Wallacker Family Law | Mediation & Consulting

Premarital, Post-marital, Cohabitation Agreements


Confidential Initial Consultation Intake Form: Please complete all fields below that apply to you and your matter. This information will be used to run a conflict of interest check through our system and will be kept confidential. Not all fields will apply to your matter.

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Premarital, Post-marital, or Cohabitation Agreement

Please indicate whether you are reaching out for a Premarital, Post-marital, or Cohabitation Agreement:(Required)


Full legal name(Required)
Current home address(Required)
Maiden name or any name(s) used from former relationships:
The name(s) of your former spouse(s):
If you have children from another relationship, their names and ages:
If employed, the name of your company and job title:
If you have one, the name of your attorney (if you do not have an attorney, we can provide referrals):
If you have an attorney, would you like them to attend your mediation sessions?