Lloyd Family Law | Prospective Client Intake Form

Prospective Client Intake Form

What is a Prospective Client Intake Form ?

A ‘conflict check’ is required before any discussions can take place with regard to a matter. Completing the Prospective Client Intake Form before or at the time you contact us ensures we are able to process your conflict check before your scheduled appointment.

* Required Fields

Prospective Client

Name: *

Date of Birth:

Address

Email Address *

Phone Number

Spouse

Name: *

Date of Birth:

Address

Email Address

Phone Number

Child

Name:

Date of Birth:

Child

Name:

Date of Birth:

Child

Name:

Date of Birth:

Child

Name:

Date of Birth:

Date of Marriage/Cohabitation

Date of Separation

Date of Divorce

Do you have a separation agreement?

Yes

Have you previously attended court with regard to your current family law matter?

Yes

Have you been served court documents?

Yes

When were the documents served?

Do you have a court date scheduled?

Yes

What is the court schedule date?

Please explain briefly why you are interested in our services?

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