Southern Oregon Family Law, LLC
1609 East Barnett Road
Medford, OR 97504
(541)773-5150
Thank you so much for contacting Southern Oregon Family Law! Please read the privacy policy and provide responses to the questions below. Failure to provide the information requested below may delay discussions regarding consultation with our firm.
Privacy Policy
All information received from a client is strictly confidential. Our firm takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 256-bit SSL encryption.
Your Social Security Number and other personal information will only be used in the event that you hire the firm to represent you in your legal matter, and then only when necessary in limited use during the course of your case.
Social Security Numbers are most often used to positively identify parties. Most courts require Social Security Numbers of all parties in a case. Some other examples of how this information may be used include:
initial service;
court orders; or
required reports or other documents filed with the State.
If you have any questions, please don't hesitate to contact our office. We look forward to working with you!
Briefly describe the issue(s) you would like to discuss with our law firm.
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Billing
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Phone numbers
Phone number
Type
Work
Home
Mobile
Fax
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Other
Primary
Default number false
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Gender
Male
Female
Prefer Not to Answer
Have you ever been known by any other legal name, including a maiden name or prior married name? If so, please provide all such names.
Marital Status
Unmarried
If Registered Domestic Partnership, please provide County and State where filed
Married
Spouse's Full Name
Date of Marriage
City and State where marriage took place
Separated
Date of Separation
County and State where filed
Case Number
Divorced
Date of Divorce
County and State where divorce was granted
Case Number
Widowed
Are you currently employed?
Yes
Employer Name
Job Title
Current Salary
No
Contact information: Currrent or Anticipated Opposing Party
Prefix
First name
*
Middle name
Last name
*
Date of birth
Company
Emails
Email Address
*
Type
Work
Home
Other
Primary
Default email false
Add email
Addresses
Street address
Country
Australia
Canada
United Kingdom
United States
---------------
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
City
State/Region
Alaska
Alabama
Arkansas
American Samoa
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Northern Mariana Islands
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Virginia
Virgin Islands, U.S.
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Province/Region
Zip/Postal code
Address type
Work
Billing
Home
Other
Primary
Default address false
Add address
Phone numbers
Phone number
Type
Work
Home
Mobile
Fax
Pager
Skype
Other
Primary
Default number false
Add phone number
Has the current/anticipated opposing party ever been known by any other legal name, including a maiden name or prior married name? If so, please provide all such names.
Is the current/anticipated opposing party represented by counsel?
Yes
If so, by whom?
If a matter has been filed with the court, please provide the case number.
No
Is current/anticipated opposing party currently employed?
Yes
Employer Name
Job Title
Current Salary
No
Is custody, parenting time and support for a minor child / children at issue?
Yes
Who currently has care and custody of the minor child / children?
In what city/state does the minor child / children reside?
Is there a current parenting time arrangement in place for the minor child / children?
What are the ages of the minor child / children?
No
If our law firm ends up representing you in this matter, will you be the person who pays the legal fees?
Yes
No
Input the full name of the person who will pay the legal fees
Relationship
Preferred Contact Method
Select an option
Email
Phone
No Preference
ACKNOWLEDGEMENT AND ACCEPTANCE
I acknowledge that I have read and accept the above privacy policy regarding use of my personal information. I further understand that providing the above information is a condition precedent to scheduling a consultation with Southern Oregon Family Law, LLC.
THANK YOU
Thank you so much for completing this intake questionnaire. This information will be extremely helpful in evaluating your case. Once we have reviewed the information provided and performed the required conflict checks, we will be in touch to discuss scheduling a consultation with Southern Oregon Family Law.
Please click the
SUBMIT
button below when you have finished answering all questions.