New Client Family Information Form

New Client Information Form

Please provide us with the following information so that we can offer you appropriate guidance with your concerns:

Your Details

Full name:

Address:

Date of birth:

Phone #:

Email:

Employer or source of income:

Relationship status:

Date:

Spouse/Partner Details

Full name:

Address:

Date of birth:

Phone #:

Email:

Employer or source of income:

Relationship status:

Date:

Child Details

Name: DoB: Resides with:

Are any of these children not your biological children?

Please explain:

Does your spouse/partner have children?

Please explain:

Do you have lawyers representing you currently in a family law matter?

Name(s):

Are you involved in court proceedings?

Are there any court/arbitration orders in effect regarding a family law matter?

Please explain:

Have you entered into a domestic contract (e.g. marriage contract, separation agreement, etc.)?

Please explain:

Do you have any immediate concerns about domestic violence, control issues, financial abuse, etc.?

Please explain:

Do you or anyone in your immediate family circle have significant physical or mental health challenges?

Please explain:

Has the Children's Aid Society ever been involved with your children?

Please explain:

Have the police ever attended at your home or workplace related to a family matter?

Please explain:

Integrity Dispute Resolution services the Golden Horseshoe and Greater Toronto regions of Ontario, including: Hamilton, Burlington, Oakville, Milton, Mississauga, Dundas, Ancaster, Stoney Creek, Niagara Falls, Brantford, Cambridge, Kitchener, Waterloo, Guelph, Stratford & London.

INTEGRITY DISPUTE RESOLUTION

New Client Information Form

Your Details

Spouse/Partner Details

Child Details