How Did You Hear About Us?*

Who Referred You?*

Client Information

Client is*

Husband
Wife

Title

Full Name*

First Middle Last Suffix

What Do You Like To Be Called?*

Maiden Name*

Do You Want Your Maiden Name Restored?*

Address*

Street Address Unit # City State ZIP

County of Residence*

Mobile Phone*

Work Phone

Email*

Age

Date of Birth*

SSN*

Driver's License State

Driver's License Number

Present Employer*

How long with this employer?

Current Position

How long in this position?

Nearest Living Relative (Not Living With You)*

Mobile Number*

Basic Divorce Case Information

Why do you want a divorce?*

Grounds for Divorce (Check All That Apply)*

Divorce Case Type*

Divorce Case Issues--Check All That Apply*

Children
Alimony
Other

Please Explain Other Issue(s)*

Property & Debts--Check All That Apply*

Real Estate
Bank Accounts
Personal Property
Debts
Retirement
Pension
Military Retirement
Business Interests

Are You Still Living With Spouse?*

What Caused You To Separate?*

Has Divorce Already Been Filed?*

Yes
No

When Did You Get The Papers?*

Which County?*

Which Court*

Is There A Court Date Set?*

Yes
No

Pending Court Date*

Court Time*

:

Courtroom Location*

Purpose of Court Date*

Please Scan Divorce Papers and Upload

Drop files here or

Max. file size: 32 MB, Max. files: 5.

Is There An Order of Protection?*

Yes
No

Which County?*

Which Court*

What Is The Status Of The Order Of Protection?*

Who Is Order of Protection Against?

Pending Order of Protection Court Date*

Order of Protection Court Time*

:

When Was Order of Protection Granted?*

Scan and Upload Petition for Order of Protection and Order of Protection

Drop files here or

Max. file size: 32 MB, Max. files: 5.

Spouse Information

Title

Full Name*

First Middle Last Suffix

Wife's Maiden Name*

Does Wife Want Maiden Name Restored?*

Address*

Street Address Unit # City State ZIP

County of Residence*

Mobile Phone*

Work Phone

Email

Age

Date of Birth*

SSN*

Present Employer*

Current Position

How long in this position?

Demographic Information (REQUIRED)

Husband--Race*

Husband--Place of Birth*

City State

Husband--Number of THIS Marriage*

Husband--Previous Marriage Ended*

Husband--Highest Grade Completed*

Is Husband Currently Active Military?*

Wife--Race*

Wife--Place of Birth*

City State

Wife--Number of THIS Marriage*

Wife--Previous Marriage Ended*

Wife--Highest Grade Completed*

Is Wife Currently Active Military?*

Marriage Information

Date of Marriage*

Place of Marriage*

City State

County Where Married*

Date of Separation*

Last Resided in Same Household

Address When Separated*

Street Address Address Line 2 City State

Do You Have A Prenuptial/Postnuptial Agreement?*

Yes
No

Are You On Your Spouse's Health Insurance?*

Yes
No

Is Your Spouse On Your Health Insurance?*

Yes
No

Have Either You or Your Spouse Filed Bankruptcy?*

Yes
No

Children

Number of Children Born Alive of This Marriage*

Number of Children UNDER THE AGE OF 18*

How Many Different Places Have Children LIved Past 5 Years?*

Income

Does Husband Work?*

How Much Does HUSBAND Make?*

Why Doesn't Husband Work?*

What's the Most Husband Has Ever Earned?*

Does Wife Work?*

How Much Does WIFE Make?*

Why Doesn't Wife Work?*

When Was Last Time Wife Worked?*

What's the Most Wife Has Ever Earned?*

What Is The Cost Of Work Related Childcare?*

What Is The Cost Of Children' Health Insurance?*

Real Estate

Bank Accounts

Enter All Bank Accounts: Joint and Separate

Personal Property

Items of Personal Property

Debts

Retirement

Retirement Accounts

Pension

Military Retirement

Health Insurance

Bankruptcy

Who Filed Bankruptcy?*

Husband
Wife
Joint
Both

How Filed*

Date Filed*

Chapter*

Did You Receive A Discharge?*

Date Discharged*

How Filed*

Date Filed*

Chapter*

Did You Receive A Discharge?*

Date Discharged*

Home » Divorce Intake

Divorce Intake--MASTER

Client Information

Basic Divorce Case Information

Spouse Information

Demographic Information (REQUIRED)

Marriage Information

Children

Income

Real Estate

Bank Accounts

Personal Property

Debts

Retirement

Pension

Military Retirement

Health Insurance

Bankruptcy

Successfully representing clients throughout Tennessee