Kain & Ball Family Law

Intake Form

Request for Initial Consultation

Information About Other Party:

Name:
Address: (If Different from yours)	Street Name City Postal Code
Relationship of other party to you	Married Common Law Other Date of Marriage/ Commenced Living Together: / / : mm/dd/year
Nature of Matter:

I believe my matter concerns the following issues:
	Divorce Spousal Support Child Support Custody / Access Division of Property Variation of existing agreement or court order Enforcement of existing agreement or court order Other
I am interested in:
	Negotiation and preparation of seperation agreement Divorce Mediation / Arbitration Commencing or responding to a court application Other
How did you hear about Kain & Ball:

Following receipt of this form, Kain & Ball will contact you by the close of the next business day to arrange for a mutually convenient time for a free half-hour consultation. Please be advised that any information you provide Kain & Ball will be kept strictly confidential. *Please Note: We do not accept legal aid certificates