Intake Your InformationName* First Middle Last Phone*Email* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Best Days/Hours to Contact YouRequesting Information Regarding*Select OneLearning about my general legal options.DivorceLegal SeparationChild CustodyProbate IssueDoes your case involve your children?*YesNoInformation About Children*First NameLast NameDate of Birth Information About Opposing PartyInformation provided is used to run a Conflicts Check.Name of Opposing Party* First Middle Last PhoneEmail General InformationCollaborative Law is an out-of-court, private and confidential process that can be used with or in place of mediation. When you agree to use collaborative law using a collaborative commitment agreement, you and the other person in your case literally “opt out” of going to court. Deciding whether to use the collaborative law process is a process for both people in a case. If you are each committed to collaborative law then the process can save you considerable legal fees and speed up your case. Because it is a relatively new process, some lawyers may not know enough about the process to give you all the information. Many people do not know that collaborative law is an option to them. If collaborative law is not an option for your case, we will discuss your other options. Is Collaborative Law right for your case?* I like to keep my private life private. I am self-employed at a business I own, in whole or part. I want to avoid my employers, government entities and customers of my business learning confidential financial information about me through divorce litigation. I value my relationship with my children. I do not want my divorce to interfere with my relationship with my children. I do not want in-laws or other family members to interfere with my divorce. We have said some things we regret, but I think we can show respect to each other. I may want to maintain a relationship with certain in-laws or mutual “couple” friends after my case ends. I dislike and sometimes distrust my spouse, but I think they can play by the rules if the pressure is on them to save money and avoid hurting our kids. I want to be able to attend important life events for my children and family, without humiliation for anyone. I budget my finances for important life events. I know if I go to court, I may spend an unpredictable amount of money on legal fees. My spouse and I can sit in the same room, even if we strongly dislike each other. My spouse is not afraid of me and I am not afraid of them. We may have raised our voices, but there has not been physical domestic violence or child abuse. If I go through a divorce while we are living in different geographical areas, I would welcome the chance to negotiate through technology options (Skype, FaceTime, Zoom, etc.) and never have to travel to go into a courtroom. Check all that apply.