• DETAILED FAMILY CLIENT INTAKE

Levine Associates Barristers & Solicitors

10 King Street East, Suite 1400

Toronto, Ontario

M5C 1C3

  • DETAILED FAMILY CLIENT INTAKE FORM

We kindly ask that you complete the form below as best you can. There may be questions which are not applicable to you or to which you do not presently have the answer. Do your best to answer as many questions as you can. The information you provide will help us to prepare for your initial interview and save you time and money by providing our lawyers with an opportunity to familiarize themselves with your case prior to meeting.

Please indicate if correspondence can be sent to your home address?

Please indicate if you prefer to receive correspondence by email?

Have you ever been charged with a criminal offence?

Have you ever been involved with a Child Protection Proceeding?

His/her phone numbers

Has he/she been married previously?

Has he/she ever been charged with a criminal offence?

Has he/she ever been involved with Child Protection Proceedings?

Do you have a copy of the marriage licence?

If No, please answer the following questions:

Is there a marriage contract/ cohabitation agreement/ separation agreement?

Have either party ever taken the other to Court?

Is there a court order dealing with any of the issues between you and your spouse?

Have you ever been to a counsellor, clergy, doctor etc. regarding your relationship?

Add an other child information

Are the children working?

Do the children have any special needs such as educational or medical?

Have you or your children ever been involved in a court case before:

Do you or your spouse have a disability that prevents you from working?

Your - Employment, Occupation and Income History for the last three years:

Add an other job information

Spouse - Employment, Occupation and Income History for the last three years of your spouse:

Add an other job information

List all of the property you or your spouse own and the percentage of your share in the property? Include all property which you owned at the date of marriage and the date of separation (Include all investments and savings)

Add an other Property information

List all of the current liabilities you or your spouse have and the percentage of your share in those liabilities? Include all loans or debt which you had incurred at the date of marriage and the date of separation (Include all loans and debts)

You

Add an other Liability information

Spouse

Add an other Liability information

Please note: There is no solicitor-client privilege attached to this communication.  Sending an e-mail to Levine Associates will not make us your lawyers.  You will not be considered a client of the firm until we have agreed to act for you in accordance with our usual policies for accepting clients.  Unless you are a current client of Levine Associates, please do not include any confidential information in your e-mail, because no information you send us can be held in confidence, and no information we provide to you can be treated by you as legal advice, unless and until we have agreed to act for you.  There is no solicitor-client privilege attached to this communication.