Divorce Intake Form

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Your Name*

First Last

You would like assistance with:*

Mediation

Collaborative Divorce

Consulting Services

Divorce

Legal Separation

Spouse's Name*

First Last

Your Phone*

Your Email*

Preferred method of contact.*

Call

Either

Approximately how many years have you been married?*

How many minor children do you and your spouse have?*

Are you currently experiencing domestic violence, or do you believe you need to seek a restraining order?*

Yes

Our office handles matters through mediation and is unable to assist because we do not handle court litigation.

Are you and your spouse currently on amicable terms?*

Yes

Are both you and your spouse committed to resolving divorce issues with a mediator or collaborative attorney?*

Yes

Mediation and collaborative cases work best when both parties are committed to working through their issues together. If either spouse is unwilling to participate in the process, unfortunately, we are unable to assist.

Is there anything else you think we should know?

Contact Us

Schedule a consultation.

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Name*

First Last

Phone*

Email*

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3701 Wilshire Blvd., Ste. 508
Los Angeles, CA 90010

213-351-1000

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