CROWE LAW OFFICE CLIENT CONSULTATION INFORMATION INTAKE FORM - CHILD PROTECTION LAW
Thank you for taking the time to answer these questions, which will only take a few minutes, in advance of your consultation. The following questions and your answers are confidential.
1. Your full legal name:
2. Your age:
3. Do you self-identify as Indigenous (First Nation, Métis, Inuit)?
Yes
No
4. What do you need assistance with in your child protection matter? (select all that apply)
5. How many children do you have?
1
2
3
4
6. How many children are involved in the current child protection matter?
1
2
3
4
7. The full legal name(s) of your child(ren) in your current child protection matter:
8. The age(s) of your child(ren) in your current child protection matter:
9. Your current home address is:
10. The children's aid society currently involved in my family is:
11. Is the other parent participating in your current child protection matter?
Yes
No
I do not know
12. What is the other parent's full legal name?
13. What is the other parent's current home address?
14. Does the other parent self-identify as Indigenous (First Nation, Métis, Inuit)?
Yes
No
I do not know
15. Who do the children currently live with?
Me
Other parent
Grandparent
In the care of the children's aid society
16. If the child is currently living with the other parent, with a grandparent or is in the care of the children aid society, do you have access (visits) with the child(ren) at this time?
Yes
No
17. If the child(ren) are currently in the care of the children's aid society, what date, including year and month, did the child(ren) go into society care?
18. If this matter is in court, do you have a copy of the court documents provided by the children's aid society?
Yes
No
19. If your matter is already in court, when is the next court date?
20. Do you have a legal aid certificate?
Yes
No
21. If your matter is in court and if you or the other parent self-identify as Indigenous (First Nation, Métis, Inuit), do you know if the Band Representative has been provided with a copy of the children aid society's court documents?
Yes
No
I do not know
22. If your matter is in court and if you or the other parent self-identify as Indigenous (First Nation, Métis, Inuit), is the Band Representative participating in the current child protection case e.g. attending court, supporting your plan of care or the other parent's plan of care, etc.?
Yes
No
I do not know
23. Is there anything else you would like to share about your case?
Submit
Should be Empty: