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.




Mailing address:

Street    Apt.

City  State  Zip

Date of birth  

Would you like for us to set your account up to receive text-alerts as your case proceeds?

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

                    Prior Case Information:

What is your case number  

In the original case were you the

Was your original case filed in the Maricopa County, Arizona Superior Court?

What was the date of your last custody order?  

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

Section 2 - Other party's Contact Information:



Mailing or severable address:

Street  Apt.

City  State   Zip

Date of birth  

Section 3- Name of child(ren):

  Child's Name    
Child #1 


Child #2


Child #3


Child #4




Date of Birth Place of Birth (City and State)  
Child #1


Child #2


Child #3


Child #4




Section 4 - Financial Information

Based upon the figures below. Discount Divorce will calculate the child support as per Arizona Child Support  Guidelines as required by law.  Ariz.Rev.Stat. 25-320.

How is child support calculated?

Father's gross monthly income:  $  

 Mother's gross monthly income: $

Day care cost (if any) $    

Medical insurance premium (if any) $  

What percentage of uninsured medical expense will you be responsible for? %

      If you leave this blank, then the percentage will be calculated proportionate to both incomes.

What percentage of visitation travel related expenses will you be responsible for?   %

      If you leave this blank, then the percentage will be calculated proportionate to both incomes.

Does either you or the other party have minor children residing with them from another relationship?

If, yes list their names, dates of birth, and who they live with (myself or my spouse)



Employment information of NON-Custodial Parent:

Employer  or  Unemployed or   Self-Employed


Section 5-  Current Custody Order


Section 6-  Legal Decision Making


 If you choose Sole Legal Decision Making  then you must state your reason for that choice. 

Arizona now leans in favor of joint legal decision making. 

If you are seeking sole legal decision making authority that you must demonstrate to the court sufficient grounds to merit this request.



What is Legal Decision Making?

What is Parenting Time?

Section 7- All Minor Children Involved in this Case

List all address or major cross roads for where the child(ren) resided for the last 5 years. Please include month and year. 

Example: 3 East Oak, Phoenix, AZ from 03/05 to 07/07 with mother


19th Ave. & Bell Rd., Phoenix, AZ from 03/05 to 07/07 with mother    

Address   From   Until    

Section 8 - 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? 

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

How does Publication / Newspaper Modifications work?


Section 9 -Other information or comments  

Section 10-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.


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.

If you chose pay online please compete credit card information below:

Number Exp. Date Type of Card

CVV No. What is a CVV Number?


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):