Please fill out this questionnaire and return it as soon as possible. This is a very thorough questionnaire and it will likely take 15 minutes or so to fill out, but please answer each question fully so that our initial meeting with you will be as efficient and comprehensive as possible. You will have an opportunity during your attorney consultation to ask about any sections of the packet that are unclear.
Also, this packet is 100% confidential and so it is imperative that you be candid.
If a question does not apply to your particular situation, please indicate by marking “N/A”. If the answer to any question requires more space than has been provided on the form, please complete your answer on a separate sheet: Refer to the question number to which your answer applies, and attach your answer to this questionnaire.
Your responses to these questions will help us organize your case and will save you money on attorney’s fees in trying to gather and assemble information after the case is in progress.
NOTICE OF CONFIDENTIALITY
THE INFORMATION IN THIS DOCUMENT IS SUBJECT TO THE ATTORNEY-CLIENT PRIVILEGE, AS PROVIDED IN THE TEXAS RULES OF CIVIL EVIDENCE.
THE CONTENTS OF THIS DOCUMENT CONSTITUTE ATTORNEY WORK
PRODUCT.
THE CONTENTS OF THIS DOCUMENT ARE CONFIDENTIAL AND ARE NOT TO BE DISCLOSED TO THIRD PERSONS OTHER THAN THOSE TO WHOM DISCLOSURE IS MADE IN FURTHERANCE OF THE RENDITION OF PROFESSIONAL LEGAL SERVICES.
COMPLETION OF THIS PACKET DOES NOT CREATE AN ATTORNEY-CLIENT RELATIONSHIP
ALTHOUGH THIS PACKET IS SUBJECT TO THE ATTORNEY-CLIENT PRIVILEGE, FILLING IT OUT AND SUBMITTING IT TO OUR FIRM DOES NOT ENGAGE THE FIRM OR ANY OF OUR ATTORNEYS AS YOUR COUNSEL AND DOES NOT OBLIGATE OR AUTHORIZE THE FIRM TO ACT ON YOUR BEHALF. SUCH ENGAGEMENT WILL BEGIN ONLY AFTER YOU SIGN A RETAINER AGREEMENT AND RETURN IT TO THE FIRM ALONG WITH THE AGREED UPON RETAINER FEE. THIS PROCESS WILL BE CLARIFIED IN FURTHER DETAIL DURING YOUR CONSULTATION.
Contact information
Prefix
First name
*
Middle name
Last name
*
Date of birth
Company
Emails
Email Address
*
Type
Upon submission, a copy of this form will be sent to the primary email.
Work
Home
Other
Primary
Default email false
Add email
Addresses
Street address
Country
Australia
Canada
United Kingdom
United States
---------------
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
City
State/Region
Alaska
Alabama
Arkansas
American Samoa
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Northern Mariana Islands
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Virginia
Virgin Islands, U.S.
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Province/Region
Zip/Postal code
Address type
Work
Billing
Home
Other
Primary
Default address false
Add address
Phone numbers
Phone number
Type
Work
Home
Mobile
Fax
Pager
Skype
Other
Primary
Default number false
Add phone number
May we text you?
Yes
If so, at what number may we text you?
No
How long have you lived in Texas?
In what county do you now reside?
How long have you lived there?
Place of Birth: City, County, State
Race:
Your date of birth?
Last 3 digits of your Driver's License Number
Last 3 digits of your SSN
Do you have a Maiden name?
If this is for a divorce proceeding, do you want your Maiden name restored?
Yes
If so, please list EXACTLY how you want your name to be after the divorce.
No
Employer Name
Employer Address
Employer Telephone Number
Approximate Annual Income
Emergency Contact? (Please provide a name, telephone number, email address and their relation to you for your emergency contact).
Case Information
Which County has jurisdiction over your case?
Collin
Denton
Grayson
Dallas
Tarrant
Other
Which County?
What type of case?
Divorce with Children
Divorce without Children
Modification
Enforcement / Contempt
Paternity
SAPCR
Other
What type?
Have you been served with any documents in this case so far?
Yes
If so, please provide the date you were served and email a copy of all documents served upon you to our office prior to your consultation.
No
Have you filed anything into this case so far?
Yes
If so, please provide the date and email copies of everything filed into the case to our office prior to your consultation.
No
Is there a Pre-Nuptial Agreement?
Yes
No
Is there a Post-Nuptial Agreement?
Yes
No
Opposing Party Information
Full name, address, telephone number and email address for Opposing Party.
Date of Birth
Race:
Place of Birth: City, County, State
Alternate Names / AKAs
SSN, if known
Driver's License number, if known
Employer Name
Employer Address
Employer telephone number
Approximate Annual Income, if known
In what County does the Opposing Party reside?
Is your ex-spouse or opposing party remarried?
Yes
Name of current spouse
No
If opposing party has an attorney, please provide the name.
Marriage Information
Were you and Opposing Party ever married to each other?
Yes
Date of Marriage
Place of Marriage
Date of Separation
City, County and State of Separation
No
Do you have any children from a different relationship or prior marriage?
Yes
How many?
Names and DOB
No
Do you pay or receive child support?
Yes
If so, how much?
No
Does the Opposing Party have any children from a different relationship or prior marriage?
Yes
How many?
Names and DOB
No
Does your ex-spouse or opposing party pay or receive child support?
Yes
How much?
