What type of legal matter do you have?

In what county to the parties to the matter reside?

What type of services are needed (check all that apply)?

Divorce
Legal Separation
Child Custody
Child Support
Domestic Violence
Spousal Support
Visitation Rights
Other

Has anything been filed with the Court?

Yes
No

If yes, what is the date?

Are there any children involved?

Yes
No

If so, is custody contested or do you have concerns about the other parent?

Yes
No

How long have you been married?

Are you employed? Your spouse?

Do you own property together; if so, describe those assets.

Are there issues of division of debt?

Yes
No