Multi Page Form

This form will help us gather important details about your case, allowing our family law attorneys to better understand your needs and provide the most effective legal assistance. Please fill out the steps below, and we will follow up promptly. Initial Contact Information

Step 1: Initial Contact Information

Comment: To establish communication and show the user that the attorney will follow up quickly.

Name(Required)

Name* (First and Last)

Email Address*(Required)

Phone Number*(Required)

Preferred Contact Method

Email

Phone

Text

Is this an original case or a modification?

Who are the parties involved in this case?

Have you or the opposing party lived in this state for six months?

Which county have the parties resided in during the last six months?

Note: It is important for us to know whether you have lived in this state for six months and the county you and the opposing party have been residing in, especially in cases where the opposing party is from a different state.

This form will help us gather important details about your case, allowing our family law attorneys to better understand your needs and provide the most effective legal assistance. Please fill out the steps below, and we will follow up promptly. Initial Contact Information

Step 2: Basic Case Information

Comment: At this stage, ask for key information without overwhelming the user.

What type of legal assistance do you need?

Are you currently working with an attorney?

Yes

No

Is there a pending case?

How long has the case been ongoing?

Are any court dates set in the case?

This form will help us gather important details about your case, allowing our family law attorneys to better understand your needs and provide the most effective legal assistance. Please fill out the steps below, and we will follow up promptly.

Step 3: Details About the Case

Comment: Gather information to help the attorney evaluate the legal situation and determine the complexity.

Is there a prior or current court order involved?

Yes

No

Why do you need legal assistance?

(Are you considering action, have been served papers, is there an ongoing case, or do you need advice?)

Have any children been involved in this matter?

Yes

No

If yes, is custody, paternity or visitation an issue?

This form will help us gather important details about your case, allowing our family law attorneys to better understand your needs and provide the most effective legal assistance. Please fill out the steps below, and we will follow up promptly.

Step 4: Further Case Details

Comment: This will help personalize the lead and gather case-specific needs.

What is your primary goal with this case?

(Ensure child custody, Seek divorce, Protect assets, Negotiate alimony, etc.)

Please provide any additional details or concerns:

This form will help us gather important details about your case, allowing our family law attorneys to better understand your needs and provide the most effective legal assistance. Please fill out the steps below, and we will follow up promptly.

Step 5: Urgency and Timing

Comment: To prioritize follow-up, assess the urgency of the matter.

How soon do you need assistance?

Are there any court dates scheduled?

Yes

No

When is the next court date?

By submitting this form, you agree to receive emails from Leigh Daniel Family Law tailored to your situation. You can opt out at any time.

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Tuesday	8:30 am - 4:30 pm
Wednesday	8:30 am - 4:30 pm
Thursday	8:30 am - 4:30 pm
Friday	8:30 am - 4:30 pm

Family Law Case Intake Form