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Home » Domestic Relations Questionnaire

Domestic Relations Questionnaire

Contact Information

How did you hear about us?(Required)

Referred by:

Name(Required)

First Last

Physical Address(Required)

Street Address Address Line 2 City State ZIP Code

Is your mailing address the same as your physical address?(Required)

(for correspondence from the firm)

Yes

No

Mailing Address(Required)

For correspondence from the firm.

Street Address Address Line 2 City State ZIP Code

Email(Required)

Phone Number(Required)

Can you text on this number?

Yes

No

Work Phone

Date of Birth(Required)

MM slash DD slash YYYY

Social Security Number(Required)

How long have you been a resident of New Mexico?(Required)

Driver's License Number:(Required)

Name of Employer(Required)

Job Title

Address of Employer(Required)

Street Address Address Line 2 City State ZIP Code

Number of Years at Current Job:(Required)

Annual Income:(Required)

Background Information

Type of Case(Required)

Divorce

Custody

Other

Do you have assets in your name?

Yes

No

Other

List of Assets in Your Name(Required)

(i.e., Investments, Stocks/Bonds, IRA, 401k, Ownership of Property, Accounts Receivable)

Asset

Value

Number of Children Involved(Required)

Children involved(Required)

Name

Date of Birth

Date of Marriage(Required)

MM slash DD slash YYYY

Place of Marriage(Required)

Date of Separation(Required)

MM slash DD slash YYYY

Would you like your maiden name restored?

Yes

No

If yes, to what?

Opposing Party

Opposing Party's Name(Required)

Phone(Required)

Date of Birth(Required)

MM slash DD slash YYYY

Do you know the opposing party's social security number?(Required)

Yes

Only the last 4

No

Social Security Number(Required)

Last 4 of Social Security Number(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Is the opposing party employed?

Yes

No

Other

Opposing Party's Employer(Required)

Job Title

Spouse's Estimated Annual Income(Required)

Does the opposing party have assets in their name?

Yes

No

Not Sure

List of Assets in Opposing Party's Name(Required)

(i.e., Investments, Stocks/Bonds, IRA, 401k, Ownership of Property, Accounts Receivable)

Asset

Value

Case Information

Is there a pending Case(Required)

Yes

No

Not Sure

Cause and Case Number

Have you ever applied for child support services through the state?(Required)

Yes

No

Not Sure

Opposing Council

(if any)

Emergency Contact(Required)

First Last

Relationship

Phone(Required)

(emergency contact)

Address

(emergency contact)

Street Address Address Line 2 City State ZIP Code

Individuals with Permission to Discuss the Case

Name

Phone #

Email

Optional: Upload Files

Upload any files associated with your case.

Drop files here or

Max. file size: 256 MB.

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.

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