Family Law Intake Form

We are here to help. Please complete the form below with as much detail as possible so we can better understand your situation. Once submitted, our team will review your information and get back to you shortly to discuss the next steps.

Family Law Interview Sheet

Basic Information
Divorce
Family Matter Involving Children
Family Matter Involving Money
Family Matter Involving Property
Step 6
Step 7

Information about you:

First Name

Last Name

Date of Birth

Place of Birth

Address

City

Province

Postal Code

Phone/Mobile

Have you previously had a lawyer to assist with your matter?

Yes

Do you have a copy of the contents of your file from your lawyer?

Yes

How was your experience with your lawyer?

Good

Bad

Neutral

Would you recommend them to someone else, why or why not?

Information about the other party:

First Name

Last Name

Date of Birth

Place of Birth

Address

City

Province

Postal Code

Telephone

Does the other party have a lawyer?

Yes

Unknown

If yes, please provide the lawyer’s name and contact information:

Do you fear for your safety because of the other party?

Yes

Do you fear for the safety of your child(ren) because of the other party?

Yes

Information about any children involved in your matter

Child's full legal name	Child’s preferred name/nickname	Date of Birth

How can we help you?

Please select all that apply and provide the requested information.

Services

Divorce

Family Matter Involving Children

Family Matter Involving Money

Family Matter Involving Property

Divorce

Radio Field

I am seeking to initiate a divorce.

My spouse filed for a divorce.

I am seeking to initiate a divorce.

With child(ren) involved.

With matrimonial/family property involved.

I was served on

Date of the Marriage

Date of the Separation

Do you have the original copy of your marriage certificate?

Yes

Was this you first marriage?

Yes

What was your last name at the time of the marriage?

Was this your spouses first marriage?

Yes

What was your spouses last name at the time of the marriage?

Family Matter Involving Children

What is your relationship to the child(ren):

Parent

Other

Have you completed the Parenting After Separation (“PAS”) course?

Yes

Did you live with the other parent during the relationship/marriage?

Yes

If yes, which option best describes the parenting arrangements during the marriage/relationship:

I was the primary caregiver during the marriage/relationship.

My spouse was the primary parent during the marriage/relationship.

Parenting was shared equally during our relationship/marriage.

Other, please explain:

Which option best describes the current parenting arrangements:

I am the primary caregiver for the child(ren).

My spouse is the primary caregiver for the child(ren).

Parenting is shared equally.

Other, please explain:

Please provide further information:

Parenting arrangements remained the same at the breakdown of the relationship.

The other parent and I have/had a mutual agreement for parenting:

The other parent and I do not have an agreement for parenting.

The other parent and I have/had a mutual agreement for parenting:

Verbal agreement between parents.

Informal agreement drafted without assistance by the parents.

Informal agreement drafted in mediation or other similar services.

Minutes of Settlement/Separation Agreement drafted by lawyers.

Consent Order granted by a Judge or Justice.

The other parent and I do not have an agreement for parenting.

The other parent refuses to provide reasonable and generous access.

The other parent does not exercise parenting time consistently and/or I have other concerns with the child(ren) in the other parent’s care.

Other, please explain:

Which option(s) best describe your situation:

I want the parenting arrangements to remain the same.

I want to change the current parenting schedule:

to increase access for myself or the other parent.

to decrease access for myself or the other parent.

to specify a shared holiday schedule.

to add conditions to the other parent’s access to the child(ren):

conditions for supervision

conditions to address drug related concerns

conditions to address alcohol use/abuse concerns

conditions to address communication problems

Other:

Please describe your ideal parenting schedule:

Do any of the children have special needs? (ADHD, ongoing medications, etc.)

Do any of the children attend daycare or participate in sports?

Is child support being paid for the children?

Yes

Sometimes

Is there currently a child support order?

Yes

If yes, has the Order been registered with the Maintenance Enforcement Program (“MEP”)

Yes

If yes, please provide your MEP File #

Is there any other information about the children we should know?

Family Matter Involving Money

Your Financial Situation

Are you currently employed?

Yes

If yes, your job title:

Salary/wage: $

Do you receive the Canada Child Tax Benefit?

Yes

If yes, monthly amount:

Do you own or control a corporation?

Yes

Are you self-employed?

Yes

Do you earn an income “under the table”?

Yes

Do you receive an income from any other source?

Yes

Have you filed your taxes in the past (3) years?

Yes

Your Spouses Situation

Is your spouse employed?

Yes

Unknown

If yes, their job title:

Salary/wage: $

Do they receive the Canada Child Tax Benefit?

Yes

Unknown

Do they own or control a corporation?

Yes

Unknown

Are they self-employed?

Yes

Unknown

Do they earn an income “under the table”?

Yes

Unknown

Do they receive an income from any other source?

Yes

Unknown

Have they filed their taxes in the past (3) years?

Yes

Unknown

Is there any other information about your respective incomes we should know?

Family Matter Involving Property

House

Do you or your spouse own a house?

Yes

If yes, is your name on the title?

Yes

Is your spouses name on the title?

Yes

Is there currently a mortgage?

Yes

Household Goods

Has personal property already been divided?

Yes

If no, are you requesting items to be returned?

Yes

If yes, please provide a list:

List

Does your spouse want items returned?

Yes

Vehicles

Do you have a vehicle?

Yes

Is your name on the title?

Yes

Is your spouses name on the title?

Yes

Does your spouse have a vehicle?

Yes

Is your name on the title?

Yes

Bank/Credit Accounts

Do you have any joint chequing accounts?

Yes

Do you have any joint savings accounts?

Yes

Do you have any joint credit cards?

Yes

Do you have any joint investments?

Yes

Pensions

Do you have a pension?

Yes

Does your spouse have a pension?

Yes

Do you have an RRSP?

Yes

Does your spouse have an RRSP?

Yes

Will you be requesting exemptions from division?

Yes

Is there any other information about your property we should know?

Family Law Intake Form

Information about you:

Information about the other party:

How can we help you?

Divorce

Family Matter Involving Children

Family Matter Involving Money

Family Matter Involving Property

Quick Links

Edmonton Family Network

Privacy Notice