FAMILY LAW CONSULTATION

*Name:

*Address:

*City:

*State:
Choose One AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

*Zip:

*E-mail address:

*Home Phone:

Business Phone:

Cellular or Pager:

Facsimile:

What type of family law matter are you interested in?
Choose One Adoption Alimony Support Annulment Child Custody Child Support Cohabitation Civil Union Divorce Dissolution Modifications Divorce Decree International Adoption Legal Separation Prenuptial Agreement Protective Order Visitation Other

Are you currently married or cohabiting?  If yes, Check one:
Married  Cohabiting 

List his or her name, date of birth, and date of marriage/cohabitation:

Do you have children?
Yes  No 

If yes, list their names and dates of birth:

If you have children, with whom and where do they live now?

Were you previously married?
Yes  No 

If yes, when and how did your previous marriage(s) end?

Is your case contested or do you anticipate you will meet opposition to your anticipated actions?
Yes  No 

Have you been served with papers in a family law matter?
Yes  No 

If yes, what is the name of the opposing party and his or her attorney (if known)?

What is your relationship with the opposing party?
Choose One Spouse Former Spouse Cohabitant Co-parent Other Relationship

If "Other Relationship," please explain:

Have you appeared in court or agreed on terms related to this matter?
Yes  No 

Do you have copies of any documents (court decrees, dissolution agreements, etc.) related to this matter?
Yes  No 

What types of documents do you have?

Is domestic violence an issue in this matter?
Yes  No 

If yes, please describe, including any court actions and incident dates.

Is property at issue?
Yes  No 

If yes, please describe the property and anything known with regard to legal ownership.

Are you or any person involved in this matter currently pregnant?
Yes  No 

Where did you hear about this website?
Choose One Television Ad Radio Ad Newspaper Ad Billboards Referred by a Friend Search Engine

NOTE: Submitting this information does not mean that an attorney at Johnston, Kays & Smith is acting as your attorney or has agreed to represent you or officially advise you in any capacity.  After your consultation, both you and the attorney must mutually agree to have him represent you by signing a written contact.  This written contact, also know as a "retainer agreement," is signed by you and the attorney. The retainer agreement clearly explains the cost of representation and the scope of legal work that the attorney will perform for you.  Disclaimer