Divorce Intake Form

Your Name

Phone Number

Address

Employer Name, Address, Phone

Name of Spouse

Marital Residence Address

Other property owned jointly

Date and location of marriage

Date of separation

Any personal property you wish to keep

Make and model of any and all vehicles and who’s name the title is held. Also – who will receive the vehicle in the divorce

Do you still reside in residence?

Does your spouse?

Children's name

Children's birthdates

Is the husband the biological father, if not who is?

Is there an open dhs child support case?

Has there ever been a previously adjudicated order of custody?

Children’s addresses for the past 5 years

Who will receive custody of the children and who will pay child support

Who will receive the marital residence if any

What is your goal?