This form helps our attorneys understand your situation and determine how we can best assist you. Please provide complete and accurate information. All responses are confidential. If a question does not apply, write "N/A."

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

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Phone numbers

Phone number

Type

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Contact information

Preferred Contact Method

Other Party's name (if applicable)

Other Party's Phone Number (if known/applicable):

City, State, ZIP

Relationship to You:

If Other, Please Specify

Reason for Seeking Legal Assistance

If Other, Please Specify:

Do you have children?

Are you currently married?

If separated, date of separation:

Do you have a prenuptial or postnuptial agreement?

Financial & Property Information (If Applicable)

Do you own property with the other party?

Do you share debt (loans, credit cards, etc.)?

Do you have joint bank accounts?

Are there significant assets involved (businesses, retirement funds, investments, etc.)?

(If yes, briefly describe):

Is financial support (child or spousal) a concern?

Adoption or Guardianship (If Applicable)

Are you seeking to adopt a child?

Domestic Violence or Safety Concerns (If Applicable)

Has there been any history of domestic violence or abuse?

Do you feel safe communicating with the other party?

Have you worked with another attorney on this matter?

Are there any other legal matters related to your case?

How Can We Best Assist You? Please briefly explain your goals and any concerns you have about your case: