Please fill in the following information and bring this form with you when you meet with us
for a divorce consultation. This information will
help us have a more productive consultation. No one will see this form other than us. This information will be kept confidential.
Part I. Your Information
Your Name
Mr. Mrs. Ms
Address
City
Postal Code
Telephone Number
E-mail Address
How long have you lived in Ontario?
Your Employer
Your Position
How long have you worked there?
Part II. Spouse's Information
Spouse's Name
Mr. Mrs. Ms
Spouse's Employer
Spouse's Position
How long has your spouse worked there?
Part III. Family and Marriage Information
Please list the names and ages of children from this marriage.