Civil Family – Wedick Law

Step 1 of 18

Name*

First Last

Email*

Address*

Street Address Address Line 2 City State ZIP Code

Home Phone

Mobile Phone

Personal Information

Social Security #*

Birth Date*

MM slash DD slash YYYY

Race*

Place of Birth*

City State / Province / Region Country

Do you have previous marriages?*

Yes

Previous Marriages*

What is your hightest level of education?*

Employment Information

Are you employed?*

Yes

Employer*

Employer Phone*

Employer Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title*

Annual Salary*

Hourly Rate*

Respondent Information

The following section requires information about the respondent in this case. Complete these fields to the best of your knowledge.

Respondent Contact Information

Full Name*

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Home Phone

Mobile Phone

Respondent Personal Information

Social Security #

Birth Date

MM slash DD slash YYYY

Race

Place of Birth

City State / Province / Region Country

Does the respondent have any previous marriages?

Yes

Previous Marriages

What is the respondents highest level of education?

Respondent Employer

Is the respondent employed?

Yes

Employer

Employer Phone

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Title

Annual Salary

Hourly Rate

Case Information

What type of case are you in need of?*

Divorce

Motion to Modify

Custody

Marriage Information

Date Married*

MM slash DD slash YYYY

Date Separated*

MM slash DD slash YYYY

Place of Marriage*

City State / Province / Region Country

County of Registration*

Do you wish to restore your maiden name?*

Yes

Maiden Name*

Marriage Property/Debts

Is there any property that the court needs to divide?*

Yes

List Properties Here

Is there any debt that the court needs to divide?*

Yes

List Debts Here

Spousal Maintenance

In Missouri, when a couple files for divorce, one of the spouses may be entitled to receive financial support from the other. This support is known as maintenance or alimony.

Are you seeking spousal maintenance?*

Yes

Monthly Amount*

Children of Marriage

Are there any children between both parties?*

Yes

Child Information

What type of custody are you seeking?*

Joint Custody

Sole Custody

Who are the children currently residing with?*

List

Full Name

DOB

SSN

Sex

Child Support

Are you seeking child support?*

Yes

Monthly Amount*

Motion to Modify

Case Number*

County*

Date Finalized*

MM slash DD slash YYYY

Case Information

Include an explanation and details about your case here*

Quick Survey

How did you hear about us?

I am a client

A former client

A friend

Website

Yellow Pages

Bar Referral

Other

Are we the first attorneys you have consulted regarding this matter?

Yes

Why didn't you hire their services?

We will review your information as quickly as possible. The information you have submitted is confidential and will not be shared with any 3rd party without your consent.

LAW OFFICE OF REBEKAH WEDICK

Civil – Family

Personal Information

Employment Information

Respondent Information

Respondent Contact Information

Respondent Personal Information

Respondent Employer

Case Information

Marriage Information

Marriage Property/Debts

Spousal Maintenance

Children of Marriage

Child Information

Child Support

Motion to Modify

Case Information

Quick Survey