Client Information Sheet
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1CLIENT INFORMATION SHEET
MY DETAILS
OTHER PARTY’S DETAILS
Surname:
Surname:
First Names:
First Names:
Home Address:
Home Address:
Yes
No
Can we send mail to this address? Yes
No
Can we send mail to this address?
Postal Address: (if different to above)
Postal Address: (if different to above)
Yes
No
Can we send mail to this address? Yes
No
Can we send mail to this address?
Email Address:
Email Address:
Yes
No
Can we send mail to this address? Yes
No
Can we send mail to this address?
Work Phone:
Home Phone:
Work Phone:
Home Phone:
Mobile Number:
Mobile Number:
Facsimile Number:
Facsimile Number:
Date of birth: _____ / _____ / _____
Date of birth: _____ / _____ / _____
Place of birth:
Place of birth:
Occupation:
Occupation:
Employer:
Employer:
Income:
Income:
RELATIONSHIP DETAILS
OTHER LAWYERS
Date Commenced Living Together: _____ / _____ / _____
Firm Name:
Solicitor’s Name:
Date of Separation: _____ / _____ / _____
Date of Marriage: _____ / _____ / _____
Address:
Date of Divorce: _____ / _____ / _____
Phone:
Yes
No
Have you attended mediation/family dispute resolution?
Please specify: ________________________
Yes
No
Do you have a S60I Certificate?
Yes
No
Are there any Family Violence issues?
Please specify: ________________________
CHILDREN
Full name:
Date of birth:
Age:
Lives with:
_____ / _____ / _____
_____ / _____ / _____
_____ / _____ / _____
_____ / _____ / _____
Yes
No
Do you have a Marriage Certificate?
Yes
No
Do you have a Divorce Certificate?
Yes
No
Do you have Birth Certificates for the children?
How did you first hear about us?
Yellow Pages
City News
Internet search
Other
Please specify: ___________________
Were we recommended to you by someone else?
Yes
No
Please specify so that we may thank them: ___________________________________________________________________
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Parent category: Business