Separation & Divorce: Personal Information Questionnaire

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Divorce and separation are not only emotionally draining, but they can be legally complicated as well. It is therefore often advisable that you seek the counsel and representation of a seasoned advocate to help you through the process and ensure an outcome that meets your needs not only now, but also in the future. In order to do the best possible job on your behalf, your family law attorney needs your input and cooperation. At your first meeting with your attorney, you should be prepared to provide the following information:
INFORMATION ABOUT YOU	INFORMATION ABOUT YOUR SPOUSE
Name
_____________________	_____________________
Date of Birth
_____________________	_____________________
Sex M_____ F_____	M_____ F_____
Social Security Number
____________________	____________________
Address, Including County
____________________ ____________________ ____________________ ____________________	____________________ ____________________ ____________________ ____________________
Length of Time at that Address
_______ years	_______ years
Previous Address(es) (for last 10 years)
____________________ ____________________ ____________________ ____________________	____________________ ____________________ ____________________ ____________________
Home Telephone Number
____________________	____________________
Work Telephone Number
____________________	____________________
Facsimile Number
____________________	____________________
E-mail Address
____________________	____________________
Former Name(s)
____________________ ____________________	____________________ ____________________

Employers
____________________	____________________
Position
____________________	____________________
Employer's Address
____________________ ____________________ ____________________ ____________________	____________________ ____________________ ____________________ ____________________
Length of Time with Employer
_______ years	_______ years
Previous Employer(s) (for last 10 years)
____________________ ____________________ ____________________ ____________________	____________________ ____________________ ____________________ ____________________
Gross Monthly Income
$_________________	$_________________
Other Income
$_________________	$_________________
Source/Amount
________________________ ________________________	________________________ ________________________
Date of Current Marriage	________________________
Place of Current Marriage	________________________
Date of Separation	________________________
Previous Marriage(s)
Yes ____ No ____	Yes ____ No ____
Ended by: Death ____ Divorce ____ Date ____	Ended by: Death ____ Divorce ____ Date ____

Children of Current Marriage
Name	Date of Birth	Social Security Number	With Whom Residing
_______________	_______________	_______________	_______________
_______________	_______________	_______________	_______________
_______________	_______________	_______________	_______________
_______________	_______________	_______________	_______________
_______________	_______________	_______________	_______________
_______________	_______________	_______________	_______________
Children from Other Marriages or Relationships
Name	Date of Birth	Social Security Number	With Whom Residing
_______________	_______________	_______________	_______________
_______________	_______________	_______________	_______________
_______________	_______________	_______________	_______________
_______________	_______________	_______________	_______________
_______________	_______________	_______________	_______________
_______________	_______________	_______________	_______________

Physical or Mental Health of Self
Physical or Mental Health of Spouse
Physical or Mental Health of Children
Domestic Abuse or Violence

Child Abuse
Custody or Visitation Issues
Property Disputes
Financial Issues
Other Important Information