Thank you for considering Ascent Law Group. This form allows us to check for conflicts of interest and prepare meaningfully for your consultation. Most people complete it in five minutes.
Please answer only what you know. If a question does not apply or the information is unknown, write "N/A" or "Unknown." You will not be asked about finances, parenting schedules, or specific events at this stage - that comes after engagement.
Privacy Policy
All information received from a prospective new client is strictly confidential. Our firm takes every step possible to protect your privacy. We act accordingly under Iowa Rule of Professional Conduct 1.18. The data submitted via this form is encrypted and secured using industry-standard 256-bit SSL encryption.
Contact information: About You
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If "NO", please explain any contact restrictions (safety concerns, confidentiality, etc.):
Marital Status
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Married
Spouse's Full Name
Separated
Spouse's Full Name
Divorced
Former Spouse's Full Name
Widowed
Former Spouse's Full Name
Contact information: About the Other Party
Prefix
First name
*
Middle name
Last name
*
Date of birth
Emails
Email Address
*
Type
Work
Home
Other
Primary
Default email false
Add email
Addresses
Street address
Country
Australia
Canada
United Kingdom
United States
---------------
Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo, The Democratic Republic of the
Cook Islands
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See (Vatican City State)
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia, Federated States of
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russian Federation
Rwanda
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Türkiye
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
City
State/Region
Alaska
Alabama
Arkansas
American Samoa
Arizona
California
Colorado
Connecticut
District of Columbia
Delaware
Florida
Georgia
Guam
Hawaii
Iowa
Idaho
Illinois
Indiana
Kansas
Kentucky
Louisiana
Massachusetts
Maryland
Maine
Michigan
Minnesota
Missouri
Northern Mariana Islands
Mississippi
Montana
North Carolina
North Dakota
Nebraska
New Hampshire
New Jersey
New Mexico
Nevada
New York
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
United States Minor Outlying Islands
Utah
Virginia
Virgin Islands, U.S.
Vermont
Washington
Wisconsin
West Virginia
Wyoming
Province/Region
Zip/Postal code
Address type
Work
Billing
Home
Other
Primary
Default address false
Add address
Phone numbers
Phone number
Type
Work
Home
Mobile
Fax
Pager
Skype
Other
Primary
Default number false
Add phone number
Is the other party currently represented by an attorney? If unknown, select "NO", then type "unknown."
Yes
If yes, attorney or firm name (if known)
No
If unknown, state unknown.
CHILDREN OF THIS RELATIONSHIP: List with full legal name, DOB, and lives with: any minor or adult children with the other party. If none, then type "None."
OTHER INTERESTED PARTIES: Is there anyone else who may have an interest in this matter? - for example, a grandparent seeking custody, a new partner, a business partner, or anther family member involved in the dispute. Please list anyone who comes to mind, with their relationship to you:
What type of matter brings you to our firm? (check one)
Select an option
Dissolution of Marriage (divorce)
Custody or Parenting
Modification of Prior Order
Paternity
Protective Order
Something Else (describe below)
Please briefly describe your situation (3-5 sentences are plenty):
Is there a hearing, filing deadline, or safety concern in the next 30 days?
Yes
If yes, please describe:
No
Have you consulted or retained another attorney on this matter?
Yes
If yes, attorney or firm name:
No
Are you currently employed?
Yes
Employer Name
Job Title
Employer Phone Number
Employer Address
Current Salary
No
How were you referred to our law firm?
Friend or family member
Input the person's full name:
Another attorney
Input the attorney's full name:
Online search or lawyer directory website
Input the name of the website:
For example, "Avvo", "Facebook", or "LawFirmName.com"
Billboard, bus stop, phone book, newspaper, or other physical advertisement
Where was the ad located?
Radio or TV advertisement
What radio or TV station?
Bar Association
Which Bar Association?
Other
Please explain how you found us:
If our law firm ends up representing you in this matter, will you be the person who pays the legal fees?
Yes
How do you plan to pay?
Please indicate the source of funds or otherwise confirm that you have the ability to pay your legal fees.
No
Input the full name of the person who will pay the legal fees:
Input his/her phone number:
Input his/her email address:
ACKNOWLEDGEMENT
By submitting this form, I acknowledge the following:
The information I have provided is true and complete to the best of my knowledge.
Ascent Law Group will use this information to conduct a conflict-of-interest check and to prepare for my consultation.
Submission of this form does not create an attorney-client relationship. No such relationship is formed unless and until I sign a written fee agreement and fund the trust deposit.
Consultations with Ascent Law Group are conducted at the firm's full hourly rate and are paid in advance at the time of booking.
If a conflict of interest is identified, the firm will notify me and will not be able to represent me in this matter.
Please acknowledge that you have read and hereby accept the above stated conditions in submitting this form by typing your full legal name below:
THANK YOU
Thank you for trusting Ascent Law Group with your story. You will hear from us within one business day.
Please click the
SUBMIT
button below when you have finished answering all questions.