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General Consultation Questionnaire

The Basics - Yourself
Full Name
Date of Birth
MM slash DD slash YYYY
Former Married Names
Maiden Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone
Email Address
The Basics - The Other Party
Full Name
Date of Birth
MM slash DD slash YYYY
Former Married Names
Maiden Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone
Email Address
Your Employment
Name of employer and length of time there
City, State, Zip
What is your job title?
Other Party's Employment
Name of employer and length of time there
City, State, Zip
What is their job title?
Is either party now in the U.S. Armed Forces?
- Yes
- No
Has either party been in the U.S. Armed Forces?
- Yes
- No
If yes, who, which branch, for how long, and discharge date:
If the other party has an attorney, what is that attorney’s name?
Pending Cases
If there are pending cases in this or any other state, please share the case number and date of last activity.
Domestic Violence
If there is domestic violence, police involvement, or either party has filed for a restraining order, please briefly describe the domestic violence (who is the abuser and who is the victim), share what police agency has been involved and when, and share any circuit case number for any current or past restraining order
Children
If this case involves children, please provide their names, dates of birth, with whom they currently live, and specify if any Native American Heritage or Tribal enrollment
Anything else you’d like to share before your meeting with the attorney?
I understand that unless and until I sign a retainer agreement and make the agreed to trust fund deposit, Litowich Law P.C. does not represent me. I acknowledge that Litowich Law, P.C. will guard the confidentiality of my information.
Name
First Last
Phone
This field is for validation purposes and should be left unchanged.

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General Consultation Questionnaire

The Basics - Yourself

The Basics - The Other Party

Your Employment

Other Party's Employment

Pending Cases

Domestic Violence

Children

Contact Us Confidentially

Recent Blog Posts

Frequently Asked Questions

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