Family Law Intake | Crawley Law

Welcome

Please complete this questionnaire before your initial consultation with Patrick. The more thoroughly you fill this out, the more productive our first meeting will be.

Don't worry about total accuracy. Just do the best you can. All information you provide is strictly confidential. If you have questions or need help with any part of this form, please call our office at (541) 632-4313.

What kind of matter brings you here?

Choose the option that best fits your situation. The form will adapt to ask only the questions relevant to your case.

Save & Resume Your progress is automatically saved to this browser as you go. You may also download your in-progress responses as a backup file and upload them later to continue on another device.

Step 1 · Your Information

Tell us about yourself.

Contact

Prefix

First Name *

Middle Name

Last Name *

Date of Birth

Cell Phone *

Email *

Preferred Contact Method

Home Address

Street Address

City

State

ZIP

How long have you lived at this address?

Confidential mailing address if different / safer

Identity / Optional Details

All fields in this section are optional. They're helpful for filing later but not required to start.

SSN optional

Driver's License # optional

Do you require a name change? divorce only

Employment

Are you currently employed?

Referral

How did you hear about us?

If our firm represents you, will you be the person paying the legal fees?

Step 2 · The Other Party

Tell us about your spouse or the other parent.

Identification

First Name *

Last Name *

Date of Birth

Email

Phone

Address if known

Relationship & Employment

Is the other party currently employed?

Other Party's Employer if known

Other Party's Position if known

Step 3 · Marriage & Relationship History

Helps us understand the legal posture of your case.

Prior Family Law Actions

Has either party filed a prior family law court action against the other?

Step 4 · Your Children

For each child, tell us a bit about them. Add a row per child.

SSN is confidential — we use it only for court filings and child-support paperwork. If you don't have it handy, leave it blank and bring it to your first meeting.

Full Legal Name

DOB

SSNi

Grade

School

Current Teacher

Currently Resides With

5-Year Residence History

For each child, tell us where they have lived over the last 5 years and with whom. Add a row per move (or per child if they've stayed in one place).

Child(ren)i

City / County / Statei

With Whom

From (Month/Year)

To (Month/Year)i

Additional Information About Your Children

Are any of the children adopted?

Are you and the other party expecting another child?

Are both parents listed on the children's birth certificate(s)?

Do any children have disabilities, health, or psychological challenges? describe briefly

Are any children currently in therapy or counseling?

Day-care, baby-sitters, or after-school care arrangements

Educational costs (private school tuition, tutoring, etc.) — who pays?

Extracurricular activities, lessons, or sports

Step 5 · Custody & Parenting Time

Tell us about the current situation and what you are seeking.

Current Custody & Parenting Time Situation

Who currently has physical custody of the children?

What is the current parenting time / visitation schedule? describe in your own words

Who has primarily handled the children's day-to-day care? primary caretaker narrative

What You Are Seeking

What kind of legal custody are you seeking?

What parenting time schedule are you seeking?

Child Support

A few quick inputs that Oregon's child support guidelines use.

Who currently provides health insurance for the children?

Monthly cost of the children's portion of health insurance

Monthly child-care / day-care cost

Are you seeking to establish or modify child support?

Is there an existing child support order?

Safety & Special Concerns

These questions are sensitive but important for both safety and for how Patrick approaches your case.

Are there any current or past protective orders (FAPA, Stalking, EPPDAPA) between you and the other party?

Has DHS (Department of Human Services) or Child Welfare ever investigated either parent regarding the children?

Any concerns about substance abuse by either parent? describe if yes

Any concerns about mental health by either parent? describe if yes

Any safety concerns regarding the children?

Is anyone planning to relocate? important for ORS 107.159

Other prior or ongoing legal issues related to custody or child support?

Step 6 · Assets

List everything you and your spouse own. Don't worry about precise values — best estimates are fine.

For each asset, check Gift / Inheritance if it came to you (or the other party) as a gift or inheritance, and Pre-Marital if it was owned before the marriage. Leave both unchecked if it was acquired during the marriage with marital funds.

