Welcome To Harris + Harris LLP Law Firm in Toronto, Ontario

Family Law

Template

Harris + Harris can help ease an already difficult situation by quickly resolving any family law issues. Fill out and submit the form below and a representative from Harris + Harris will contact you shortly.

Name (full legal)
Spouse's name (full legal)

Date of Marriage
Place of Marriage (municipality and province, state or country)

Wife's surname immediately before marriage
Husband's surname at birth
Marital status of husband at time of marriage
Marital status of wife at time of marriage
Wife's birthplace (city and province, state or country)
Wife's birth date
Husband's birthplace (city and province, state or country)
Husband's birth date

Date of Separation
Spouse's mailing address
Have you and your spouse been resident in Ontario for at least one year?		Yes	No

Children	1
	2
	3
	4
Children reside with:		Husband	Wife
		Both	Other

Husband's Employment:		What Job?:
		What Company?:
		Income (annual)?:
		How Long?:

Wife's Employment:		What Job?:
		What Company?:
		Income (annual)?:
		How Long?:

Have there been prior (or currently existing) court proceedings?
		Current Proceedings	Prior

Are there any serious medical/psychological issues for the Husband or Wife or children?
Husband		Yes	No
Wife		Yes	No
Children		Yes	No

Do any of the children have any educational issues?		Yes	No

What is the address of the matrimonial home?
Who owns the matrimonial home?		Husband	Wife
		Other	Rent
		Joint - Husband & Wife

Contact Information:
Address:

Telephone No.:

Fax No.:

Email Address: e.g. (you@domain.com)

*How would you like us to contact you? Telephone Email
* required field

DISCLAIMER

Please Note:

This intake form is for information purposes only, and submission of same does not constitute an agreement to provide legal services by Harris + Harris LLP, Barristers + Solicitors ("Harris + Harris"). Legal services will only be provided to the person submitting the intake form upon the express written agreement of Harris + Harris, and then only in accordance with the contractual terms contained in Harris + Harris' retainer agreement, and Harris + Harris' letter confirming terms of engagement.

While every reasonable effort will be made by Harris + Harris to respond to the intake form in a timely fashion, we cannot guarantee a specific response time. As such, if you require urgent/immediate legal services we ask that you contact us by telephone, or contact another lawyer of your choice.

The person submitting this intake form acknowledges that Harris + Harris shall not incur any liability whatsoever by acceptance of such intake form.

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