Family law referral form

Contact Name *

First Name

Last Name

Client full name *

First Name

Last Name

Cilent date of birth *

MM

DD

YYYY

Client phone number

(###)

###

####

Other party full name *

First Name

Last Name

Other party date of birth *

MM

DD

YYYY

Are there any concerns about contacting the client that we need to be aware of?

For example, their emails or text messages are being monitored, the client cannot be contact by telephone between 1pm and 2pm.

No

Yes (outline below)

The client needs you to contact us to arrange the appointment (if so, please advise the best person to speak with at your organisation)

Do they have a preference for their solicitor?

Yes, would prefer a male

Yes, would prefer a female

No preference

Are there children under 18 years of age?

No

Yes

Does the client require information about:

The family law system in general (for example, what is a mediation, how do matters progress through the system, do they have to go to Court?)

Parenting matters (for example, time arrangements, who a child lives with, paternity, drug and alcohol concerns, moving away with a child, child support)

Financial/property matters (for example, getting access to money, how does a property settlement work, what happens with the family home, what happens with investments)

Divorce