Pre Meeting Registration Form

PHONE (02) 6223 2400

Alliance Family Law’s offices are at 5/17  Napier Close, Deakin, Canberra, 2600

Click to see a MAP of our office location 

PLEASE NOTE:
- We pursue paperless as a key business strategy.
- Completing this form does not create any obligation to proceed with Alliance Family Law.
- All information provided is completely confidential.
- If you would prefer to fill a hard copy form you can do this before our first meeting.
- The information provided enables us to do a conflict check to make sure we have not represented the other party.
- It also provides us with basic information so we can be prepared for our first meeting.

ABOUT YOU

Name (required)

Date of birth (required)

Residential address (required)

Mailing address (if different)

Preferred mobile or landline (required)

Alternate phone number

Your email (required)

Previous lawyer

Has an appointment already been made? If so what date and time?

ABOUT THE OTHER PARTY

Please provide as much information as you can

Name of other Party (required) - Name in full as on drivers licence

Date of birth

Address

Email

Phone

Other Party lawyer

ADDITIONAL INFORMATION (WHERE APPLICABLE)

Length of time living together

Date of marriage

Date of separation

Date of divorce

Please provide a short summary of relevant information

DETAILS OF CHILDREN (IF APPLICABLE)

1) Name - Age - Living With

2) Name - Age - Living With

3) Name - Age - Living With

4) Name - Age - Living With

WHERE DID YOU FIRST HEAR ABOUT ALLIANCE FAMILY LAW?

Internet searchNewpaper advertisementReferral or recommendationOther

If you clicked referral or other, please provide details

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Thank you


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