Divorce Case Intake Form

Your Cell Phone
Your Cell Phone
Accept Text Messages?
Home/Other Phone
Home/Other Phone
Home Address
Home Address
Have You Lived in Georgia for the Past 6 Months?
Date of Birth
Date of Birth
Are You Currently Married?
Date Current Marriage Granted
Date Current Marriage Granted
Date of Separation from Spouse
Date of Separation from Spouse
Have You or Your Children Moved in the Past 5 Years?
Spouse's Information
Spouse's Date of Birth
Spouse's Date of Birth
Spouse's Address
Spouse's Address
Children With Spouse #1
Gender of Child #1
Child #1 Date of Birth
Child #1 Date of Birth
Child #1 Resides With
Children With Spouse #2
Gender of Child #2
Child #2 Date of Birth
Child #2 Date of Birth
Child #2 Resides With
Children With Spouse #3
Gender of Child #3
Child #3 Date of Birth
Child #3 Date of Birth
Child #3 Resides With