Please provide your ZIP code!*

Have you and your spouse agreed on the terms of your divorce?
We do not agreeWe agree on most issues, but not allWe have already agreed on everything

How soon are you looking to file for divorce?*
Immediately1 to 3 months3 to 6 months6 to 9 monthsAttempting to Reconcile

Number of years married

Do you currently live with your spouse?
yes no 

Has a divorce case been filed in court?
yes no 

Court file number (if applicable)

Are you currently represented by an attorney?*
yes no 

How many children do you have with your spouse?*
012345+

How do you plan on financing your divorce case?*
 Borrowing (credit card, personal loan) Personal savings Family support Current income I cannot afford legal fees

What is your approximate annual income?
Please select the rangeLess than $10,000$10,000 - $20,000$20,000 - $30,000$30,000 - $40,000$40,000 - $50,000$50,000 - $60,000$60,000 - $70,000$70,000 - $80,000$80,000 - $90,000$90,000 - $100,000$100,000 - $125,000$125,000 - $150,000$150,000 - $200,000$200,000 - $250,000More than $250,000

What is your spouse's approximate annual income?
Please select the rangeLess than $10,000$10,000 - $20,000$20,000 - $30,000$30,000 - $40,000$40,000 - $50,000$50,000 - $60,000$60,000 - $70,000$70,000 - $80,000$80,000 - $90,000$90,000 - $100,000$100,000 - $125,000$125,000 - $150,000$150,000 - $200,000$200,000 - $250,000More than $250,000

Please let us know anything else you think may be helpful as we prepare to consult with you on this matter:*

How did you hear of our firm?

Name*

Preferred Phone*

Work Phone

Email*

Preferred Method of Contact (Phone or email)*
PhoneEmail