Application Form Application From New Client/Matter Form 12 Family Law Please Click the link below Family Law Basic InformationClient Types*Client Type *IndividualBusiness or CorporationName (Full Legal Name)* Preferred Contact Name if Different to Above Business or Corporation Name* Preferred Name/Contact* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Is your postal address different from your residential address?* No Yes Postal Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code TelephoneMobileEmail* Do you have a Facsimile* Yes No Facsimile Number* Referred By I do wish to receive emails or other communication relating to D'Angelo Legal's Services Which Service Are You looking For?*Please choose a serviceMatterPersonal InjuryWill Matter DetailsDescription of Matter*Conflict of Interest details for a CorporationWho are the directors and shareholders of the corporationDetails of any related entities or spposing partiesDo you have multiple Corporations and Partnerships?* Yes No Any additional information for corporations and partnershipsPersonal Injury Client & Matter DetailsWhich type of Personal Injury Matter do you need*Please chooseMOTOR VEHICLEWORKERSCOMPENSATIONCRIMINAL INJURIESPUBLIC LIBILITYMEDICAL NEGLIGENCETPD / SUPERANNUATIONOtherOther personal injury matter Tax File Number* Date of Brith* DD slash MM slash YYYY Date of Injury* DD slash MM slash YYYY Medicare Number* Claim Number Insurer Conflict of interest details for an individualAre you a director of any corporations* Yes No Corporation Name* Do you have a spouse?* Yes No Spouse's Full Name* Are you a partner of any partnerships?* Yes No Partnership Name* Details of any related entities or opposing partiesWill Client fact Find Personal DetailsDo you have any Spouses?* Yes No Spouse 1 DetailsFull Legal Name* Alias (if any) Occupation* Date of Brith* DD slash MM slash YYYY Spouse 2 Details (if applicable)Full Legal Name* Alias(if any) Occupation* Date of Brith* DD slash MM slash YYYY Is the will urgent?* Yes No Date WIll Needs to be Signed* MM slash DD slash YYYY Children's DetailsFirst ChildFull Name Child's Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Child's Occupation Child's Date of Brith DD slash MM slash YYYY Parents of Child Husband Wife Do you have second child* Yes No Second ChildChild's full name Child's Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Child's occupation Child's date of birth DD slash MM slash YYYY Parents of Child Husband Wife Do you have third child Yes No Third ChildChild's full name Child's Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Child's occupation Child's date of birth DD slash MM slash YYYY Parents of Child Husband Wife Do you have fourth child Yes No Fourth ChildChild's full name Child's Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Child's occupation Child's date of birth DD slash MM slash YYYY Parents of Child Husband Wife Additional InformationDo you intend to have more children Yes No Are there any people who are financially dependent upon you, apart from minor children? Such as elderly parents that rely on you for an income/financial support or disabled children? if yes, please list : Names, Addresses, Age and RelationshipAre you involved in a business and/or trust?* Yes No Business and/or trust informationBusiness Name ABN/ACN* Trading Name* Is there a shareholder or partnership agreement? Asset and Liability InformationList all Asset/Liability Name and Type, Value, Debt Owend on Asset, Jointly Owned, Husband Only or Wife Only:Other Information or QueriesTestamentary IntentionsWe will ask you for the full legal name, address and occupation for anyone to be named in your estate planning documents. Prior to our meeting, please consider: 1. Executors - those that will control your estate, call in your assets, pay your debts and distribute your estate, as well as hold monies for your minor beneficiaries. There may be a number of persons to act jointly, or 1 executor as you see fit. 2. Beneficiaries - those that will benefit from your estate. You may, for example, leave everything to your spouse and if you are both deceased to your children and grandchildren in such shares as you see fit. We will discuss your options at our initial meeting. Please consider at what age your children or grandchildren can control their benefit from your estate. 3. Guardians - those that will look after your children until they are over 18 years of age. 4. Appointer for your power of attorney - those that will take care of your financial affairs should you be alive but have lost legal capacity. 5. Guardians for a power of guardianship (if required) - those that will make medical and lifestyle decisions for you during any periods of incapacity. Δ get started Lorem ipsum dolor sit amet, consectetur elit, tempor incididunt ut labore et dolore magna aliqua. get started
