Your Name: *

Your Email: *

Phone:

Cell Phone:

Street Adress:

City:

State:

Zip Code:

Best way to Contact:

Best time to Contact:

Area(s) of Family Law you are interested in:

Describe your Legal Issue:

Do you have children?

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

What is your relationship with the opposing side?

If this is a divorce case, how long were you married?

Do you think the opposing side will be amicable and agree?

If you were served with papers, please provide the exact date?

If you were served; what is the name of the opposing party?
If you also know the name of their attorney, please enter their name.

Have you appeared in court or agreed on terms related to this legal issue?

How soon are you looking to retain an attorney?

Do you currently have an Attorney?
If yes, what is the attorney's name?

Additional information you wish to add:

How did you hear about our firm?

I understand and agree that submitting this form does not create an
Attorney – Client relationship

( The form will not work unless you agree by checking the box )