Family Law Intake Form (basic) How did you hear about us? 您是从什么哪里知道我们律所的? Your Last Name 姓(以英文证件为准) Your First Name 名(以英文证件为准) Other names you previously used 您的任何曾用名 Your previous Name on Date of Marriage (if different than now) 您结婚时的姓名(如果和现在不同) Your Gender Please select Male Female Other 您的性别 Your Date of Birth 您的出生年月日 Your Residential Address 您的居住地址 City 城市 Province 省份 Post Code 邮编 Country Canada Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bailiwick of Guernsey Bailiwick of Jersey Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo, Democratic Republic of Congo, Republic of Cook Islands Costa Rica Côte d’Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland Former Yugoslavia France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iraq Ireland Islamic Republic of Iran Isle of Man Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic Peoples Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Lao People’s Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthélemy Saint Lucia Saint Martin Samoa San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka St. Helena St. Kitts and Nevis St. Pierre & Miquelon St. Vincent & the Grenadines Sudan Suriname Sweden Switzerland Syrian Arab Republic Taiwan, ROC Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Virgin Islands Unknown/Other Uruguay USA Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Viet Nam Wallis & Futuna Islands Western Sahara Yemen Zaire Zambia Zimbabwe 国家 Your Mailing Address (if different than above) 您的邮寄地址(如果和上述不同) Mailing Address – City 邮寄地址 – 城市 Mailing Address – Province 邮寄地址 – 省份 Mailing Address – Post Code 邮寄地址 – 邮编 Mailing Address – Country Canada Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bailiwick of Guernsey Bailiwick of Jersey Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo, Democratic Republic of Congo, Republic of Cook Islands Costa Rica Côte d’Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland Former Yugoslavia France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iraq Ireland Islamic Republic of Iran Isle of Man Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic Peoples Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Lao People’s Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthélemy Saint Lucia Saint Martin Samoa San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka St. Helena St. Kitts and Nevis St. Pierre & Miquelon St. Vincent & the Grenadines Sudan Suriname Sweden Switzerland Syrian Arab Republic Taiwan, ROC Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Virgin Islands Unknown/Other Uruguay USA Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Viet Nam Wallis & Futuna Islands Western Sahara Yemen Zaire Zambia Zimbabwe 邮寄地址 – 国家 Do you have a previous marriage or divorce? If so, please provide details. 您是否以前有婚姻或离婚?如有,请提供细节。 Since when do you reside in this region (Toronto, York, Halton, Peel, Durham, etc)? (yy/mm) 您从何时在此地区 (Toronto, York, Halton, Peel, Durham, etc) 居住?(年/月) Your taxable income (per year) 您的报税收入(每年) Your non-taxable income (per year) 您任何不报税的收入(每年) Other Party’s Last Name 对方的姓(以英文证件为准) Other Party’s First Name 对方的名(以英文证件为准) Other names the Other Party previously used 对方的曾用名 Other Party’s previous Name on Date of Marriage (if different than now) 对方结婚时的姓名(如果和现在不同) Other Party’s Gender Please select Male Female Other 对方的性别 Other Party’s Date of Birth 对方的出生日期 Other Party’s Residential Address 对方的居住地址 City 城市 Province 省份 Country Canada Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bailiwick of Guernsey Bailiwick of Jersey Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo, Democratic Republic of Congo, Republic of Cook Islands Costa Rica Côte d’Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland Former Yugoslavia France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iraq Ireland Islamic Republic of Iran Isle of Man Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, Democratic Peoples Republic of Korea, Republic of Kosovo Kuwait Kyrgyzstan Lao People’s Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthélemy Saint Lucia Saint Martin Samoa San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Solomon Islands Somalia South Africa South Sudan Spain Sri Lanka St. Helena St. Kitts and Nevis St. Pierre & Miquelon St. Vincent & the Grenadines Sudan Suriname Sweden Switzerland Syrian Arab Republic Taiwan, ROC Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Virgin Islands Unknown/Other Uruguay USA Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Viet Nam Wallis & Futuna Islands Western Sahara Yemen Zaire Zambia Zimbabwe 国家 Does Other Party have a previous marriage/divorce? If so, please provide details. 对方之前有婚姻或离婚吗?如果有,请提供细节。 Since when does the Other Party reside in this region (Toronto, York, Halton, Peel, Durham, etc)? (yy/mm) 对方从何时在此地区 (Toronto, York, Halton, Peel, Durham, etc) 居住?(年/月) Other Party’s taxable income (per year) 对方的报税收入(每年) Other Party’s non-taxable income (per year) 对方任何不报税的收入(每年) Total number of Child of Both Parties (i.e. from this relationship or marriage) 双方之间有几个孩子 Total number of Child of either Party (incl. child from previous marriage or with a third party) 双方一共有多少孩子(包含以前婚姻产生的孩子和与第三方的孩子) If any child is from a previous marriage or from outside of marriage, which child? Who is the biological parent? 如果有以前婚姻的孩子或婚外的孩子,哪个孩子是这样?谁是孩子的亲生父母? 1st Child’s Full Name (of the parties) 第一个孩子的全名(双方的孩子) 1st Child’s Gender 第一个孩子的性别 1st Child’s Date of Birth 第一个孩子的出生日期 1st Child’s Grade 第一个孩子在上几年级 1st Child’s School 第一个孩子的学校 Where does the 1st Child live in? (city/province) 第一个孩子现在居住在哪里?(城市/省份) Who does the 1st Child live with? 第一个孩子现在和谁居住? 2nd Child’s Full Name 第二个孩子的全名 2nd Child’s Gender 第二个孩子的性别 2nd Child’s Date of Birth 第二个孩子的出生日期 2nd Child’s Grade 第二个孩子在上几年级 2nd Child’s School 第二个孩子的学校 Where does the 2nd Child live in? (city/province) 第二个孩子现在居住在哪里?(城市/省份) Who does the 2nd Child live with? 第二个孩子现在和谁居住? 3rd Child’s Full Name 第三个孩子的全名 3rd Child’s Gender 第三个孩子的性别 3rd Child’s Date of Birth 第三个孩子的出生日期 3rd Child’s Grade 第三个孩子上几年级 3rd Child’s School 第三个孩子的学校 Where does the 3rd Child live in? (city/province) 第三个孩子现在居住在哪里? Who does the 3rd Child live with? 第三个孩子现在和谁居住? Additional Information about Children 其他关于孩子的信息 Who is currently paying child support? 现在谁在支付孩子抚养费? How much child support is being paid each month? 现在每月在支付的孩子抚养费金额 If child support is not paid by a fixed amount, details of how are the children being financially supported 如果孩子抚养费不是一个固定数目,孩子抚养的具体细节 Where was your Marriage Certificate issued? 您的结婚证是哪里颁发的? Do you have the original copy or a photocopy of the Marriage Certificate? 您是否有结婚证的原件或复印件 Is there an existing or previous family law court matter between you and the other party? If so, please provide details. 双方是否曾经有过或现在已经有一个法院案件?如果有,请提供细节。 Is there a binding domestic agreement between you and the other party? If so, please provide details. 双方之间是否已经有一个生效的婚姻协议?如有,请提供细节。 Is there any dispute between you and the Other Party right now? If so, please provide details. 您和对方之间是否存在任何争议?如有,请提供细节。 Do you have any questions for us, or any other information you would like us to know? 您是否有任何问题,或任何其他信息需要我们知道?