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Online Intake Form
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Call for an Intake
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Family Law
Social Security
About
Contact
Directory
Family Law Intake
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Contact Information
First we need some contact information for our records. (If you are helping someone fill out this form, please enter
their
information, not yours.)
First Name
(Required)
Middle Name
Last Name
(Required)
Preferred Name
Pronouns
(Required)
he/him
she/her
they/them
he/him OR they/them
she/her OR they/them
Name of Person Assisting You
If a caseworker or someone else is helping you with this form, please provide their name and contact information here.
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Primary Phone Number
(Required)
Additional Phone Number
Email
(Required)
How did you hear about Cooper Law?
(Required)
Attorney Information
Do you have an attorney?
(Required)
Yes
No
Attorney's Name
(Required)
Since You Have an Attorney, We Cannot Represent You
We cannot help you or advise you if you are already represented by a lawyer. If you are seeking new representation, you may call us back when your current representation has been terminated. But until then, we cannot speak further.
Case Location
What Minnesota county is your case in?
(Required)
(This is the county where your case is filed or where it will be filed/where you live.)
Hennepin
Ramsey
Anoka
Carver
Chisago
Dakota
Isanti
Pine
Scott
Sherburne
Washington
Wright
Other
What county is your case in?
(Required)
Other Counties
(Required)
You are outside of our regular service area, but we may still be able to assist you if your court appearances are able to take place remotely. Would you like to proceed with the rest of the intake?
Yes
No
Legal Issues
What are the issues in your legal case?
(Required)
Check all that apply.
Divorce
Legal Separation
Child Custody
Parenting Time
Child Support
Spousal Maintenance
Division of Property
Custody of a Child That Is Not My Own (3rd Party Custody)
Domestic Abuse
Child Protection Defense
Other
Please briefly describe your legal issue.
(Required)
Opposing Party
Please tell us what you can about the opposing party in your case. We need the first and last name, at least, in addition to any other information you can tell us.
Opposing Party's First Name
(Required)
Opposing Party's Middle Name
Opposing Party's Last Name
(Required)
Opposing Party's Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Opposing Party's Email
Opposing Party's Primary Phone Number
Opposing Party's Additional Phone Number
Does the opposing party have an attorney?
(Required)
Yes
No
I Don't Know
Opposing Attorney's Name (If Known)
Case Status
Have you been served with any legal papers recently?
(Required)
Yes
No
I Don't Know
What are those papers called?
(Required)
Enter the title(s) of the document(s).
When were those papers served?
(Required)
Approximate date is fine.
Is there a court hearing scheduled in your case?
(Required)
Yes
No
I Don't Know
What is the date of the hearing?
(Required)
Our Sliding Fees
We use a sliding scale to determine the amount each client pays for services, based on household income and the federal poverty guidelines. If you'd like us to determine where you fall on the sliding fee scale, we will need you to answer a few questions about your income. If you don't want to answer those questions, that's OK; you will pay our standard rate, $300/hour.
Do you want to see if you qualify for a sliding fee?
(Required)
Yes
No
How many adults (at least 18 years old) reside in your household?
(Required)
How many children (under 18 years old) reside in your household?
(Required)
What is your gross monthly income (your income before taxes)?
(Required)
What is the amount you receive each month from Social Security?
What is the amount you receive each month from child support?
What is the amount you receive each month from spousal maintenance?
What is the gross monthly income of all the other adults who reside with you (if any)?
(Required)
