Family Law Intake Form

1

Name of the lawyer you are meeting with

2

Full Legal Names (include any aliases)* This field is required.Include any aliases

First Name

Middle Name

Last Name

3

Email Address* This field is required.

example@example.com

4

Mailing Address * This field is required.

Street Address

City

Province / State

Postal / Zip Code

Country

5

Phone Number* This field is required.

6

Date of Birth* This field is required.

Date

7

Valid Government Photo Identification* This field is required.

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Driver’s license, passport, or BC ID card to verify your identity

8

Occupation

9

Your Current Income* This field is required.

10

If you own a corporation, last year's total net income

11

Year you started living in British Columbia* This field is required.

12

Marital status before this relationship

13

OP Full Legal Name* This field is required.Include any aliases

First Name

Middle Name

Last Name

14

OP Occupation

15

OP Date of Birth

Date

16

OP Current Income* This field is required.

17

If OP owns a corporation, last year's total net income

18

Year OP started living in British Columbia* This field is required.

19

OP's marital status before this relationship

20

Relationship

Married

Common Law

Other

21

Date of cohabitation or marriage* This field is required.

22

Place of cohabitation or marriage

23

Date of separation* This field is required.

24

Is/was there any abuse or violence in the family?* This field is required.

YES

NO

25

DETAILS: Abuse

26

Are there any children from this relationship?* This field is required.

YES

NO

27

Are there any children from this relationship?

28

Are there any children from a previous relationship?* This field is required.

YES

NO

29

Children's names, ages, and school(s)

30

Are there any scheduled or potential court dates?* This field is required.

31

Are you currently receiving or paying child support, if so how much?

32

Court orders regarding protection, visitation, or custody (please describe)* This field is required.

33

Are there any current Section 91 financial restraining orders?

34

AssetsPlease provide us a list of your family assets (both yours and the opposing party's) and their approximate value.

35

DebtsPlease provide us a list of your family debts (both yours and the opposing party's) and their approximate value.

36

Did you bring any assets into the relationship including gifts or inheritances? If so, please name the asset and its approximate value at the time you married/cohabited.* This field is required.

37

Did your partner bring any assets to the relationship including gifts or inheritances? If so, please name the asset and its approximate value at the time you married/cohabited.* This field is required.

38

There are generally 5 issues in family law. Please let us know if any of the below apply to your case.* This field is required.

Child support

Parenting time &decision making

Divorce

Property and debt division

Spousal support

Other (I will provide further information)

39

What are your main legal concerns or questions? (Please be specific)

0/500

40

Attach supporting documents here.* Submit only key documents or correspondence from opposing parties. * We cannot review more than 1-2 pages of supporting documents. * We do not store documents unless you become a retained client. * Reviewing a draft agreement requires a retainer. Please call our office. * Do not email documents; submissions must be made through this form.

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