Consent Orders Intake Form

Who is making this application?

Your details

First Name
Middle Name
Family Name
DOB
Occupation
Phone
Email

Your Residential Address

Country
Street
Suburb/Town
State
Postcode

Spouse's details

First Name
Middle Name
Family Name
DOB
Occupation
Phone
Email

Your Spouse's Residential Address

Country
Street
Suburb/Town
State
Postcode
Your Details Spouse's Details
Are you present in Australia? YesNo YesNo
Are you an Australian Citizen? YesNo YesNo
Are you of Aboriginal and/or Torres Strait Islander origin? YesNo YesNo
Are you married? YesNo YesNo
If you were born overseas in what country was that?

Marriage

Date relationship commenced
Date of Marriage
Date of Separation
Place of Marriage
Wife's Maiden Name
Do you have any children under 18 years of age that are children of you and your spouse? YesNo

Children's details

Child 1
First Name
Middle Name
Last Name
Birthday
Lives with:
How is the child's health? (20-30 words)
How is the child progressing at school? (20-30 words)
Which school do they attend? What year?
What are the current contact arrangements? (20-30 words)
Is there a child support arrangement? (20-30 words)
Child 2 (if needed)
First Name
Middle Name
Last Name
Birthday
Lives with:
How is the child's health? (20-30 words)
How is the child progressing at school? (20-30 words)
Which school do they attend? What year?
What are the current contact arrangements? (20-30 words)
Is there a child support arrangement? (20-30 words)
Child 3 (if needed)
First Name
Middle Name
Last Name
Birthday
Lives with:
How is the child's health? (20-30 words)
How is the child progressing at school? (20-30 words)
Which school do they attend? What year?
What are the current contact arrangements? (20-30 words)
Is there a child support arrangement? (20-30 words)
Do you require a property settlement? YesNo
Explain your agreement in basic language (500 words)
Are there any pending cases in this or any other court about family law, child support, family violence or child welfare issues involving any of the parties or children listed in this application? YesNo
Are there any existing orders, agreements, parenting plans or undertakings to a court about family law, child support, family violence or abuse in relation to a child (including orders which have applies to a child or a member of the child's family), or child welfare, concerning any of the parties or children listed in this application? YesNo

Gross Annual Income

You
Your Partner

Child Support: Applicant

Are you paying child support? YesNo
If yes, please provide details
Amount paid per week
Paid to (name)
Are you receiving child support? YesNo
If yes, please provide details
Amount received each week
Paid to you by (name)

Child Support: Respondent

Are they paying child support? YesNo
If yes, please provide details
Amount paid per week
Is this number an estimate? YesNo
Paid to (name)
Are they receiving child support? YesNo
If yes, please provide details
Amount received each week
Paid to you by (name)