1700 The Alameda
San Jose, CA 95126
Telephone: (408) 294-9858
Fax: (408) 971-4320

Family Law Intake Form

*Name:
*Address:
*City:
*State:
*Zip:
*E-mail address:
*Home Phone:
Business Phone:
Cellular or Pager:
Facsimile:
What type of family law matter are you interested?
Are you currently married or cohabiting?
YesNo
Check one:
MarriedCohabiting
If yes, list his or her name, date of birth, and date of marriage/cohabitation:
Do you have children?
YesNo
If yes, list their names and dates of birth:
NameDate of Birth
  
  
  
  
If you have children, with whom and where do they live now?
Were you previously married?
YesNo
If yes, when and how did your previous marriage(s) end?
Is your case contested or do you anticipate you will meet opposition to your anticipated actions?
YesNo
Have you been served with papers in a family law matter?
YesNo
If yes, What is the name of the opposing party and his or her attorney (if known)?
What is your relationship with the opposing party?
If "Other Relationship", please explain:
Have you appeared in court or agreed on terms related to this matter?
YesNo
Do you have copies of any documents (court decrees, dissolution agreements, etc.) related to this matter?
YesNo
What types of documents do you have?
Is domestic violence an issue in this matter?
YesNo
If yes, please describe, including any court actions and incident dates:
Is property at issue?
YesNo
If yes, please describe the property and anything known with regard to legal ownership:
Are you or any person involved in this matter currently pregnant?
YesNo
Where did you hear about this website?
 

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Law Office of Michael R. Burk, A Professional Corporation
1700 The Alameda
San Jose, CA  95126
Telephone: (408) 294-9858
Fax: (408) 971-4320
E-mail

A divorce, personal injury, and litigation attorney in San Jose, California, serving the Bay area, including the cities of Santa Clara, Sunnyvale, Hayward, Pleasanton, Mountain View, Campbell, Cupertino, Los Gatos, Palo Alto, Santa Cruz, Watsonville, Oakland, and Fremont and the counties of Santa Clara County, Alameda County, and Santa Cruz County


The information you obtain at this site is not, nor is it intended to be, legal advice. You should consult an attorney for individual advice regarding your own situation.