Intake Form.

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Intake Formedimensionz2025-04-05T19:16:01-04:00

If you’re a new or returning client, please complete the intake form below so we can better understand your situation and determine how we can assist you.

We understand that every case is unique, and the information you provide helps us prepare for a more productive consultation.

All information is treated with strict confidentiality.

Have Questions?

Let’s Begin the Process

Recurring or new client:
RecurringNew

Date of Consult

Referred by

Client Information

Client Full Name*

Email Address*

Home Phone*

Cell Phone

Street Address

City

Province

Postal Code

How long have you resided at this address/in the region in which you reside?
Over 1 YearLess than 1 Year

Where were you living before:

Preferred Method of Communication
EmailHome phoneBusiness phoneCell phoneOther

If Other, please specify

Employment details

Employment Status
EmployedUnemployed / Retired

Sources of income (ie. Social Assistance, ODSP, etc):

Employer

Approx. yearly income

Employer Address

Case Information

Description of Case*

Name of Opposing Party

Date of Marriage

Date of Separation

Do you have children?
YesNo

Are you on a legal aid certificate or will you require legal aid?
YesNoUnsure

Please check off the issues you need to consult about:
Divorce (simple, joint, or contested)Decision making and parenting timeSupport (child and spousal)Enforcement of support / Variation of supportMotions to changeCommon law separationRelocationMatrimonial homeDivision of other assetsDomestic abuse and violenceCohabitation, prenups, and separation agreementsOther