New Client Information Form

Appointment Details

Date of call:

Date of appointment:

Time of appointment:

Acting Solicitor:

Issue:

Financial Matter
(Property / Child Support / Spousal Maintenance)

Children’s Matter
(Care & Protection / Custody)

Divorce

Client Details

Name:

Street Address:

Street number & name

Country

City

State

Zip code

Home Phone:

Work Phone:

Mobile Phone:

Email Address:

Date of Birth:

Place of Birth:

Occupation:

Preferred address for correspondence from Holden Barlow:

Email

Post

Both email and post

Address to be shown on Court Forms:

Email

Care of Holden Barlow

Other Side Details

Name:

Address:

Street number & name

Country

City

State

Zip code

Home Phone:

Work Phone:

Mobile Phone:

Email Address:

Date of Birth:

Place of Birth:

Occupation:

Solicitor:

Yes

No

Solicitor's Name:

Contact Details:

Marriage / De Facto Details

Date of Cohabitation:

Date of Marriage:

Marriage Town / City:

Date of Separation:

Date of Divorce:

Brief Information about the Case:

History, timeline/chronology, main issues/arguments

Children’s Details

Information required for any child less than 18 years of age.

Child 1 - Name:

Date of Birth:

Gender:

Male

Female

Living with:

Father

Mother

Other

Child 2 - Name:

Date of Birth:

Gender:

Male

Female

Living with:

Father

Mother

Other

Child 3 - Name:

Date of Birth:

Gender:

Male

Female

Living with:

Father

Mother

Other

Child 4 - Name:

Date of Birth:

Gender:

Male

Female

Living with:

Father

Mother

Other

Additional Information:

(health, special needs or circumstances)

Other Details

Referred by:

Can we use this information for marketing purposes?

Yes

No

Admin to Complete

Conflict Checked:

Yes

No

Contact on Filepro:

Yes

No

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