New Client Information Form

The purpose of your initial consultation is for us to advise you as a prospective client concerning your unique situation and to obtain detailed information that will be used to prepare the documents needed for your case. The purpose is not to render a definitive legal opinion on all issues, as it may not be possible for us to fully assess your matter during an initial consultation. However, our clients usually obtain a tremendous amount of information about the divorce process in general and valuable insight as to how the issues in their case may be addressed:

One of three outcomes is possible following your initial consultation:

1. You may decline to use our services;

2. We may decline to represent you; or

3. We and you mutually agree to the terms of representation.

The questions in this form will help us to understand your situation and to get information in a way that will save you and us valuable time at the consultation. Your responses are protected by attorney/client privilege and will be held in strict confidence. Please do not submit this information if you are not seriously interested in obtaining an uncontested divorce.

If you agree to hire us and we agree to represent you, then you will sign a Contract for Legal Services at or following your initial consultation. The Contract for Legal Services will describe the terms and conditions of representation and the cost to you.

Our firm does not represent you with regard to the matter described by you in this information sheet or discussed during your consultation unless and until you have paid the agreed upon flat fee or retainer and you have signed the Contract for Legal Services.

If we decide that we cannot represent you, our decision not to represent you should not be taken by you as an expression regarding the merits of your case or any issue in it.

By filling out this form, you are only providing information to us as a potential client. This does not mean that you have hired an attorney. However, any information that you reveal will remain private and confidential. You may decline to give any information that you do not want to provide at this time.

Please provide the following contact information for yourself: (Use the Tab key to move from one answer block to the next. DO NOT use the Enter key).

Do you want us to contact you to discuss your case? Yes No

What is the best way for us to reach you? Telephone Email

First Name
Middle Name
Last Name
Your Birth Date (mm/dd/yyyy)
Your County
Mailing Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Best phone number for you
Secondary phone number
Your e-mail address

What is your occupation?

What is your spouse's occupation?

What is your/your wife's maiden (birth) name?

Will there be a name change for you/your wife? Yes No

What will be your/your wife's FULL name after the divorce?

How many times have you been married?

How many times has your spouse been married?

Please select what best describes your situation:

County where the divorce will occur:
Do you and your spouse have any minor children together? NoYes
Is there any joint debt (mortgage, credit card, car loan, etc.)? YesNo
Do you or your spouse currently own ANY real estate? Yes No*
What date did you and your spouse marry?
When did you and your spouse separate? (Use current date if still living together)

* Includes house, undeveloped acreage/lot, time share, investment property, etc.

Please provide the following contact information for your spouse:

First Name
Middle Name
Last Name
Spouse's Birth Date (mm/dd/yyyy)
Spouse's County
Mailing Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home/Cell Phone

Choose one of the following that best describes whether you think you and your spouse can reach (or already have) an agreement on all of the major issues in your case:

Please enter the FULL name, gender and date of birth for all of your children that you have with your spouse who are currently below age 19.

Our firm offers cost-effective representation in both uncontested and contested cases but focuses on uncontested divorce.

Robert L. Jones, Attorney at Law; (770) 794-3220