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Family Law Case Evaluation Form

*Name:

*Address:

*City:

*State:

*Zip:

*E-mail address:

*Home Phone:

Business Phone:

Cellular or Pager:

Facsimile:

What type of family law matter are you interested in?

Are you currently married or cohabiting?
Yes  No 

Check one:
Married  Cohabiting 

If yes, list his or her name, date of birth, and date of marriage/cohabitation:

Do you have children?
Yes  No 

If yes, list their names and dates of birth:

Name Date of Birth

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

Were you previously married?
Yes  No 

If yes, when and how did your previous marriage(s) end?

Is your case contested or do you anticipate you will meet opposition to your anticipated actions?
Yes  No 

Have you been served with papers in a family law matter?
Yes  No 

If yes, what is the name of the opposing party and his or her attorney (if known)?

What is your relationship with the opposing party?

If "Other Relationship," please explain:

Have you appeared in court or agreed on terms related to this matter?
Yes  No 

Do you have copies of any documents (court decrees, dissolution agreements, etc.) related to this matter?
Yes  No 

What types of documents do you have?

Is domestic violence an issue in this matter?
Yes  No 

If yes, please describe, including any court actions and incident dates.

Is property at issue?
Yes  No 

If yes, please describe the property and anything known with regard to legal ownership.

Are you or any person involved in this matter currently pregnant?
Yes  No 

Where did you hear about this website?

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Our family law firm represents clients in the Philadelphia, Pennsylvania area, as well as throughout Philadelphia, Bucks, Montgomery, Delaware, and Chester counties, and cities and towns such as Holland, Newtown, Doylestown, Norristown, Abington, Wyncote, Penn Valley, Ardmore, Havertown, Lafayette Hill, Lansdowne, Lower Merion, Elkins Park, Willistown, Upper Providence, West Chester, Upper Darby, and Media in Pennsylvania and Camden, Burlington, Gloucester and Atlantic counties in New Jersey.