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  • CLIENT INFORMATION FORM

    Family Law
  • Date
     - -
    2 digit month, 2 digit day, 4 digit year

  • Client Identification

  • Alternate Contact

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Spouse or Partner Identification

  • Spouse or Partner Contact Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Date of Birth
     - -
    2 digit month, 2 digit day, 4 digit year

  • Spouse or Partner Employment Information

  • Relief Sought

  • Marriage / Common Law Relationship

  • Date of Marriage
     - -
    2 digit month, 2 digit day, 4 digit year
  • Did you live common law prior to the marriage?
  • If never married, did you live together?
  • Marital status at date of marriage - Client
  • Marital status at date of marriage - Spouse
  • Date of separation, if applicable
     - -
    2 digit month, 2 digit day, 4 digit year
  • Has your partner ever been physically abusive to you?
  • Has your partner ever been emotionally abusive to you?
  • Has your partner ever been abusive towards the children?
  • Have either the police or child protection services ever investigated abusive conduct towards you or the children?
  • Do you fear your partner?
  • Do you seek a divorce based on:
  • Any Cohabitation, Prenuptial or Marriage (Antenuptial) Agreements?
  • Have you and your spouse lived in Alberta for at least one year?
  • Are you a:
  • Is there any possibility of reconciliation?
  • If so, do you know that marriage counselling and mediation services are available to you?
  • Would you like us to provide a referral?

  • Children

  • Do you or your spouse have children?
  • Date of Birth
     - -
    2 digit month, 2 digit day, 4 digit year
  • Date of Birth
     - -
    2 digit month, 2 digit day, 4 digit year
  • Date of Birth
     - -
    2 digit month, 2 digit day, 4 digit year
  • Date of Birth
     - -
    2 digit month, 2 digit day, 4 digit year
  • Are all of the children from this relationship?
  • Do any of the children have special needs?
  • Are the children covered by medical and dental insurance?
  • Are there health expenses which exceed insurance (orthodontics, counselling, prescriptions, optometry, etc)?

  • Special Expenses

    If any of the following special expenses regarding the children apply, please indicate amount of expense and how it is currently being paid
  • Category
  • Have you or your spouse/partner had fertility treatment resulting in the preservation and storage of embyros or other reproductive material?

  • Prior Proceedings

  • Are there any other Court proceedings with respect to you and your spouse?
  • Any Court Orders?
  • Are there any court dates pending?
  • Have you or your spouse come to any written or verbal agreements with regard to your separation?

  • Income Information

  • Please check off each source of income you or your spouse may have.

  • Matrimonial Property - Assets

  • Matrimonial Property - Debts

  • Exemptions

    Under the Matrimonial Property Act, certain assets or portions of assets may be exempt from division. Please indicate whether you or your spouse received any of the following during the marriage and if so, describe.
  • Please select any exemptions you or your spouse may have.
  • Has any property with a value greater than $1,000 been sold or transferred to any third party in the last year by either yourself or your spouse?
  • Should be Empty: