NOTE: All with "*" is Mandatory

Name : *

Email : *

Phone # : *

Birthdate : *

Address : *

Employer :

Employer Address :

Names of corporations you own or control (if none, write none) :

Spouse/ex spouse's name : *

Spouse/ex spouse's Birthdate : *

Spouse's email : *

Spouse's Phone # : *

Spouse's/Ex Spouse's Address :

Spouse's employer :

Spouse's employer address :

Corporations owned or controlled by spouse (if none, write none) :

Spouse's lawyer, If any :

Relationship Status : *
engagedmarried / in relationship, not considering separationseparated under same roomseparateddivorced

Date started living together :

Date of Marriage :

Date of Separation :

Date of Divorce :

Preferred Lawyer : **Note: Please choose only one lawyer that is available in your area.

Barrie:
Ms. Kenna Bromley - $300.00 + HST

Preferred dates and times for Consultation :

Brief summary of legal problem :

Please upload photos/pictures of two pieces of ID.
Upload ID #1 :

Upload ID #2 :

I acknowledge that my meeting today does not mean that Devry Smith Frank LLP (“DSF”) is acting as my lawyers. I direct DSF to take no steps with respect to my matter until I have provided a monetary and written retainer, as acceptable to DSF. I may sign a retainer agreement and provide a monetary retainer (other than the consult fee) today. If I do not, I know that I can contact Devry Smith Frank LLP in the future to inquire about retaining the firm.

Please leave this field empty.