PATERNITY QUESTIONNAIREToday’s Date* How did you hear about HUNTER LAW?We realize that you may be coming to this office for the sole purpose of obtaining information at this time. However, even if you are only seeking a consultation, I need certain information in order to adequately advise you. The questions below are designed to elicit the information we require in an orderly manner. None of this information will leave our office. Your cooperation is appreciated.Please be advised that the presence of third parties not associated with the Hunter Law during your consultation or any future appointments destroys the attorney/client privilege and if subpoenaed, this person may be compelled to testify as to what was said during your consultation or future appointments.Client InitialsThe consultation fee will be collected prior to your appointment today. All Quotes for Attorney’s Fees regarding your Case may be subject to adjustment and reevaluation of your case if you retain Hunter Law for Representation at a later date following your initial or subsequent consultationsClient InitialsINFORMATION ABOUT YOUFull Legal Name*(As it appears on your Driver’s Licence)Date of Birth* SS#Mailing Address Street Address ZIP / Postal Code Home PhoneWork PhoneCellular PhoneOther PhoneE-Mail Address May we contact you at home? May we contact you via E-mail?EmployerPositionHow long have you been with the company?Salary: $Hourly Rate $Hours worked per weekHow often are you paid?Do you Receive Bonuses/Commissions?List any other sources of IncomeHave you ever gone by any other name?Name(s) of your previous Attorney(s)Have you been served with papers?YesNoIf Yes, when?INFORMATION ABOUT THE OPPOSING PARTYName(As it appears on his/her Driver’s Licence)Date of Birth SS#Address Street Address ZIP / Postal Code Email Address Cellular PhoneOther PhoneEmployerAddress Street Address PositionHow long with the company?Salary: $Hourly Rate: $Hours worked per week:How often is he/she paid?Does he/she Receive Bonuses/Commissions?List any other sources of Income:If unemployed, how long?Why?Is he/she in good health?If no, please explainHas he/she ever gone by any other name?Name(s) of his/her Attorney(s)Where is the best place to serve opposing partyAbove listed home addressWorkplace addressHeightWeightColor of eyesRaceDoes he/she have any distinguishing features, marks, tattoos, etc.?INFORMATION ABOUT THE RELATIONSHIPHow long have you lived in Florida?YearsMonthsWhen did the relationship begin?Date of last SeparationDid you and the other party live together?If Yes, when?Has either party ever filed a Domestic Violence Injunction during the relationship?If Yes, please explainCHILDREN BORN OF THE RELATIONSHIPName, Date of Birth, Age, Place of BirthPlease list below the addresses at which the child(ren) have resided for the past five years, including the dates of residence at each address and the names of the people with whom the children resided:Date, Address, With WhomHas any child listed above been involved in custody proceedings involving Juvenile Dependency Court or other court intervention?If so When?Do any of the child(ren) have any mental, emotional, physical or other health problems?If so, please explainIf you are Male, do you believe the child(ren) listed above are your biological children?Are you requesting a DNA Paternity Test to determine the Paternity of any of the child(ren) listed above?CHILD SUPPORTHave the child(ren) been involved in Department of Revenue Child Support Proceedings?If so, When?Has Paternity Been Established by a Final Judgment of Paternity or Support?YesNoHas either party been Ordered to Pay Child Support by a Judge or Court?YesNoIf Yes, How Much?If Yes, When did the child support Start?If Child Support has been Ordered, is the amount current?YesNoIf child support is not current, how much is owed?If child Support has not been Ordered, does he/she give you money on a regular basis to help support the child(ren)?If yes, how much and whenIf you are Female, did the father financially support you during your pregnancy?If you are Male, did you financially support the mother during her pregnancy?Who covers the child(ren)’s health insurance?What is the total cost per Month?What would be the individual monthly cost for your personal Health Insurance as a Single Person with no dependents?and Opposing Party with no Dependents?What would be the additional monthly cost for Health Insurance to you or opposing Party to add just the child(ren) to the personal health insurance plan listed immediately above (total cost for Family Coverage)?Are the child(ren) in day care?If so, how much per month? $TIMESHARING OF CHILDRENDo you believe Timesharing with the Child(ren) will be an issue?With whom do the child(ren) currently reside a majority of the time?Do you have an Overnight Timesharing Schedule in place?If Yes, what is the schedule? Or what schedule would you suggest? This iframe contains the logic required to handle Ajax powered Gravity Forms.