Family Law Form Complete the form online below or download and print a copy to fill out Download a PDF copy Referred byAre you aNew ClientPrior ClientType of offenseDivorcePost JudgementPaternityHave you been served with a Petition or Motion?YesNoIf yes, date served Date Format: MM slash DD slash YYYY Name First Last CompanyTitleEmail Address Home PhoneWork PhoneCell PhoneFaxPreferred method of contactPhoneEmailBothWhen is the best time to contact you?MorningAfternoonEveningSafe Mailing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral 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Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew 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Country Email Home PhoneCell PhoneEmployerBirth date Date Format: MM slash DD slash YYYY Social Security NumberOpposing attorney name (if applicable)Marital InformationParties still cohabitating?YesNoDate of marriage Date Format: MM slash DD slash YYYY Place of marriageDate of separation Date Format: MM slash DD slash YYYY Date of divorce Date Format: MM slash DD slash YYYY Preferred method to receive billing statementMailEmailBothChildren born to the partiesFull NameM/FSSNDOBResides with Disclaimer*I certify that the information provided is true and correct to the best of my knowledge. 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