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Our Primary Practice Areas Are:
Matrimonial And Family Law, Accidents, Medical And Dental Malpractice, Criminal Law, Traffic Law, Real Estate, Wills And Estates, Mediation, General And Trial Law

Phone: 716-433-5522
Fax: 716-433-3545
702 Davison Road
Lockport, NY 14094

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"Attorney Advertisement"

Contact Us

Monday thru Thursday 9AM-6PM
 
Phone: 716-433-5522
Fax: 716-433-3545
702 Davison Road
Lockport, NY 14094

First Name
Last Name
Address
City
State
Zip Code
Cell
Home
Bold = Required field
Work
Your Cell
Phone Book
Your Home
Your Work
Friend or Relative: Name
Other
Type of Matter (check all that apply)
Divorce and/or Separation
Separation
Post Divorce and/or Separation
Collaborative Divorce
Annulment
Maintenance
Family Offense (Order of Protection)
Custody
Visitation
Paternity
Adoption
Child Support
Monetary Wage Garnishment & Income Execution
Grandparent's Rights
Relocation
Will/Estate
Real Estate
Personal Injury
Malpractice
Accident
Defective Products
If this issue involves a relationship with another party, the relationship is
Heterosexual
Homosexual
If Married, Date of Marriage
If Divorced, Date of Divorce
How many children do you have with your current spouse?
Name
Date of Birth
Living With
Living With
Date of Birth
Name
Living With
Date of Birth
Name
Living With
Date of Birth
Name
How many children do you have from previous relationships?
Do you own a home?
Yes
No
To whom is your home titled?
Joint
Husband
Wife
Are you living together?
Yes
No
Do you have joint bank accounts?
Yes
No
Are you employed?
Yes
No
If yes, where?
Approximate yearly income?
Approximate yearly income?
If yes, where?
No
Yes
Is your spouse employed?
Is there domestic abuse in your home?
Yes
No
If yes, who is the victim?
If yes, who is the abuser?
Please give a brief summary of your needs and expectations.
Where were you legally married? State
Date
What is the date of separation from your partner?
What are the legal issues involved? (check all that apply)
Child Custody
Child Support
Visitation
Division of Property
Maintenance
Order of Protection
Name
Date of Birth
Living With
Living With
Date of Birth
Name
How many children were adopted or born of the relationship?
Spouse
You
Joint
To whom is your home titled?
No
Yes
Do you own a home?
How many children do you have from previous relationships?
Do you have joint credit cards?
Yes
No
No
Yes
Do you have joint credit cards?
No
Yes
Do you have joint bank accounts?
No
Yes
Are you living together?
Is your spouse employed?
Yes
No
If yes, where?
Approximate yearly income?
Approximate yearly income?
If yes, where?
No
Yes
Are you employed?
If yes, who is the abuser?
If yes, who is the victim?
No
Yes
Is there domestic abuse in your home?
Please give a brief summary of your needs and expectations.
How many children do you have?
Name
Date of Birth
Living With
Living With
Date of Birth
Name
Name
Date of Birth
Living With
Name
Date of Birth
Living With
How many children do you have from previous relationships?
Is there a custody order currently in place?
Yes
No
Are you employed?
Yes
No
If yes, where?
Approximate yearly income?
Approximate yearly income?
If yes, where?
No
Yes
Is your spouse employed?
Is there domestic abuse in your home?
Yes
No
If yes, who is the victim?
If yes, who is the abuser?
Please give a brief summary of your needs and expectations.
If your matter involves a will, power of attorney, living will or health care proxy, state whether there is any critical timing issues and why (example: illness, taking a trip, etc.)
If your matter involves an Estate, state the name and relationship of the deceased and what type of matter, if any, is pending:
Are you purchasing?
Yes
No
Are you selling?
Yes
No
List the location of the properties involved.
Date of occurrence
Who was injured
Nature of injury
Is the victim seeking medical treatment?
Yes
No

Phone Number
(1 # Required)

Best Time to Call
How were you referred to our office?
If you have selected divorce, separation, collaborative, annulment or maintenance, please answer the following question:
If you have selected Heterosexual, the following questions apply:
If you have selected Same-Sex, the following questions apply:
If you have selected child custody, visitation, child support, paternity or adoption, the following apply:
If you have selected the will or estate, the following applies:
If you have selected the real estate option, the following applies:
If your matter involves real estate:
If you have selected the personal injury, malpractice or defective products option, the following applies:
If your matter involves personal injury accident or defective products, give the following:

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