Family Law Client Questionnaire Form (Page 2 of 3) in pdf

Opposing Party Information

Name:_________________________________________

Home # :________________________

Address:

_____________________________________ Cell #: ____________________________

Email: __________________________________________

Birthday:______/_____/______

Employer:_______________________________________

SSN:______/_____/___________

Opposing Attorney Name ( if applicable): _______________________________

Marital Information (if applicable):

*Parties still COHABITATING? Yes/ No

Date of Marriage:_________________________

Date of Separation:__________________

Place of Marriage:_________________________

Date of Divorce:_____________________

Preferred Method to Receive Billing Statement: Q Mail

Q Email

Q Both

Children Born To the Parties:

Full Name

M/F

SSN

DOB

RESIDES WITH

______________________ ____ _________________ __________ ________________________

I certify that the information given n this Client Intake Questionnaire is true and correct to

the best of my knowledge.

Client Name:

______________________________________________________________

Client Signature: _______________________________________________________________

‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚‚

Attorney Notes:______________________________________________________________________

_____________________________________________________________________________________

____________________________________________________________________________________

Retainer fee quoted:________________________

Costs: ____________________________

Family Law Client Questionnaire Form Page 2