Family Law Information Centre

Please Print Today's date ____________________  Time _______________ a.m./p.m.

Your Name: ________________________________________  Court File/FRO # _________

Address _______________________  Apt #_____  City _____________  PC _____-_____

Phone Number (_____) __________________  Work Number (_____) __________________

Have you been here before? Yes ___  No ___; Your Lawyer's Name ________________

Child(ren)'s ages ___/___/___/___/___/ Time Together _____ Date separated _____

Briefly state your Family Law Matter __________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

Name of former partner/or party: ______________________________________________

Address _______________________  Apt #_____  City _____________  PC _____-_____

Phone Number (_____) __________________  Work Number (_____) __________________

What is this person's Lawyer's Name? __________________________________________

How did you find out about the Family Law Information Centre? _________________



Office--initial: Co-ordinator___; Mediator___; Duty Counsel___; Court Staff ___

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________



Social Agency Referrals: Couples Apart Parents Forever ___; Family Mediation Centre ___;
Family Service London ___; Victim Assistance ___; Women's Community House ___; BWAC ___;
Madame Vanier ___; Changing Ways ___; Merrymount ___; Families in Transition ___; Mom's House
Dads House ___; CAS ___; Legal Aid ___; LCAP ___; Family Court Duty Counsel 2nd fl. ___; 
Other _________________________________________________________________________
Registered for Introductory CAPF _______; Video(s) Viewed - ___________________

To help us serve you more quickly, please print out and complete the form above and bring it with you when you come to the Family Law Information Centre. Our office is on the Main Floor -- London Courthouse, 80 Dundas St., London, ON  N6A 6A3 Canada. Hours are Monday to Friday, 8:30 a.m. to 4:30 p.m. and phone number is (519) 660-3001.

Back - Home

About - Help - Archive - New - Search - Contact - Download - Legal - Text