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:

 Male Female


 Petitioner Co-Petitioner Respondent

 Contested Not Contested By Default

II. PERSONAL DATA:

 No Yes

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

 Male Female

 Yes No

 Yes No

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

V. CHILDREN AT ISSUE*

First Child Information:

 Male Female

Second Child Information:

 Male Female

Third Child Information:

 Male Female

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

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

 Dissolution of Marriage Legal Separation

 Yes No