Application Form Application From New Client/Matter Form 1 2 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 AboveBusiness 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?*NoYesPostal Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code TelephoneMobileEmail* Do you have a Facsimile*YesNoFacsimile 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?*YesNoAny 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 matterTax File Number*Date of Brith* Date Format: DD slash MM slash YYYY Date of Injury* Date Format: DD slash MM slash YYYY Medicare Number*Claim NumberInsurerConflict of interest details for an individualAre you a director of any corporations*YesNoCorporation Name*Do you have a spouse?*YesNoSpouse's Full Name*Are you a partner of any partnerships?*YesNoPartnership Name*Details of any related entities or opposing partiesWill Client fact Find Personal DetailsDo you have any Spouses?*YesNoSpouse 1 DetailsFull Legal Name*Alias (if any)Occupation*Date of Brith* Date Format: DD slash MM slash YYYY Spouse 2 Details (if applicable)Full Legal Name*Alias(if any)Occupation*Date of Brith* Date Format: DD slash MM slash YYYY Is the will urgent?*YesNoDate WIll Needs to be Signed* Date Format: MM slash DD slash YYYY Children's DetailsFirst ChildFull NameChild's Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Child's OccupationChild's Date of Brith Date Format: DD slash MM slash YYYY Parents of ChildHusbandWifeDo you have second child*YesNoSecond ChildChild's full nameChild's Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Child's occupationChild's date of birth Date Format: DD slash MM slash YYYY Parents of ChildHusbandWifeDo you have third childYesNoThird ChildChild's full nameChild's Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Child's occupationChild's date of birth Date Format: DD slash MM slash YYYY Parents of ChildHusbandWifeDo you have fourth childYesNoFourth ChildChild's full nameChild's Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Child's occupationChild's date of birth Date Format: DD slash MM slash YYYY Parents of ChildHusbandWifeAdditional InformationDo you intend to have more childrenYesNoAre 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?*YesNoBusiness and/or trust informationBusiness NameABN/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. get started Lorem ipsum dolor sit amet, consectetur elit, tempor incididunt ut labore et dolore magna aliqua. get started
