Section I - Personal & Contact Information:

Note: All information put in Court documents becomes public record.  If you have information you wish to keep private then please inform us of that when we call for your consultation.

*Name   (Example John Public Doe)

Home phone Work phone   Cell phone    

(Example 602-896-9020)


Mailing address:

Street    Apt.

City  State  Zip

Date of birth  (Example 12-01-1963)

Social Sec. No. (Example 123-04-8789)

Who did you speak with from our office prior to completing this questionnaire?

Section 2 - Other Party's Contact Information:

*Name    (Example John Public Doe)

Home phone Work phone  Cell phone

(Example 602-896-9020)

Mailing or severable address:

Street  Apt.

City  State   Zip

Date of birth  (Example 12-01-1963)

 Social Sec. No. (Example 123-04-8789)

Section 3- Current Child Support Order Information

What is your case number?  In the original case were you the Petitioner Respondent

Was your original case filed in the Maricopa County, Arizona Superior Court? Yes No

What judge/commissioner signed your last child support order?  The Hon.

What is the date of the last child support order? (mm/dd/yyyy)

What is the date you last received child support? (mm/dd/yyyy)

How much is your current child support order $

How many months behind is the other party?

Section 4 - Process Service

We must provide  a copy of the legal documents to the other party AFTER they have been filed with the Court.  What is the single best way to do this? 

Select one:

Option 1 The other party  will come into your office and sign them.


Option 2 I will take other party a copy of the documents.


Option 3 Send the documents by certified mail.

Fee: $25

Option 4 The other party will not sign anything. They must be served by a Process Server.

Fee: $95 Metro Phoenix / $150 Non-Metro Phoenix

Do I need a Process Server? How does Process Service work?

Option 5 I do not know the whereabouts of other party.

Fee: $100

How does Publication / Newspaper Divorce work?

If you stated you do NOT know the whereabouts of other party,

then when was the last time you seen them? (Example 05-01-1993)

Section 5 -Other information or comments  

Section 6-Payment Options

Discount Divorce will immediately begin work on your case as soon as your initial phone consultation is complete and your payment is received.

Pricing and cost information:

Discount Divorce will call you between the hours of 9AM and 4PM, Monday thru Friday.

What is the best time to reach you at during the hours listed above? until on

Payment & Acknowledgement

All costs will be discussed with you in advance, and we will not proceed or charge your card until you instruct us to do so.

Card number required. Note: You are not obligating yourself financially by submitting this form.

*Number *Exp. Date *Type of Card

Terms of Service

I acknowledge that I have read the "Terms of Service" and agree and understand them.

*Applicant Name/Signature: All information contained herein is true and correct

*Date (mm/dd/yyyy):