Child Support Intake Form

Name: Larmour Law Offices, PSC
Address: 102 East Main Street, Suite 7, Georgetown, KY, 40324, US
Telephone: 859-813-5614
Price range: $$

Complete this form before your consultation to help us prepare for your child support matter.

Please complete as much as possible — it’s okay to leave fields blank if they don’t apply to your situation. Fields marked with * are required.

Section 1 of 7

Client Information

Full Name (First, Middle, Last) *

Maiden Name

Address

Phone Number *

Date of Birth

Place of Birth (State & Country)

Race

Employer

Title / Position

Wages / Salary

Pay Period

Other Sources of Income

Other Party Information

Full Name (First, Middle, Last)

Maiden Name

Address

Phone Number

Date of Birth

Place of Birth (State & Country)

Race

Employer

Title / Position

Wages / Salary

Pay Period

Other Sources of Income

Does the other party have an attorney?

Yes No

Attorney Name

Current Support Orders

Are there current support orders?

Yes No

County / Case Number

Amount of Support Ordered

Who is the paying party?

Current Custody & Timesharing Orders

Are there current custody and timesharing orders?

Yes No

Joint or Sole Custody

If sole, which parent has custody?

Current timesharing / visitation schedule

Minor Children

Are there minor children?

Yes No

Number of Children

Child #1

Name

Date of Birth

Address (if different from yours)

SSN (last 4 digits)

Child #2

Name

Date of Birth

Address (if different from yours)

SSN (last 4 digits)

Child #3

Name

Date of Birth

Address (if different from yours)

SSN (last 4 digits)

Notes / Agreements

Please describe any agreements, concerns, or additional information that may be helpful for your consultation.

Submit

By submitting this form, you are requesting a consultation with Larmour Law Offices. This does not create an attorney-client relationship. All information is kept confidential.

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Ready to Schedule Your Consultation?

Complete your intake form, then contact our office to book your appointment.

Schedule a Consultation Call: 859-813-5614