Relationship PropertySeparation (Disputed) 1Your Details2Other Party3Relationship4Children5Assets6Liabilities7Nature of Dispute8Desired Outcome and Timing9Acknowledgement PhoneThis field is for validation purposes and should be left unchanged.This form must be completed by you alone. Do not complete this form together with your partner.You are being asked to provide information based on your knowledge and understanding. This includes property that may be in your name, in your partner’s name, jointly owned, or held through trusts or businesses. If you are unsure, please provide your best estimate.We will not contact the other party without your instructions, and they will not see the information you provide.Your DetailsFirst NameMiddle Name(s)SurnameDate of birth DD slash MM slash YYYY AddressOccupationEmail address(Required) Best contact numberPreferred contact method Email Phone Additional information or comments Information about the Other PartyOther party’s first nameOther party’s middle name(s)Other party’s surnameOther party’s date of birth DD slash MM slash YYYY Other party’s address (if known)Other party’s occupationOther party’s email address Does the other party have a lawyer? Yes No Not sure Lawyer Name (if known)Lawyer Firm (if known)Lawyer Address (if known)Providing this information does not mean we act for the other party. We will not contact them without your instructions.Safety and UrgencyDo you have any safety concerns in relation to the other party? Yes No If yes, please describeThis may include intimidation, harassment, family violence, or concerns about personal safety.Are there any urgent issues we should be aware of? Risk of assets being sold or transferred Immediate housing issues Financial pressure or lack of access to funds Issues relating to children Other Details of urgencyInclude any important dates, risks, or time pressures.Additional information or comments RelationshipCurrent relationship type Marriage De facto Civil union Date relationship first started DD slash MM slash YYYY Date first living together DD slash MM slash YYYY Date of marriage/civil union DD slash MM slash YYYY Date of separation DD slash MM slash YYYY Current living arrangementsWho is living where now?Additional information or comments ChildrenThe information about children will not be used for purposes relating to custody or welfare arrangements.Are there any children relevant to your current living or financial arrangements? Yes No Children details Child first name Child middle name(s) Child surname Date of birth Actions Edit Delete There are no Children. Add Child Maximum number of children reached. Additional information or comments AssetsInclude all assets you are aware of (yours, your partner’s, and joint). Use the entry forms below to add as many records as needed.Assets Asset details Estimated value Current Ownership Asset type/treatment under agreement to be Actions Edit Delete There are no Assets. Add Asset Maximum number of assets reached. Supporting InformationDo you have any other information related to the Assets?Upload any supporting documents for the assets. Drop files here or Select files Max. file size: 100 MB, