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EZ COURT DOCS - NEW CLIENT PRE-REGISTRATION FORM
Full Name
*
First Name
Last Name
Date of Birth
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
E-mail
example@example.com
Back
Next
Spouse's Information
Spouse's Name
*
First Name
Last Name
Date of Birth
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Place of Marriage
Date of Marriage
When were you separated? (If not yet separated, please indicate).
Is your spouse willing to go along with the Divorce?
*
Yes
No
I don't know where he/she is
Would you like your Maiden name back? (for females only)
If "Yes" please state your name change below.
Name Change
Do you have?
Minor Kids
Property
N/A
List all Minor Child(ren)
Full Name
DOB
Male/Female
Place of Birth
Child 1
Child 2
Child 3
Child 4
Please specify your appointment date/time.
*
Submit
Should be Empty: