CLIENT INTERVIEW FAMILY LAW MATTER
PLEASE COMPLETE AS FULLY AS POSSIBLE
COUNTY: ______CAUSE NO: ______
(if Applicable)
TYPE OF CASE: (Please Check):
____ DIVORCE WITH CHILD(REN)____ DIVORCE WITHOUT CHILD(REN)
____ PATERNITY____ MODIFICATION
____ ADOPTION/TERMINATION____ ENFORCEMENT/CONTEMPT
____ OTHER: (Specify) ______
CLIENT CLIENT / FIRST NAME MIDDLE LAST SUFFIX / DATE OF BIRTH (mm/dd/yyyy)MAIDEN NAME: (if Applicable): ______
______
PLACE OF BIRTH CITY STATE OR FOREIGN COUNTRY / RACE / SOCIAL SECURITY NUMBER
______-______-______
______
USUAL RESIDENCE STREET NAME & NUMBER CITY STATE ZIP
HOME PHONE NO. ______CELL NO.: ______
BUSINESS PHONE NO.: ______DL #:: ______
E-MAIL: ______
EMERGENCY CONTACT: ______
EMPLOYER NAME: ______
EMPLOYER ADDRESS: ______
LENGTH OF EMPLOYMENT: ______TITLE: ______
WHO REFERRED YOU TO THIS OFFICE?______
GENERAL NATURE OF MATTER: ______
SPOUSE (Ex-Spouse/Opposing Party) SPOUSE / FIRST NAME MIDDLE LAST SUFFIX / DATE OF BIRTH (mm/dd/yyyy)
MAIDEN NAME: (if Applicable): ______
______
PLACE OF BIRTH CITY STATE OR FOREIGN COUNTRY / RACE / SOCIAL SECURITY NUMBER
______-______-______
______
USUAL RESIDENCE STREET NAME & NUMBER CITY STATE ZIP
HOME PHONE NO. ______CELL NO.: ______
BUSINESS PHONE NO.: ______DL #:: ______
EMPLOYER NAME: ______
EMPLOYER ADDRESS: ______
LENGTH OF EMPLOYMENT: ______TITLE: ______
MARRIAGE INFORMATION / DATE OF MARRIAGE
______-______-______ / DATE OF SEPARATION:
______-______-______ / PLACE OF MARRIAGE
CITY STATE
______
(IF APPLICABLE) CHILDREN AFFECTED BY THIS SUIT
NO. OF MINOR CHILDREN: ______
CHILD 1 / FIRST NAME MIDDLE LAST SUFFIX / DATE OF BIRTH (mm/dd/yyyy)
SOCIAL SECURITY NUMBER / SEX / BIRTHPLACE CITY COUNTY STATE
PRIOR NAME OF CHILD: FIRST MIDDLE LAST SUFFIX / NEW NAME OF CHILD: FIRST MIDDLE LAST SUFFIX
CHILD 2 / FIRST NAME MIDDLE LAST SUFFIX / DATE OF BIRTH (mm/dd/yyyy)
SOCIAL SECURITY NUMBER / SEX / BIRTHPLACE CITY COUNTY STATE
PRIOR NAME OF CHILD: FIRST MIDDLE LAST SUFFIX / NEW NAME OF CHILD: FIRST MIDDLE LAST SUFFIX
CHILD 3 / FIRST NAME MIDDLE LAST SUFFIX / DATE OF BIRTH (mm/dd/yyyy)
SOCIAL SECURITY NUMBER / SEX / BIRTHPLACE CITY COUNTY STATE
PRIOR NAME OF CHILD: FIRST MIDDLE LAST SUFFIX / NEW NAME OF CHILD: FIRST MIDDLE LAST SUFFIX
CHILD 4 / FIRST NAME MIDDLE LAST SUFFIX / DATE OF BIRTH (mm/dd/yyyy)
SOCIAL SECURITY NUMBER / SEX / BIRTHPLACE CITY COUNTY STATE
PRIOR NAME OF CHILD: FIRST MIDDLE LAST SUFFIX / NEW NAME OF CHILD: FIRST MIDDLE LAST SUFFIX
Are any of the aforementioned children entitled to receive child support? ______If yes, please explain: ______
Will there be a dispute over custody of the children? ______
If not, custody will be with whom? ______
With whom are the children now residing? ______
Where are the children now residing? ______
Are you or your spouse pregnant? ______
Are there any court orders regarding any of the children? ______If so, please list cause number: ______
Do your children own any property in their own names? (such as through inheritance, large gifts, etc.) ______
Jurisdiction
How long have you lived in Texas? ______
In what county do you reside? ______How Long? ______
CLIENT’S Prior Marriage
Have you been married before? ______
Do you have children by a prior marriage? ______
Do you pay or receive child support? ______
