Confidential Intake Form


Please complete the following, confidential intake forms before your scheduled appointment. Please feel out in as much detail as possible. This form should take  approximately thirty (30) minutes to complete.

Name *
Phone *
Address *
If you have scheduled a consult with Work Law, please provide the date and time of your consult. If you have yet to schedule a consult, please provide an available date and time.
Please indicate which Attorney you are scheduled to consult with:
Name | Title | Income
Name of Opposing Party/Spouse
Name of Opposing Party/Spouse
Existing Case
Are you looking for representation in an existing case?
If there is an existing case, please provide the case number:
Checkbox *
Please check each legal issue that applies to your case.
Please provide a detailed timeline of important incidents or events that have led up to your current legal matter.
If applicable, please provide children's names and dates of birth.
Physical Custody Sought (If applicable) *
If applicable If please indicate the physical custody sought.
If requested, please specifically indicate why the court should grant you primary physical custody of your child. Example: Education Benefits, Siblings, Safety, Mental and Physical Health, Routine, School, Activities. Detail is critical. If this does not apply, please indicate below.
Please include date, time and location. If there is no scheduled court date please indicate below.
If applicable, please provide a list of debts and assets and how you wish the court to divide. If this does not apply to your case, please indicate below.
If Applicable
How did you hear about us? *
Please let us know how you found us.
By checking this box, I consent to the consultation fee due on date of consult.
Required Documentation *
In every family law case, the court has a list of required family law documents that must be completed. Prior to your consult with Work Law, please go the “Documents” section and complete the relevant documents.