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Jonathan R. Deenik
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Basic Client Intake
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Indicates required field
Name
*
First
Last
Date of Birth
*
Driver's License Number
*
Social Security Number
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Address
*
Line 1
Line 2
City
State
Zip Code
Country
Home Phone Number
*
Mobile Phone Number
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Work Phone Number
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Email (Do not use work address)
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I authorize contact by email
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Opposing Party Information
Name
*
First
Last
Driver's License Number
*
Date of Birth
*
Social Security Number
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Address
*
Line 1
Line 2
City
State
Zip Code
Country
Relationship to Opposing Party
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Spouse
Ex-Spouse
Have Child, Never married
Other
Phone Number
*
Email
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Does Opposing Party have an Attorney
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Yes
No
Unknown
Opposing Attorney Name
*
Children (involved in this case)
Child 1- Name
*
First
Last
[object Object]
Who does the child live with?
*
Child 2- Name
*
First
Last
[object Object]
Who does the child live with?
*
Date of Birth
*
Date of birth
*
Child 3- Name
*
First
Last
Who does the child live with?
*
Additional children & Information
*
Date of Birth
*
Case Information
Is there a case pending?
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Yes
No
If yes, County case is pending in
*
Cause Number of Case
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Pending Hearing Dates:
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Other related cases
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Does you case involved issues of Domestic Violence
*
Yes
No
Submit
Home
About
Jonathan R. Deenik
Payment Options
Practice Areas
Divorce
Child Custody & Support
>
Custody
Child Support
Parenting Time
Paternity
Collaborative Law
Appeals
Contact
Pay Online
Deenik Law Blog