Copyright 2006 -2008.   Law Offices of Kelly Chang.  All Rights Reserved.
Family Law Intake Form
Phone: (323) 393-5669
Fax:      (323) 315-5234
We know family matters.

Please take a moment to complete this form.  The more specific you
are, the better I am able to tailor my services to fit your needs.
Name
Address
Email
Telephone
What is your specific concern?
(Select all that apply).
Yes
 No
Are you currently married or cohabting?
If yes, what is spouse's name?
What is your date of marriage?
If you have children, please list their
names and dates of birth.
Are there issues of domestic
violence?  Please elaborate.
Has a court case been filed?  If so,
please provide case number.
Are there property issues?  Please
explain.
How would you like to be contacted?
How did you hear about the Law
Offices of Kelly Chang?
Thank you very much.  Someone will contact you very
soon to schedule an appointment.
5455 Wilshire Blvd., 21st Floor
Los Angeles, CA 90036
LAW OFFICES OF KELLY CHANG
A Professional Law Corporation
**California State Bar Certified Family Law Specialist