Johnston Withers

Family Law - First Appointment Form.

25%

Your details

Street address
Mailing address
How would you prefer to receive correspondence?
Public Service Association (PSA) member?
Are you eligible for any of the following benefits or concessions

Please select all that apply

Your employment details

Other party’s details

Street address
Mailing address

Other party's employment details

Other party's lawyer (if known)

Relationship details

Children of your relationship

Children of relationship
Children

Financial arrangements for your children

Is there an Administrative Assessment of child support
Do you pay or receive child support

Other information

Please select what you would like to receive advice about (please tick all that apply)

If there is anything else you would like us to know about your matter or about you, please put it here (i.e: the reason that your relationship broke down):

How did you hear about Johnston Withers?
May we thank your referrer?