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Submit Information About Your Case

If you are intending to retain an attorney or change your current attorney, please fill out this form in its entirety and you will be contacted regarding your case and a consultation.  If this action has been filed in a different state,  or if the children have continuously resided in another state for the last six months and a court action has not been filed, please click here to select an attorney in that state and county.

Please provide the following contact information:

Name
Street address
Address (cont.)
City
County
State/Province

Zip/Postal code
Work Phone
Home Phone
FAX
E-mail
Is jurisdiction is in your local county? Yes No
If this case is not in your local jurisdiction.  Please indicate the county and state that this action has been filed in or the county and state that the children have continuously resided in for the last six months.
County State

 

Please provide the opposing attorney and firm name if applicable:
(This is to prevent referral to the opposing attorney or firm)

Opposing  Attorney Name:

Opposing Attorney Firm Name:

Please indicate the issues in your case:

Modify Visitation Paternity
Child Custody Divorce
Child Support Property Division
Legal Custody Guardianship
Restraining Orders Grandparent Issues

Choose one of the client intent options:

Please indicate how you would prefer to be contacted:

Additional Issues and Information:


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