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242 E Airport Drive,
Suite 206
San Bernardino, CA 92408

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242 E Airport Drive,
Suite 206
San Bernardino, CA 92408

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Location

242 E Airport Drive,
Suite 206
San Bernardino, CA 92408

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Consult Intake Form

Name

Last Name

Phone Number

Date of Birth

Age

Gender

Male

Female

Other

Address

Address 2

Field Name

Field Name

Field Name

Email Address

Marital Status

Single

Married

Divorced

Separated

Widowed

OTHER PARTY’S INFORMATION

Legal Name

Field Name

Date of Birth

Age

Address

Field Name

Field Name

Field Name

Field Name

Phone Number

Marital Status

Single

Married

Divorced

Separated

Widowed

PLEASE ANSWER THE FOLLOWING:

A. Assistance is needed with the following:

Divorce and/or Legal Separation

Date of Marriage

Date of Separation

Field Name

Spousal Support

Gross monthly income

Other party’s monthly income

Field Name

Petition to Establish

Restraining Order

Modification of existing orders

Child Custody/Visitation

Child Support

Child Support and

Other

Child’s Name

Field Name

D.O.B.

Child’s Name

Field Name

D.O.B.

Child’s Name

Field Name

D.O.B

Field Name

Bankruptcy

Chapter 7

Chapter 13

Probate

Conservatorship

Guardianship

Name

Field Name

Date of Birth

Name

Field Name

Date of Birth

Name

Field Name

Date of Birth

Field Name

Other

B. Have you ever been served with paper to appear in court:

YES

NO

Date(s) and Time(s) of court hearing:

What County/City is the hearing scheduled:

Case Name and/or Number

Originating Attorney (s):

WHO CAN WE THANK FOR YOUR REFERRAL?

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ARAG

Martindale

Word-of-Mouth

Other, please be specific name

Family Law • Bankruptcy • Probate • Criminal Defense Dedicated to quality legal representation, integrity, and respectful client service.

Address

242 E Airport Dr Ste 206,

San Bernardino, CA 92408

+1 909-801-7388

help@lindseylawoffice.net

Hours

Monday - 8:00 am - 5:00 pm

Tuesday - 8:00 am - 5:00 pm

Wednesday - 8:00 am - 5:00 pm

Thursday - 8:00 am - 5:00 pm Friday - 8:00 am - 12:00 pm

Lindsey Law, A.P.C. © 2026

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