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Family Law/Divorce Appeal Intake Questionnaire
Thank you for contacting Creed & Gowdy, P.A. with your representation needs. To streamline your inquiry, please fill out, as best you can, the following form. Once you have completed the form, click "Submit." All information submitted is confidential. Once we have received the completed questionnaire, one of our attorneys will review the information and determine if we are best suited to handle your type of case.
Contact Information
Name
*
First
Last
Phone
*
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Email
Is this your case?
Yes
No
If this is not your case, on whose behalf are you inquiring?
First
Last
What is your relationship to the potential client?
Case Information
Does this case involve (check all that apply):
Divorce with children
Child Custody
Child Support
Termination of Parental Rights
Divorce without children
Spousal Support/Alimony
Protection (Restraining) Order(s)
Not listed
If your case does not involve any of the above options, please briefly describe the issue.
Divorce
Date of Marriage
MM
/
DD
/
YYYY
Date of Separation
MM
/
DD
/
YYYY
Are there any minor or dependent children involved?
Yes
No
What is the Opposing Party/Spouse's name?
First
Last
Was/is the Opposing Party/Spouse represented by counsel?
Yes
No
I'm not sure
What is Opposing Party/Spouse's attorney's name?
First
Last
Child Custody & Support
Do either you or your spouse currently have primary custody or do you split custody?
I have primary custody
Spouse has primary custody
Split custody
Are you seeking full custody?
Yes
No
Other than you or your spouse, does anyone else claim or have custody or visitation rights of the child(ren)?
First
Last
Are you now paying child support?
Yes
No
Are you now receiving child support?
Yes
No
Is either party seeking child support?
Yes
No
Spousal Support/Alimony
Are you now paying spousal support?
Yes
No
Are you now receiving spousal support?
Yes
No
Is either party seeking spousal support?
Yes
No
Is there a prenuptial/postnuptial agreement?
Yes
No
Case Information
Case Location State:
Please select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Case Location County:
State Court Case Number:
Has the lower court entered a final judgment or order?
Yes
No
If the lower court has entered a final judgment or order, what date was it entered?
MM
/
DD
/
YYYY
Has a notice of appeal been filed by either party?
Yes
No
District Court of Appeal Case Number (if available):
Other Information
Is there anything else about the situation you would like us to know?
What is most important to you in terms of how this case is resolved?
Will anyone else be assisting with attorney's fees?
Yes
No
I'm not sure
Did anyone refer you to us? If so, please let us know so we can thank them.
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