No
Is either party pregnant at this time?
Yes
Which party?
When is the baby due?
No
Have you or your spouse ever declared bankruptcy?
Yes
If so, when and where?
No
Is your bankruptcy still pending?
Referral Information
To which attorney were you referred?
Who referred you to us?
Name of Person
Name of Website
If an advertisement, what and where did you encounter it?
Children in this Suit
Child 1:
Yes
Full Name
Sex
Date of Birth
City and State Where Born
Social Security Number
Person Providing Health Insurance
Current Grade
No
Child 2:
Yes
Full Name
Sex
Date of Birth
City and State Where Born
Social Security Number
Person Providing Health Insurance
Current Grade
No
Child 3:
Yes
Full Name
Sex
Date of Birth
City and State Where Born
Social Security Number
Person Providing Health Insurance
Current Grade
No
Child 4:
Yes
Full Name
Sex
Date of Birth
City and State Where Born
Social Security Number
Person Providing Health Insurance
Current Grade
No
Child 5:
Yes
Full Name
Sex
Date of Birth
City and State Where Born
Social Security Number
Person Providing Health Insurance
Current Grade
No
What is your current possession schedule of the child/ren?
Details about the Case with respect to the Children
Will there be a dispute over custody of the children?
Yes
No
If not, with whom will the children be primarily residing?
With whom are the children now residing?
Mother
Father
Other
if so, with whom?
Where are the children now residing?
In which school district(s) are the children enrolled?
Are there any court orders regarding any of the children?
Yes
If so, please list cause number(s) and county.
No
Do your children own any property in their own names? (such as through inheritance, large gifts, etc.)
Yes
If so, please provide details.
No
Is there now or do you want a geographical restriction placed on the residence of the children?
Yes
If so, what is the restriction wanted or currently in place?
No
Are you wanting an existing geographical restriction removed?
Yes
If so, why?
No
Have you or the other parent ever sought or been subject to a protective order?
Have you or the other parent ever contacted or been contacted by Child Protective Services?
Yes
If so, when and why?
No
City, County and State of Birth
I agree that I will confer with my attorney prior to calling Child Protective Services for any reason related to my family.
I agree
Have you or the other parent ever contacted or been contacted by the Office of the Attorney General?
Have you or the other parent ever been arrested for or convicted of a crime other than receiving a traffic ticket?
FOR DIVORCES ONLY
Do you own your current residence?
Yes
What is the approximate value?
What is the approximate principal balance of your mortgage?
What is your approximate monthly mortgage payment?
No
Do you own any real estate which you acquired prior to marriage?
Yes
If so, please detail.
No
Motor Vehicles
Vehicle 1 - Year, Make and Model
Value
Amount Owed on loan/lien
VIN #
Name(s) on Title
Should this be awarded to Husband or Wife?
Vehicle 2 - Year, Make and Model
Value
Amount Owed on loan/lien
VIN #
Name(s) on Title
Should this be awarded to Husband or Wife?
Vehicle 3 - Year, Make and Model
Value
Amount Owed on loan/lien
VIN #
Name(s) on Title
Should this be awarded to Husband or Wife?
Financial
Do you have a checking account?
Yes
If so, please provide last 4 digits and name of banking institution(s).
Approximate Balance
No
Do you have a savings account?
Yes
If so, please provide last 4 digits and name of banking institution(s).
Approximate Balance
No
Do you have separate Stocks and/or Bonds?
Yes
If so, please provide last 4 digits and name of banking institution(s).
Approximate Value
No
Do you have a Retirement Plan?
Yes
If so, please provide last 4 digits and name of banking institution(s).
Approximate Value
No
Do you have a Profit Sharing Plan?
Yes
No
Do you have Life Insurance?
Yes
If so, how much?
Who is the beneficiary at this time?
No
Do you have Medical Insurance?
Yes
Is this through your employer?
Is this through your spouse's employer?
No
Does your spouse have a separate checking account?
Yes
If so, please provide last 4 digits and name of banking institution(s).
Approximate Balance
No
Does your spouse have a separate savings account?
Yes
If so, please provide last 4 digits and name of banking institution(s).
Approximate Balance
No
Does your spouse have separate Stocks and/or Bonds?
Yes
If so, please provide last 4 digits and name of banking institution(s).
Approximate Balance
No
Does your spouse have a Profit Sharing Plan?
Yes
No
Does your spouse have a Retirement Plan?
Yes
If so, please provide last 4 digits and name of banking institution(s).
Approximate Balance
No
Does your spouse have Life Insurance?
Yes
If so, how much?
Who is the beneficiary at this time?
No
Does your spouse have Medical Insurance?
Yes
Is this through your employer?
Is this through your spouse's employer?
No
General Information
Are you or your spouse now, or have ever been, a member of the U.S. Armed Forces?
Yes
No
Do you and your spouse have a premarital agreement?
Yes
No
Do you already have an attorney?
Yes
If so, whom?
No
Have you done ANY recreational drugs (smoked marijuana, ingested edibles, etc.) in the last 6 to 9 months?
Yes
If yes, please describe:
No
Has your spouse done ANY recreational drugs (smoked marijuana, ingested edibles, etc.) in the last 6 to 9 months?
Yes
If yes, please describe:
No
Please provide any additional information you would like your consulting attorney to know in advance of your meeting:
Thank You
If you have completed the form, please click
SUBMIT
.