Divorce Intake Fill out the below form and we will contact you. Your First Name Your Last Name Your Email Address Your Street Address Your City Your State Your zip code Spouse Name Date of Marriage County Marriage is Registered in Have You Lived Apart More than 2 Years? No Yes Your Date of Birth Spouse Date of Birth Your Employer Please list your employer, length of employment and annual salary Spouse Employer Please list your spouse's employer, length of employment and annual salary Children Please list the children of you and your spouse including date of birth Children Reside With Please state who the children currently live with & any visitation schedule you are currently following Custody Goal Please state your goal for custody & visitation of your children Do You Want Maintenance Please tell us if you want maintenance and any details relating to your request Do You Believe Your Spouse Will Request Maintenance? Please tell us if you believe your spouse will request maintenance and any details relating to their request Other Information Please let us know anything else that you believe is important to your case Divorce Intake was last modified: March 3rd, 2020 by Cynthia
