INITIAL INTAKE FORM

Thank you for your inquiry. Please complete this form to schedule a consultation. This form helps me to assess whether I am able to assist you, or if not, to direct you to the appropriate services. I will respond to your request for a consultation with one business day.

Privacy Policy

All information received from a client is strictly confidential. The firm takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 256-bit SSL encryption.

Your personal information will only be used in the event that you hire the firm to represent you in your legal matter, and then only when necessary in limited use during the course of your case.

Please note, completing this form does not create a solicitor-client relationship. I am not your lawyer until you have retained me and executed a retainer agreement.

If you have any questions, please don't hesitate to contact me. I look forward to working with you.

*Required – the Law Society of Ontario requires us to collect this information prior to providing legal advice. Your information will be kept strictly confidential.

Contact information

Prefix

First name *

Middle name

Last name *

Date of birth

Emails

Address *

Type

Upon submission, a copy of this form will be sent to the primary email.

Add email

Addresses

Street address

Country

City

State/Region

Zip/Postal code

Address type

Add address

Phone numbers

Phone number

Type

Add phone number

CLIENT INFORMATION

Contact information

Your Date of Birth:

Street Address, City, Province, Postal Code

Telephone number

Previous legal names?

Occupation:

Income:

Business Address:

Business Telephone Number:

Do you currently have a lawyer?

SPOUSE INFORMATION

Spouse/Ex-Spouse’s name:

Date of Birth:

Occupation:

Income (approx.):

Email Address:

Physical Address:

Does your spouse currently have a lawyer?

CHILDREN

Do you have children?

If yes, please provide your children's names and dates of birth

I am looking for a mediator

I am looking for a consultation with a family lawyer for legal advice with respect to the following issues:

Cohabitation Agreement/Marriage Contract/Prenup/Postnup?

Separation/Divorce:

Issues to be dealt with?

Parenting time:

Decision making:

Relocation:

Child support:

Spousal support:

Property division:

Ownership of property:

Domestic Violence/Intimate Partner Violence:

If yes, what types of abuse have you experienced?

Please provide additional information about the abuse. If you prefer, we can discuss this at the consultation

ADDITIONAL QUESTIONS

Is there anything else you think I should know in advance of the consultation?

How did you hear about me?

THANK YOU