Consultation Request Free Consult Request If you would like to meet with an attorney to discuss issues specific to your case, please review the below form and provide the required information. The Law Office of Patrick D. O'Neil, Esq. offers a free one-hour consultation by telephone. Finally, please be aware that the use of this form, and this site generally, does not create an attorney-client relationship.Requesting Party InformationName (First, MI, Last) *D.O.B *MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmployer / Job TitleApprox. Annual Earnings< $50,000$50,000 - $150,000> $150,000Phone *Email *How should the firm contact you to schedule a consultation? *EmailTelephoneIs it OK to send mail to your home address? *Yes, it is ok to send mail to my address.No, please do not send ANY documentation to my residence.Discrete Contract Method *Please provide an alternative means of sending documentation to you in a confidential manner. Please choose your preferred date and time for a consultation. *DateTimeThe firm cannot guarantee that your preferred date and time slot will be available.Opposing Party InformationName (First, MI, Last)D.O.B.MM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920AddressAddress Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmployer / Job TitleApprox. Annual Earnings< $50,000$50,000 - $150,000> $150,000PhoneIs the opposing party represented by counsel?YesNoOpposing Counsel NameCase InformationDate of MarriageMM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Pre-Nuptial AgreementPost-Nuptial AgreementDate of SeparationMM123456789101112/DD12345678910111213141516171819202122232425262728293031/YYYY202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Children between the parties?YesNoChild Name(s) and Age(s)Notable AssetsNotable DebtsReason for consult request *Pending Court Case?Yes, this case is currently on-going.No, I'm thinking about filing.Pending Court Case No.:Matter: Judge & Department:CountyDisclaimer: “I understand and agree that The Law Office of Patrick D. O'Neil, Esq. (hereinafter "the firm") will have no obligation to keep confidential the information I am now transmitting. By clicking "I accept” I agree that the firm's review of the information I am providing will not preclude the firm from representing another client, including one who is directly adverse to me.Additionally, I understand that this is a free consultation only and that the firm does not represent me unless and until an Attorney-Client Agreement is signed and a retainer payment is submitted.”Multiple Choice *I acceptEmailSubmit