Divorce/Matrimonial Matters Questionnaire
离婚/家庭法案件问卷
Part 1: Your Information 咨询人资料
Name 姓名
*
First Name 名
Last Name 姓
Date of Birth 出生日期
-
Year
-
Month
Day
Place of Birth 出生城市
Gender 性别
Male 男
Female 女
Other 其它
Status Before Marriage 结婚前婚姻状况
Never Married 未婚
Divorced 离婚
Widowed 鳏寡
Living common-law 同居
Surname Before Marriage 婚前姓
Ordinarily Reside in BC since 来BC省居住的日期
ex. 2020-06
Residence Address 住家地址
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Use this Address as Mailing Address? 是否使用该地址作为通讯地址？
Yes
No
Phone Number 电话
*
Please enter a valid phone number.
Email 电子邮箱
*
example@example.com
Annual Income 年收入-根据报税单
Occupation 职业
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Part 2: Information about Your Spouse (Partner) 配偶资料
Name 姓名
*
First Name 名
Last Name 姓
Date of Birth 出生日期
-
Year
-
Month
Day
Place of Birth 出生城市
Gender 性别
Male 男
Female 女
Other 其它
Status Before Marriage 结婚前婚姻状况
Never Married 未婚
Divorced 离婚
Widowed 鳏寡
Living common-law 同居
Surname Before Marriage 婚前姓
Ordinarily Reside in BC since 对方来BC省居住的日期
ex. 2020-06
Residence Address 住家地址
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Use this Address as Mailing Address? 是否使用该地址作为通讯地址？
Yes
No
Phone Number 对方电话
Please enter a valid phone number.
Email 对方邮箱
example@example.com
Annual Income 年收入-根据报税单
Occupation 对方职业
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Part 3: Relation Information 有关婚姻的资料
Date of Marriage 结婚日期
-
Year
-
Month
Day
Place of Marriage as shown on Marriage Certificate 结婚证书上的结婚地区
Date living together 开始同居日期
ex. 2020-06
Separation date 分居日期
ex. 2020-06
Mediation done? 是否经过律师协调？
Yes
No
Other
Is there abuse or violence in the family? 是否存在虐待或家庭暴力问题？
Yes
No
Other
Is there any agreement or court order in force? 是否签过任何协议或已有任何法庭判令？
Yes
No
Other / I don't know
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Part 4： Information about Children 关于子女的资料
Name of Child #1 第一个小孩的名字
First Name
Last Name
Date of Birth 出生日期
-
Year
-
Month
Day
Age 年龄
Currently resides with 现和……居住
You 您
Your Spouse 配偶
Other 其他
Name of Child #2 第二个小孩的名字
First Name
Last Name
Date of Birth 出生日期
-
Year
-
Month
Day
Age 年龄
Currently resides with 现和……居住
You 您
Your Spouse 您的配偶
Other 其他
Order 判决
Child Support 孩子抚养费
Child custody 孩子抚养权
Child guardianship 孩子监护权
Child access 孩子探视权
Any child support arrears? 是否有拖欠的子女抚养费？
Yes
No
Other / I don't know
Is there any medical/dental coverage for the children? 是否有子女的医疗/牙医保险？
Yes
No
Other / I don't know
Child special expense information 子女除基本生活费外的费用
Child care 托儿费
Private school costs 私立学校费用
Extra curriculum activity costs 课外活动费用
Post secondary school costs 大学费用
Tutoring costs 家教费用
Sports 体育运动费用
Others 其他费用
Spousal support 配偶赡养费
Family asset 家庭财产
Submit
Should be Empty: