Burgar Rowe Professional Corporation - Family Law:
Prospective Client Information Form In submitting this Form to Burgar Rowe Professional Corporation you have NOT retained us to represent you as your lawyer. Formal retainer discussions will take place at the time of your initial meeting at our offices and will be confirmed in writing at that time. Burgar Rowe Professional Corporation will not take any positive steps on your behalf unless specifically addressed in other direct communications with a Burgar Rowe lawyer that you have already retained.

First Name:
 Middle:
 Last Name:
 Date of Birth:
Address:
 City:

Province:

 Postal Code:
Work Phone:
 Home Phone:
 Cell Phone:
 Other Phone:
Employer:
 Address:
 Annual Income:
 Referred by:
Your Email Address:
      
 

B. SPOUSE INFORMATION
Spouse First Name:
 Spouse Middle:
 Spouse Last Name:
 Spouse Date of Birth:
Address:
 City:

Province:

 Postal Code:
Lawyer:
 Employer:
 Annual Income:
  
 
C. CHILD INFORMATION
Child 1:
 Birthdate (mm/dd/yyyy) :
 Living with:
Child 2:
 Birthdate (mm/dd/yyyy) :
 Living with:
Child 3:
 Birthdate (mm/dd/yyyy) :
 Living with:
 
D. DETAILS

Have you or your spouse been clients of our Law Firm previously?: Yes: No:

Date of Marriage/Cohabit:
 Date of Separation:
Brief reasons for interest in our services: (separation, divorce, custody, access, adoption, etc.):
Have you been served with Court documents?: Yes: No:
If so, when?
In order to help us get a sense of the urgent issues we need to know the type of
property/assets you and your spouse hold and the approximate values.
PROPERTY / ASSETS:
Family Home:
 Mortgage:
 Other Real Estate:
 Mortgage:
Home Contents:
 Jewelry:
 Vehicles:
 Pensions:
RRSPs:
 Savings:
 Stocks:
 GIC:
DEBTS:
Bank Loans:
 Credit Card:
 Finance Co:
 Other:

In submitting this Form to Burgar Rowe Professional Corporation you have NOT retained us to represent you as your lawyer. Formal retainer discussions will take place at the time of your initial meeting at our offices and will be confirmed in writing at that time. Burgar Rowe Professional Corporation will not take any positive steps on your behalf unless specifically addressed in other direct communications with a Burgar Rowe lawyer that you have already retained.