Client Consultation Form

Thank you for choosing our firm for consultation. Below you will find our online client consultation form. Before filling the form out please review the following information:

If you have not already done so, please visit our website and blog at for more helpful family law information.   If we decide to accept your case after consultation, we will prepare a written employment agreement that establishes the scope and terms of our representation.

Your consultation with us is confidential and will preclude us from representing the opposing party.  We discourage the attendance of friends and family at your initial consultation with us in order to preserve attorney/client privilege and to avoid distraction.

We hope what you learn in consultation with us will be valuable to you.  We encourage you to complete the client information form in advance of consultation.  Please be aware, however, that submitting the information form alone does not establish an attorney/client relationship and does not require us to take any action.  The attorney/client relationship is only formed after you have engaged the firm and consulted personally with one of our attorneys.


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Client Information

Full Name*

Email Address*

Secure Postal Address

Home Phone

Work Phone

Cell Phone

Date of Birth


Your Gross Monthly Income

Opposing Party Information

OP Name

OP Email Address

OP Mailing Address

Home Phone

Work Phone

Cell Phone

OP's Employer

OP's Gross Monthly Income

OP's Attorney

OP's Date of Birth

Marriage and Separation Information

Date of Marriage

County and State of Marriage

Date of Separation

Date of Divorce

Is there a pre- or post-marital agreement?

Child Custody and Support Questions

Name (#1)

Date of Birth (#1)

Name (#2)

Date of Birth (#2)

Name (#3)

Date of Birth (#3)

Name (#4)

Date of Birth (#4)

How are you and the other parent sharing custody?

What work related child care costs are incurred by you or the other parent?

Do the children have health/vision/dental insurance coverage?

If yes, who pays and what is the children's premium?

Has there been previous litigation concerning child custody and support? If yes, please describe to the best of your ability.

Residential address of child/ren for the last 5 years

Case Summary

Additional notes/questions

Please tell us who referred you or how you learned about our services.

I have read the client disclosure at the top of the form and understand/agree to the conditions.

NOTE: Before clicking send, for your records you may want to print your completed client consultation form from a secure and private printer by navigating to the top of the page and clicking on the printer icon.

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