( * indicates required field)
1. What state and county is your legal issue in?*
2. What city is your legal issue in?*
3. How will you pay for legal services if you decide to hire a lawyer?*
(check all that apply)
4. How many children do you have for whom custody is being sought?
5. What is your relationship to the child?*
6. What is the status of your relationship with the other parent of your child?*
7. Who currently has custody of your child? *
8. If a divorce has been filed, in what state and county?
9. Has a court entered an order awarding custody and/or visitation rights to either parent?
10. If an order has been entered, in what state and county?
11. Do the parents live in the same state?
14. Have you spoken to a lawyer regarding this matter?
15. Please create a summary or title for your legal matter using only a few words.*
16. Please provide any additional relevant information here. Do not disclose any information you wish to remain confidential.*