years have you been married?

How many children do you have, if any?

If there are children, might custody be an issue?

Yes
No
Not sure

Do you own any assets worth negotiating over, other than cars?

Yes
No
Not sure

Have you discussed property division and child support with your spouse?

Is there drug or alcohol abuse in the situation?

Yes
No
Not sure

Is there domestic violence in the situation?

Yes
No
Not sure

Additional Details

General Info

Business

First Name *

Last Name *

Email *

Home Phone

Work Phone

Cell Phone

Preferred Contact Method

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Personal Injury & Malpractice