Information & Request Form - Dekalb County
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1
2DeKalb County Family Law Information Center
Attorney Consultation
Information & Request Form
Date of request:
Appointment date & time:
Requesting party’s full name:
Any other names used now or in the past:
Phone number:
Alternate phone:
Date of birth:
County of residence:
Address:
City & State:
Zip Code:
U.S. Citizen? G Yes G No
If not a U.S. Citizen, please complete Non-citizen Resident form.
Also, if not a U.S. Citizen, we must make a copy of your resident card, I-94, or other CIS
document when you come in, before you can see the lawyer. (If none, refer to Fulton FLIC.)
Opposing party’s full name:
Any other names used now or in the past:
Date of birth:
County of residence:
What type of case do you want to discuss?
Has this case been started in court yet? G Yes G No
Any past court cases between you? G Yes G No
What is the case #?
Hearing date:
Are you having a problem with family violence? G Yes G No G In the past
ALAS Staff Only
G No conflict found – OK to keep appointment for consultation. (ALAS staff initials:
)
G Conflict found – We cannot do consultation. Refer to Fulton FLIC. (ALAS staff initials:
)
Attorney Consultation Notes:
Reset
Print
Send
Rev. 1/07 — Do not use prior version.
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