DAVIS & GREENE, P.C.

Confidential Client Intake Form

Welcome

Please complete this form to begin your case. All information is confidential.

You will need: Social Security numbers for yourself, your spouse, and any minor children (if known); dates of birth; your marriage date and separation date; and current addresses for both parties.
Jurisdiction may be based on either spouse's residence.

Your Information

The person filing for divorce (Plaintiff).

Full middle name required — no initials. Type NMN if no middle name.
Name before first marriage. Enter N/A if not applicable.
Leave blank if unknown

Spell out the entire name: first, middle, and last.

Spouse Information

The other party (Defendant). Provide as much as you know.

Full middle name required — no initials. Type NMN if no middle name.
Name before first marriage. Enter N/A if not applicable.
Leave blank if unknown

Spell out the entire name: first, middle, and last.

Marriage Information

Details about your marriage.

Date you stopped living together

Children

Minor children (under 18) born or adopted during this marriage.


Children's Address History (UCCJEA)

List every address the children have lived at during the past 5 years. At least one address is required.


Other Children

Additional Information

Anything else the attorney should know about your case.

Select the option that describes your current health insurance situation.


Before submitting: Double-check all Social Security numbers, dates of birth, and spelling of names. Errors on these fields cause delays in filing.

Form Complete

Review the information below, then send it to your attorney.