Creative Resolution
Divorce Mediation and Collaborative Law

  An Affiliation of Legal, Psychological and Financial Professionals

Facilitating less Stressful, Economical & Fair Divorces 

Forms

Essential Information

You may also fill out a printable version of this form and bring it with you at your consultation. The form is available in MS Word (doc) and Adobe Reader (pdf) formats.

Participant’s Information

Full Name DOB
Home Address Street Apt.
Home Address City State Zip
Telephone Fax
Home Email Ed. Level
Job Title Salary
Employer Name Since
Employer Address
Employer Address City State Zip
Telephone Fax
Work Email
Best Place/Time to Contact
Attorney Name
Firm Name
Attorney Address Street Suite
Attorney Address City State Zip
Telephone Fax
Email

Children of this Relationship

Name Date of Birth Living With

Children of Previous Marriages or Other Relationships - Related to

Name Date of Birth Living With

Children of Previous Marriages or Other Relationships - Related to

Name Date of Birth Living With

Marriage History, if applicable

Date of Marriage Living together now?
Ceremony Type      If not, date of separation
Place of Marriage

Current Support Status

Is child support being paid?
If yes, amount? Per:
Who is paying?

Other Information

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.: Web manager Glenn Sparkes :.