Client Information
First name:
Middle name:
Last name:
E-mail:
Address:
Telephone:
Marital Status: Date of Marriage:
About You
Occupation: Monthly imcome:
Child Support Obligation: Spousal Support Obligation:
About your Ex-Spouse
or co-parent
Occupation: Monthly income:
Child Support Obligation:
DATE of separation: DATE of divorce decree:
Name: Percent of Physical Custody:
0%
5%
10%
15%
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25%
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35%
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45%
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100%
Age:
Under 1 year old
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Name: Percent of Physical Custody:
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100%
Age:
Under 1 year old
1
2
3
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5
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Name: Percent of Physical Custody:
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100%
Age:
Under 1 year old
1
2
3
4
5
6
7
8
9
10
11
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17
Name: Percent of Physical Custody:
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
55%
60%
65%
70%
75%
80%
85%
90%
95%
100%
Age:
Under 1 year old
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
About your divorce
1. Describe your current parenting plan: 2. Describe your current time share with the children:
3. Describe child care/day care arrangements for the children: 4. How often do you have face-to-face contact with your ex spouse or co-parent?
5. What normally happens when you have face-to-face contact? 6. How do you usually communicate? (via e-mail, telephone, in person, or through friends)?
7. Briefly describe what happens when you communicate via telephone with your ex or co-parent: 8. Who is your attorney, if any?
9. Do you have any court dates? (time, place, date and nature of hearing) 10. At what stage is your court case?
11. Do you have any orders in place? Please describe: 12. Describe your communication to each child:
13. What are your hobbies? 14. What sports to you participate in?
15. Describe your current exercise regimen: 16. Describe here any difficulties you have co-parenting with your ex spouse or co-parent:
17. Describe three things you are passionate about: 18. What one sentence best describes each of your children?
19. What are your children's main interests?: 20. What special activities have you done to connect with your children in the last 6 months?
DISCLAIMER: Divorce Life Solutions does not render legal services, and no communication, either in writing or verbal, should be construed as legal advice or the rendering of legal services. Divorce Life Solutions encourages any party with doubts about their legal rights to contact a qualified family attorney, licensed in your state, or to contact the family court in your jurisdiction for services or advice that they may offer.
