Client Form

Fill out this form and click the Submit button at the bottom. Be sure to use the TAB key to move from one field to the other.

Or call our offices at 713-861-7777 or simply send us an e-mail AJones@familylawoffices.com, requesting a copy of our Agreement for Legal Services. Be sure to tell us if you wish us to send it via e-mail, fax, or some other means. You will receive a response within one or two business days.

Application for Legal Services

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Start

Date*

Referred By*

Email address*

Personal Information About You

Name

Maiden Name

Race (State Statistical Requirement)

Home Address (Number, Street, Apartment #)

City, State, ZIP

App Can We

If No, what address can we mail to

Email Address

Home Phone No.

App Can We 2

Mobile Phone No.

Home Fax No.

Work Fax No.

Current County of Residence

How long in current County

How long in Texas

Date of Birth

Place of Birth (City & State)

Texas Driver's License No

Employer's Address (Street, City, State, ZIP)

Name & Phone of friend/relative (Alt. contact)

Health / Hospitalization Carrier

Through whose employer do you have this Insurance

Other Party?

Information About Opposing Parties

Name

Maiden Name

Race (State Statistical Requirement)

Home Address (Number, Street, Apartment #)

City, State, ZIP

Current County of Residence

How long in current County

How long in Texas

Date of Birth

Place of Birth (City & State)

Social Security Number

Texas Driver's License No

Employer's Name

Employer's Address (Street, City, State, Zip)

Work Phone No

Is respondent a member of Union? please specify

Or receive any government benefits? Please specify

Marital Status

Date of Marriage

Common Law Marriage (please specify date)

Place of Marriage (city and state)

Date of Separation

Have you ever been divorced (when and where)

List Of All Your Children

1st Child

Name

Birth Date

Sex

Place of Birth (City, St.)

S. S. N.

2nd Child

Name

Birth Date

Sex

Place of Birth (City, St.)

S. S. N.

3rd Child

Name

Birth Date

Sex

Place of Birth (City, St.)

S. S. N.

4th Child

Name

Birth Date

Sex

Place of Birth (City, St.)

S. S. N.

5th Child

Name

Birth Date

Sex

Place of Birth (City, St.)

S. S. N.

Do(es) you child(ren) have income or bank account

What School(s) do(es) the child(ren) attend

Are any of the children physically, mentally, or emotionally handicapped?

Do your children attend year round school

Are you asking for custody of each child

Is there any reason why we should vary from standard visitation?

Property

Real Property (land, buildings, houses, etc.)

Equity

Mortgage

Equity

Retirement (Husband)

Retirement (Wife)

401K

Certificates of Deposits

Pension / Annuity

Automobiles (Husband)

Automobiles (Wife)

List of Property Owned before Marriage

Pets

Reimbursement

Debts

Please list all debts, including credit cards, taxes, car notes, etc

Wife's Maiden Name to be restored (please specify name to be restored)

Premarital or Post-marital Agreements

Restraining Order needed:

Are you human?*

This field should be left blank

Practice Areas
Attorney Bio
- Allison Jones
- Francisco Guerrero II

Contact Us:
Houston Office
1526 Heights Boulevard, Houston, TX 77008
Ph: 713.861.7777
Fx: 713.861.1010
info@familylawoffices.com

Client Form

Application for Legal Services

Practice Areas

Attorney Bio

Contact Us:

Houston Office