Detailed Client Instruction Form - Children (no property)

Your first name*
Your middle name (if applicable)
Your last name*
What is your occupation?*
What is your partner's occupation?*
Circumstances surrounding separation*
Any resumption of cohabitation since the date of separation (if so, give details of dates)*
Is there any prospect of reconciliation?*
Housing - proposed arrangements for child 1:*
Describe the house/unit where the child lives for example how many bedrooms in the house/unit and does the child have their own room).
Housing - proposed arrangements for child 2:
Describe the house/unit where the child lives for example how many bedrooms in the house/unit and does the child have their own room).
Housing - proposed arrangements for child 3:
Describe the house/unit where the child lives for example how many bedrooms in the house/unit and does the child have their own room).
Housing - proposed arrangements for child 4:
Describe the house/unit where the child lives for example how many bedrooms in the house/unit and does the child have their own room).
Supervision - proposed arrangements for child 1:*
(Who looks after the child? eg. If the parent who lives with the child is working outside the home who looks after the child during the parent's absence).
Supervision - proposed arrangements for child 2:
(Who looks after the child? eg. If the parent who lives with the child is working outside the home who looks after the child during the parent's absence).
Supervision - proposed arrangements for child 3:
(Who looks after the child? eg. If the parent who lives with the child is working outside the home who looks after the child during the parent's absence).
Supervision - proposed arrangements for child 4:
(Who looks after the child? eg. If the parent who lives with the child is working outside the home who looks after the child during the parent's absence).
Financial Support - proposed arrangements for child 1:*
(details about maintenance and child support, including details of maintenance orders or child support assessments and what is actually being paid or proposed to be paid by any parent or party to the relationship who does not live with the child).
Financial Support - proposed arrangements for child 2:
(details about maintenance and child support, including details of maintenance orders or child support assessments and what is actually being paid or proposed to be paid by any parent or party to the relationship who does not live with the child).
Financial Support - proposed arrangements for child 3:
(details about maintenance and child support, including details of maintenance orders or child support assessments and what is actually being paid or proposed to be paid by any parent or party to the relationship who does not live with the child).
Financial Support - proposed arrangements for child 4:
(details about maintenance and child support, including details of maintenance orders or child support assessments and what is actually being paid or proposed to be paid by any parent or party to the relationship who does not live with the child).
Health - proposed arrangements for child 1:*
(details of the health of the child and any treatment or ongoing medication needs).
Health - proposed arrangements for child 2:
(details of the health of the child and any treatment or ongoing medication needs).
Health - proposed arrangements for child 3:
(details of the health of the child and any treatment or ongoing medication needs).
Health - proposed arrangements for child 4:
(details of the health of the child and any treatment or ongoing medication needs).
Education - proposed arrangements for child 1:*
(details about what school the child attends, what year he/she is in and what progress is being made).
Education - proposed arrangements for child 2:
(details about what school the child attends, what year he/she is in and what progress is being made).
Education - proposed arrangements for child 3:
(details about what school the child attends, what year he/she is in and what progress is being made).
Education - proposed arrangements for child 4:
(details about what school the child attends, what year he/she is in and what progress is being made).
Any other matters for child 1:*
Any other matters for child 2:
Any other matters for child 3:
Any other matters for child 4:
Are there any proposals to change these arrangements?*
If so, specifiy
Are there any previous court orders (this includes any protection orders)?*
If so, provide details or copies via portal upload.
Are there any pending court proceedings?*
If so, provide details
Are there any previous written parenting agreements?*
If so, provide copies of these agreements via portal upload
If you have a particular concern/s you would like us to address, please provide details:
How would you describe the present relationship between yo and your former partner?*
Understanding your respective strengths and weaknesses in the area of communication is helpful if we are to advise you on a method to resolve issues between you and your former partner.
At present do you and your former partner communicate?*
Elaborate here if you wish.
Do you have good health?*
If not, provide details:
Does your partner have good health?*
If not, provide details:
What level of education do you have?*
What level of education does your partner have?*
If you are unemployed, date of last employment:
If your partner is unemployed, date of last employment:
Do you wish to pursue an education or job training?*
(if so, what field or study program. Provide details)
What is the estimated expense to complete the study or program?
List the last three places of employment and dates of employment for you.*
Provide details of income received.
List the last three places of employment and dates of employment for your partner.*
Provide details of income received.
Date of commencement
Employer's name
Name of the business if you are self employed
Your salary or wages (before tax)
For the last year ended 30 June
Your salary or wages (before tax)
Current weekly
Your Centrelink payments - type and amount:
For the last year ended 30 June
Your Centrelink payments - type and amount:
Current weekly
Spousal support paid by:
Spousal support amount paid:
For the last year ended 30 June
Spousal support paid weekly:
Current weekly
Child maintenance is paid by:
Child maintenance amount paid:
For the last year ended 30 June
Child maintenance amount paid weekly:
Current weekly
Miscellaneous additional notes regarding your income:
Your partner's date of commencement:
Employer's name:
Name of business if self employed:
Your partner's salary or wages (before tax):
For the last year ended 30 June
Your partner's salary or wages (before tax):
Current weekly
Your partner's Centrelink payments - type:
Spousal Support is paid by who:
Are your children financially independent?*
If so, provide details.
Did you or your former partner give up work during the relationship to care for the children?*
Provide details of the period/s of time.
During the relationship, how did you and your former partner share domestic duties (such as cooking, cleaning, washing, gardening etc.).*
For example, were they shared equally or did one party perform the majority of the household chores and maintenance?
Provide details of your invoolvement in the children's schooling, sporting activities and extracurricular activities during your relationship and after separation.*
Provide details of your partner's involvement in these activities.*

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Detailed Client Instruction Form – Children (no property)

Detailed Client Instruction Form – Children (no property)

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