Family Law Consultation Inquiry

Full Name

Spouse's Full Name (for conflict check)

Phone Number

Email Address (one your spouse cannot access)

How would you like to be contacted? How would you like to be contacted? Email Phone

Is a Premarital Agreement being negotiated? Is a Premarital Agreement being negotiated? Yes No

Do you need the Premarital Agreement drafted or reviewed? Do you need the Premarital Agreement drafted or reviewed? Drafted Reviewed

What is your wedding date?

Has a family law case been filed? Has a family law case been filed? Yes No

If a case has been filed, please provide the County the case was filed in, the case number, and any impending court or due dates.

Previous or Current Attorney? If so, please provide their name.

If you have children, please provide their names and ages.

Date of marriage?

Date of separation?

What is your occupation and approximate annual income?

What is your spouse's occupation and approximate annual income?

Are you interested in mediation? Are you interested in mediation? Yes No

Briefly describe the family law issue that prompted you to reach out to Nicole Cheri Oden Law, PC:

If someone referred you to Nicole Cheri Oden Law, PC, please let us know who:

I have read and agree to the privacy policy.

I have read and agree to the terms and conditions.

I understand that the initial consultation will be $350 to be paid in advance of the consultation.

I understand that no attorney-client relationship is formed by contacting Nicole Cheri Oden Law, PC using this form and will not provide any confidential information.