Confidential Client Instruction Form 1234567CLIENT DETAILSNameFirstLastAddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia (Republic of)MadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States of AmericaUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)Viet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweCountryEmailPhone NumberDate of BirthOccupationEmployerOTHER PARTY DETAILSNameFirstLastAddressAddress Line 1Address Line 2CityState / Province / RegionPostal CodeAfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia (Republic of)MadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States of AmericaUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)Viet NamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweCountryEmailPhone NumberDate of BirthOccupationEmployerNextLegal Representative of Other Party (If Applicable)THE RELATIONSHIPCOHABITATION/DE FACTOWhen did you begin to live togetherMARRIAGEDate of MarriagePlace of MarriageLocation of Marriage CertificateI am able to bring this with meI have mislaid itOtherSEPARATIONDate of Final SeparationDIVORCEAre you DivorcedYesNoIf yes, where and whenWhereWhenIf no, do you want us to prepare a Divorce ApplicationYesNoPreviousNextCHILDREN Australian Family Law strives to ensure that the best interests of children are met by: ensuring that children have the benefit of both of their parents having a meaningful involvement in their lives, to the maximum extent consistent with the best interests of the child; and protecting children from physical or psychological harm from being subjected to, or exposed to, abuse, neglect or family violence; and ensuring that children receive adequate and properr parenting to help them achieve their full potential; and ensuring that parents fulfil theie duties, and meet their responsibilities, concerning the care, welfare and development of their children. CHILD 1:NameFirstLastGenderFemaleMaleOtherDate of BirthName of MotherFirst NameLast NameName of FatherFirst NameLast NameEducationHealthOther ConsiderationsCHILD 2:NameFirstLastGenderFemaleMaleOtherDate of BirthName of MotherFirst NameLast NameName of FatherFirst NameLast NameEducationHealthOther ConsiderationsCHILD 3:NameFirstLastGenderFemaleMaleOtherDate of BirthName of MotherFirst NameLast NameName of FatherFirst NameLast NameEducationHealthOther ConsiderationsPreviousNextFAMILY DISPUTE RESOLUTION Under Australian Family Law you are strongly encouraged to reach agreement as to both property disputes and parenting issues prior to going to court. This is known as Family Dispute Resolution, which is a form of organised mediation. If you are seeking parenting orders then Family Dispute Resolution is compulsory, unless you can satisfy one of the following: You are applying for Consent Orders (that is, you have already reached an agreement); You are the respondent in the proceedings; The matter is urgent; There has been, or is a risk of, family violence or child abuse; A party is unable to participate in Family Dispute Resolution effectively i.e. due to incapacity; or A party has contravened Court Orders and shown serious disregard to a Court Order made in the preceding 12 months. After engaging in Family Dispute Reolution you are still not able to agree, you will be granted a Certificate, and this must be obtained prior to commencement of proceedings, except as outlined above.Do you have a Family Dispute Resolution Certificate under s.60I Family Law ActYesNoIf yesI have the certificateI will obtain the certificateIf noI will undertake Family Dispute ResolutionIwant to apply for an exemption (see above)Grounds for exemptionPreviousNextEXISTING CASES AND ORDERSAre there any ongoing cases in any court about family law, child support, family violence or abuse in relation to you or any childYesNoIf yes, please provide details of the court, the dates, the parties and the nature of the caseAre there any existing orders, agreements, parenting plans or undertakings to a court about family law, child support, family violence or abuse in relation to yourself or any childYesNoIf yes, please provide details of orders, plans or undertakingsPreviousNextPROPERTY AND FINANCIAL ASPECTSPROPERTY, such as land, shares, vehicles and other thingsDo you own property with the other partyYesNoIf yes, please provide details of jointly owned property, including its approximate value and any liabilities attaching to the propertySUPERANNUATIONDo you have SuperannuationYesNoIf yes, who do you have superannuation accounts withApproximate balance of accountsDoes the other party have SuperannuationYesNoApproximate balance of accountsPreviousNextYOUR WILLDo you have a WillYesNoIf yes, any gift in favour of a former spouse is revoked by termination of a marriage. Do you want us to draw up a new will for youYesNoPreviousPhone Leave this field empty Submit