CLIENT INFORMATION FORM (GENERAL) [FP 1]
CONFIDENTIAL MEMORANDUM FOR THE INFORMATION OF [lawyers name]
1.
My full name:
2.
My address and telephone number:
Home address:
Phone:
Business address:
Phone:
3.
My Social Insurance Number:
4.
My spouses full name:
5.
My spouses address and telephone number:
Home address:
Phone:
Business address:
Phone:
6.
My spouses Social Insurance Number:
7.
Children of our marriage:
Name of child
Exact
date
of birth
Place of birth
8.
Date of marriage:
9.
Place of marriage:
10.
Surname of wife before marriage:
11.
Maiden surname of wife:
School or
Grade or
Year
Surname of each party at birth:
12.
Former surnames of husband:
13.
Were you or your spouse ever married before? (Yes/No)
Where child
currently
resides
If your answer was Yes: Details of prior marriage:
Details of divorce or death of spouse:
14.
Wifes date of birth:
15.
Wifes place of birth:
16.
Husbands date of birth:
17.
Husbands place of birth:
18.
Is there a prenuptial agreement?
19.
Is there a cohabitation agreement?
20.
Date of separation between husband and wife:
21.
Was there a written separation agreement? (Yes/No)
If your answer was Yes, attach a copy or give details:
22.
Was there any verbal agreement in connection with the separation? (Yes/No)
If your answer was Yes, give details:
23.
Are you interested in reconciliation?
Is your spouse?
Attempts at reconciliation?
Attempts at counselling?
24.
Were you born in British Columbia? (Yes/No)
If your answer was No, what date did you come to live in British Columbia?
25.
Were you ever involved in any court proceeding in connection with the marriage or in
connection with any of the children of the marriage? (Yes/No)
If your answer was Yes, please give details:
26.
Additional information. Please set out any other information that you think relates to your
case: