Massachusetts Collaborative Law

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Client Intake Form

Application Type

These situations are delicate, we need to know how best to handle your application. Please choose one. If you're not sure, you can learn more about collaborative divorce here.

Joint or Separate *

I am jointly filing this application with knowledge of my partner/spouse

I am filing this application separately and WITHOUT the knowledge of my partner/spouse

Current Assets: Do you and/or your spouse have more than (check each that applies) *

$25,000 in checking, savings, or money market accounts (combined)

$100,000 of equity (fair market value minus outstanding mortgage/HELOC)

$100,000 in all retirement accounts combined (if under 55 years of age)

$250,000 in all retirement accounts combined (if over 55 years of age)

My family does not have any assets in the amounts stated above

If none of the above, please leave boxes unchecked.

Your Information

First Name *

Middle/Maiden Name

Last Name *

Gender *

Your Employer *

Job Title *

Approx. hours worked per week

Yearly income (before taxes) including alimony

Home Address

Address *

Address Line 2

City *

State *

ZIP Code *

Work Address

Company Name

Address

City

State

ZIP Code

Email *

Phone Number *

Phone Number 2

Best way to reach you *

Phone

Email

Other Party's Information

First Name *

Middle/Maiden Name

Last Name *

Gender *

Their Employer *

Job Title *

Approx. hours worked per week

Yearly income (before taxes) including alimony

Their Home Address

Address *

Address Line 2

City *

State *

ZIP Code *

Their Work Address

Company Name

Address

City

State

ZIP Code

Their Email *

Phone Number *

Phone Number 2

Best way to reach them *

Phone

Email

Are children involved or affected? *

Yes

No

Children

Full Name

Gender

Age

Dependent?

Full Name

Gender

Age

Dependent?

Full Name

Gender

Age

Dependent?

Full Name

Gender

Age

Dependent?

Full Name

Gender

Age

Dependent?

Full Name

Gender

Age

Dependent?

Leave this field blank

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Connect:

Access to Collaborative Law (A2CL)

We are are launching a new program to help modest-means clients divorce collaboratively.

Learn More

Professional Spotlight

Karen Van Kooy

Profession(s): Family Law Attorney

Newton

857-205-1548

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