LEGAL SERVICES AGREEMENT

YOUR DETAILS
First Name*
Middle Name
Last Name*
Preferred Name
Salutation (Mr, Mrs etc)
Physical Address Line 1*
Physical Address Line 2
City*
State
Postcode*
Country
Mailing Address Line 1
Mailing Address Line 2
City
State
Postcode
Country
Please indicate if you DO NOT wish us to forward correspondence to you at this address
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Phone*
Mobile
Email*
Date of Birth*
Date Format: DD slash MM slash YYYY
Gender*
Drivers Licence*
OTHER PARTY DETAILS
Other Party First Name*
Other Party Last Name*
Other Party Address
Other Party Suburb
Other Party State
Other Party Post Code
Other Party Email Address
Other Party Phone Number
Other Party Date of Birth
Date Format: DD slash MM slash YYYY
Other Party Gender
RELATIONSHIP DETAILS
Marital Status*
Date you commenced living together
Date Format: DD slash MM slash YYYY
Date of separation
Date Format: DD slash MM slash YYYY
Date of marriage
Date Format: DD slash MM slash YYYY
Date of divorce
Date Format: DD slash MM slash YYYY
Place of marriage (town/state)
CHILDREN DETAILS
Child 1 First Name
Child 1 Last Name
Child 1 Date of Birth
Date Format: DD slash MM slash YYYY
Child 1 Place of Birth
Child 2 First Name
Child 2 Last Name
Child 2 Date of Birth
Date Format: DD slash MM slash YYYY
Child 2 Place of Birth
Have you had previous representation?
- on
Previous Representation Details
How did you find us?*
Have you visited our website?*
If you did an internet search, what was the search term used?
If referred by previous client, please advise who:
Client Notes for Solicitor*
Do you have a valid Will?*
What date was your last Will signed?*
Date Format: MM slash DD slash YYYY

BRISBANE OFFICE

MILTON OFFICE

CAIRNS OFFICE

YOUR DETAILS

OTHER PARTY DETAILS

RELATIONSHIP DETAILS

CHILDREN DETAILS

LEGAL SERVICES AGREEMENT

YOUR DETAILS

OTHER PARTY DETAILS

RELATIONSHIP DETAILS

CHILDREN DETAILS

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