Family and Matrimonial Enquiry Form

Information about you.

Name

Date of Birth

Home Phone

Work Phone

Mobile Phone

Email address

Information about your situation.

1 Do you wish for advice in relation to a divorce or separation with your spouse?

2 Do you have financial and property issues to resolve with your spouse?

3 Do you have children with your spouse and need advice in relation to such issues?

4 Do you need protection from a violent or threatening spouse, partner or another person with whom there is a family link?

5 Do you have children and a dispute concerning them with a former partner or another relative who is not your spouse or former spouse?

6 Do you need advice for a matter involving children and Social Services?

7 Is your case in connection with a co-habitant or former co-habitant involving property?

8 Would you like an urgent appointment, if considered appropriate by ourselves?

Do you receive state benefits and, if so, please specify which type of benefit you are in receipt of so that we can assess initially your eligibility for public funding assistance?

Are there any other factors or concerns that you would initially like us to consider? If so, please specify

Any other information