ZIP Code or City:
*
Number of children:
0
1
2
3
4
5
6
7+
I am the child's / children's:
Father
Mother
Grandparent
Step-parent
Age of child/children:
The status of our relationship is:
We are living together but not married
We are not living together and never have been married
We are married and living together
We are separated and have not yet filed for divorce
We are separated and a divorce case has been filed
We are divorced and both living alone
We are divorced and I am now married to someone else
We are divorced and my ex-spouse is now married to someone else
We are divorced and we both are now married to others
We are divorced and we both are now married to others
In my custody
In the custody of my former spouse/other natural parent
In joint custody
In state custody
The current visitation is:
Unsupervised
Supervised
Limited in time length
Limited in visits per week, month or year
No visitation
Your Age:
Occupation:
The other parent or spouse's occupation is:
The other parent or spouse's gross annual income is:
$25,000 or less
$25,001-$50,000
$25,001-$50,000
$75,001-$100,000
$100,001-$125,000
$125,000+
Current $ amount paid per month in child support:
How well do you understand your legal situation or issue? Please select the statement that best applies to your situation:
I understand my legal issue.
I have a couple of questions.
I have a lot of questions.
Gross annual income:
$25,000 or less
$25,001-$50,000
$25,001-$50,000
$75,001-$100,000
$100,001-$125,000
$125,000+
One Line Summary of your Case:
*
Describe your Case in Detail:
*
First Name
*
Last Name
*
City
*
State or Province
*
Zip / Postcode
*
Phone
*
Email
*
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