Real Property

Description / Address

Separate Property?i

Title (who's on deed)

Market Value

Loan Balance

Bank & Savings Accounts

Type codes: C = Checking · S = Savings · MM = Money Market · CD = Certificate of Deposit

Institution

Type

Account # (last 4)

Balance

Investment, Brokerage & Retirement Accounts

Include 401(k), IRA, Roth, brokerage, stocks, bonds, mutual funds, pension. Type codes: 401K, IRA, Roth, Brokerage, Pension, Other.

Institution / Plan Name

Type

Account # (last 4)

Separate Property?i

Current Value

Motor Vehicles, Boats & RVs

For market value, a quick look-up at Kelley Blue Book (kbb.com) is usually enough — private-party value is the figure we typically use.

Year, Make, Model

Titlei

Market Valuei

Loan Balance

Life Insurance Policies

Insurance Company

Typei

Face / Death Benefit

Whose Life Insured

Beneficiaries

Business Interests

Business Name

Typei

Ownership %

Estimated Value

Other Marital Property

Non-Marital / Separate Property

Step 7 · Debts

List each debt by category. If you're unsure of a balance, give your best estimate — we'll firm everything up at the consultation.

Credit Cards

Visa, Mastercard, Amex, store cards, etc.

Creditor

Whose Name

Current Balance

Monthly Payment

Vehicle Loans

Auto loans and leases — one row per vehicle.

Lender

Vehicle (Year, Make, Model)

Whose Name

Current Balance

Monthly Payment

Real Property Loans

Mortgages, second mortgages, HELOCs, and any other loan secured by real estate.

Lender

Property Address

Loan Type

Whose Name

Current Balance

Monthly Payment

Medical Bills, Student Loans & Personal Loans

Anything else either party owes — medical debt, student loans, personal loans, family loans, IRS/tax debt, judgments.

Creditor

Type

Whose Name

Current Balance

Monthly Payment

Step 8 · Income

A clear picture of both parties' income drives every financial part of the case — child support, spousal support, and equalization.

Your Income

How often are you paid?

Source of Income

Gross per Paycheck before taxes

Net per Paycheck after taxes

Other income rental, investment, support, disability, etc.

Other Party's Income

Your best estimate is fine — we'll firm it up in discovery.

Their Estimated Gross Monthly Income

Their Estimated Net Monthly Income

Source

Step 9 · Your Goals & Concerns

Tell us what matters most to you. Free-form — write as much or as little as you want.

What's Most Important to You

Other Concerns or Goals

Health Issues, Military History, or Anything Else

Optional — sometimes these come up later in the case and it's helpful to know upfront.

Step 10 · Documents

Upload anything relevant you have on hand. Don't worry if you don't have everything — you can always bring physical copies to your meeting.

Existing Court Orders / Judgment

The most recent custody, parenting time, or support order, if there is one.

Most Recent Parenting Plan

Or any written parenting agreement.

Last 4 Pay Stubs / Benefit Statements

Yours — your most recent four. Important for child support calculations.

Most Recent Tax Returns

Last 1–3 years of state and federal returns with all schedules.

Proof of Insurance Premiums

Health insurance card or premium statement showing what you pay for the children's coverage.

Proof of Medical Costs

Any unreimbursed medical, dental, vision, or therapy costs for the children.

Proof of Childcare Costs

Daycare receipts, after-school program invoices, etc.

Existing Spousal / Child Support Orders

Copies of any existing support orders.

Protective Orders

Any FAPA, Stalking, or similar protective orders currently in place.

Review & Submit

A summary of your responses appears below. Review carefully, sign the affirmation, and click Submit.

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Affirmation I understand that Crawley Law will rely on the information supplied above to evaluate my case. I also understand that submitting this form does not create an attorney-client relationship until an engagement agreement is signed. I affirm that the information I have provided is true and accurate to the best of my knowledge.

Signature (type full legal name) *

Date

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Thank You

We've received your Family Law intake.

Patrick will review your responses before your initial consultation. If we need any clarification, we will reach out by phone or email.

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