Your Name (include middle name)
*
Do you want to restore your former name?
Yes
No
Former name (include middle name)
Your Email
Your Phone
*
(###)
###
####
Your Address (address to use for court documents)
*
Have you lived in this county for the last three months?
Yes
No
Spouse Name (include middle name)
*
Spouse Email
Spouse Phone
(###)
###
####
Spouse Address
Date of Marriage
*
MM
DD
YYYY
Date of Separation (no later than the date you sign the papers)
*
MM
DD
YYYY
Party to pay spousal support? (Self, Spouse or None)
Are you filing for Divorce or Separation?
Divorce
Separation
Child #1 -Name, Age, DOB, City of Birth & Gender
Child #2 - Name, Age, DOB, City of Birth & Gender
Child #3 - Name, Age, DOB, City of Birth & Gender
Child #4 - Name, Age, DOB, City of Birth & Gender
Where have the children lived for the just prior five years? Provide address and dates.
Will you share joint physical custody?
Yes
No
Is spouse in active Military?
Yes
No
Have you or your spouse lived in California for at least six months?
Yes
No
Are you and your spouse in agreement on all major issues?
Comments/Questions
Thank you for taking the time to fill out the intake questionnaire. I look forward to meeting with you to discuss this matter and helping you through this process.
Please call or email me to set up your first appointment. I will have your papers ready for your signature at that time.
I also welcome you to call me if you have any questions prior to your appointment.
Thank you!
JoHanna Cody | Advanced Divorce Services
Registered LDA 23-003 Placer County
(916) 751-6498
johannaldaservices@gmail.com