Please complete all required fields. Anything further you can provide will assist us to prepare for your appointment.

First name (required)

Surname (required)

Street address

Suburb

Telephone number (required)

Email address (required)

Ex-partner first name (required)

Ex-partner last name (required)

Ex-partner street address

Ex-partner suburb

Ex-partner email address

Do the parties have children under 18?

What do you require assistance with? (required)

Are you and your ex-partner amicable/do you get along?

Does the other party have a lawyer? If so, who?

Have Court proceedings been started?

Is there a family violence restraining order against you? (required)

Please provide any other details you think would assist us in preparing for your appointment.

Were you referred to us. If so, who referred you?

Please note, very occasionally we cannot assist with a matter as we have a conflict of interest or it is particularly complex. Once you have made your booking we will consider if we cannot assist with your appointment for any reason.

If we cannot, we will unfortunately need to cancel your appointment. You will receive notice of cancellation via email, in which case we sincerely apologise for any inconvenience and appreciate your understanding.

Family Law Intake Form

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