* Indicates required fields
Name:	*	Male Female
Address:	*
Postcode:	*
Can we contact you at this address? Yes No
Email address:	*
Date of birth:	Day Month Year	(dd/mm/yyyy)
Telephone (Home):	*
(Work):
Occupation:
Annual income:	£
Spouse full name:
Spouse occupation:
Spouse annual income:	£
Do you have savings in excess of £5,000? Yes No

	GO TO STEP 2 >>

* Indicates required fields
Place of marriage:
Date of marriage:	Day Month Year
Your reason for divorce:
Still living together?	Yes No
If no, date of separation:	Day Month Year
Is it amicable?	Yes No
Do you have a pension?	Yes No
What type (final salary etc.):
Does your spouse have a pension?	Yes No
What type (final salary etc.):
Property ownership:	Please Select Owned Rented N/A
Property value:	£
Mortgage remaining:	£
Is the house to be sold?	Yes No
Your requirements (custody etc.):
Do you qualify for legal aid?	Yes No
Solicitors used in past:
Spouse's solicitor (if known):

<< GO BACK TO STEP 1