Please complete this divorce intake before your consultation. The information you provide is confidential and protected by the Attorney-Client privilege.

(Por favor llene este cuestionario de divorcio antes de su consulta. La información que usted de es confidencial y protegida por el privilegio Cliente-Abogado.)

Contact information

Prefix

First name *

Middle name

Last name *

Date of birth

Company

Emails

Address *

Type

Upon submission, a copy of this form will be sent to the primary email.

Add email

Addresses

Street address

Country

City

State/Region

Zip/Postal code

Address type

Add address

Phone numbers

Phone number

Type

Add phone number

Contact information

How did you find us? (Como nos encontro?)

What are you seeking? (Que busca de su divorcio?)

Name of Spouse (Nombre de su pareja)

When and where did you get married? (Cuando y donde se casaron?)

When did you stop living together? (Cuando dejaron de vivir juntos?)

Where do you work? (Donde trabaja usted?)

Where does your spouse work? (Donde trabaja su pareja?)

How much do you earn per month? (Cuanto gana usted por mes?)

How much does your spouse earn per month? (Cuanto gana su pareja al mes?)

How many minor children do you have with your spouse? (Cuantos hijos menores de edad tiene con su pareja?)

What child custody issues are you experiencing? (Que tipos de problemas de custodia tiene?)

Please provide their first names and ages. (Por favor complete su primer nombre y fecha de nacimiento).

Is there domestic violence? Please explain. (Hay violencia domestica? Por favor explique).

If there was domestic violence -- were police report(s) taken? (Si hubo violencia domestica -- hubo reportes de policia?)

What assets & debts do you want divided and when were they purchased? (Que bienes & deudas quiere dividir y en que fecha se adquirieron?)

Do you currently have an attorney? (Ya tiene abogado?)

The consultation costs $45, do you still want to proceed? (La consulta cuesta $45, todavia quiere proceder?)

Do you prefer a phone, video, or in-person consultation? (Prefiere su consulta por telefono, por video, o en persona?)

If our law firm ends up representing you in this matter, will you be the person who pays the legal fees? (Si nuestra firma lo representa, usted va pagar los honorarios?)

How did you hear about us? Referred by?

Other Comments (Otros Comentarios)

What is your language preference? (Que idioma prefiere?)

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