Do you have a copy of any prior orders: ______
SPOUSE’S (Ex-Spouse or opposing Party) Prior Marriage
Is your Ex-Spouse or opposing party remarried? ______
Does your Ex-Spouse or opposing party have children by another marriage? ______
Does your Ex-Spouse or opposing party Spouse pay or receive child support? ______
Property (Complete For Divorce or Original Suits only):
Do you and your spouse own any real estate which was purchased during your marriage? ______. If so, please explain: ______
______
Do you own any real estate which you acquired prior to your marriage? ______
If so, please explain: ______
Do you or your spouse have:
Client Spouse
A.Checking Account: Yes _____ No_____ Yes_____ No ______
B. Savings Account: Yes______No_____ Yes_____ No______
C. Stocks and/or Bonds: Yes______No_____ Yes_____ No______
D. Retirement Plans: Yes ______No_____ Yes _____No______
E. Profit Sharing Plans: Yes ______No_____ Yes _____No______
F. Life Insurance: Yes ______No_____ Yes _____No______
G. Medical Insurance: Yes ______No_____ Yes_____ No_____
Automobiles, boats and misc. vehicles
1. Year, Make & Model: ______
Value: ______
Amount owed: ______
VIN#:______
Name(s) on Title: ______
Award to husband/wife: ______
2. Year, Make & Model: ______
Value: ______
Amount owed: ______
VIN#:______
Name(s) on Title: ______
Award to husband/wife: ______
3. Year, Make & Model: ______
Value: ______
Amount owed: ______
VIN#:______
Name(s) on Title: ______
Award to husband/wife: ______
Separate Property OF CLIENT
List all property owned by you prior to marriage:______
______
List all property acquired as a gift, prior to or during the marriage, or inheritance received by you: ______
______
Separate Property OF SPOUSE
List all property owned by your spouse prior to marriage: ______
______
List all property acquired as a gift, prior to or during the marriage, or inheritance received by your spouse: ______
______
______
Former Name
Do you or your spouse want a former name restored? ______
If yes, please print the exact full name which is to be restored.______
General
Are you or your spouse now, or have ever been, a member of the U.S. Armed Forces? __
Do you and your spouse have a premarital agreement?______
Do you have an attorney? ______If yes, whom? ______
Does your spouse now have an attorney? ______whom?______
Who referred you to this office? ______
I have read the foregoing and affirm that it is true and correct to the best of my knowledge and belief.
______
Client’s SignatureDate
PROCESS SERVICE INFORMATION FORM
CAUSE NO.______ATTORNEY: ______
NAME OF SUBJECT: ______NAME THEY ANSWER TO: ______
ADDRESS: ______
HOME PHONE: ______WORK PHONE: ______
CELL: ______
EMPLOYER NAME: ______
EMPLOYER’S ADDRESS: ______
BEST TIME AND LOCATION TO SERVE SUBJECT {Special Instructions}:______
PHYSICAL DESCRIPTION:
Please circle all that apply: Caucasian Black Hispanic Indian Asian Other
_____ Male _____ Female
Height ______Weight ______Age ______Hair Color ______
Hair Length ______
Mustache / Beard: ______
Wears Glasses: ______Yes ______No
VEHICLE DESCRIPTION:
Make ______Model ______Year ______
Color ______License Plate No. ______
MOVING PARTY’S (CLIENT)_INFORMATION:
NAME______
HOME PHONE______WORK PHONE______
CELL: ______