service of documents: service of documents: Legal Yes No Maybe Yes No Maybe □ □ □ □ □ □ Counsel If yes: If yes: Lawyer’s Name: Lawyer’s Name: Firm Name: Firm Name: Address: Address: Phone: Phone: E-mail: E-mail: Fax: Fax: Current Married Married □ □ Marital Separated Separated □ □ Status Spousal/Common Law Relationship Spousal/Common Law Relationship □ □ Single Single □ □ Income Employment Income (salary/wages) Employment Income (salary/wages) □ □ Commission/Bonuses/Overtime Commission/Bonuses/Overtime □ □ Self-employed Self-employed □ □ Income from a Partnership/ Income from a Partnership/ □ □ Corporation Corporation Employment Insurance Employment Insurance □ □ Social Assistance/Family Benefits Social Assistance/Family Benefits □ □ Workers’ Compensation Workers’ Compensation □ □ Pension Income Pension Income □ □ Income from a Trust Income from a Trust □ □ Other Other □ □ Explain: Explain: Occupation Occupation: Occupation: Employer Information Employer Information Name: Name: Address: Address: Phone Number: Phone Number: E-mail: E-mail: Fax: Fax: Other Places of Employment: Other Places of Employment: □ □
service of documents: service of documents: Legal Counsel □ Yes □ No □ Maybe □ Yes □ No □ Maybe If yes: If yes: Lawyer’s Name: Lawyer’s Name: Firm Name: Firm Name: Address: Address: Phone: Phone: E-mail: E-mail: Fax: Fax: Current Marital Status □ Married □ Married □ Separated □ Separated □ Spousal/Common Law Relationship □ Spousal/Common Law Relationship □ Single □ Single Income □ Employment Income (salary/wages) □ Employment Income (salary/wages) □ Commission/Bonuses/Overtime □ Commission/Bonuses/Overtime □ Self-employed □ Self-employed □ Income from a Partnership/ Corporation □ Income from a Partnership/ Corporation □ Employment Insurance □ Employment Insurance □ Social Assistance/Family Benefits □ Social Assistance/Family Benefits □ Workers’ Compensation □ Workers’ Compensation □ Pension Income □ Pension Income □ Income from a Trust □ Income from a Trust □ Other Explain: □ Other Explain: Occupation Occupation: Occupation: Employer Information Employer Information Name: Name: Address: Address: Phone Number: Phone Number: E-mail: E-mail: Fax: Fax: □ Other Places of Employment: □ Other Places of Employment: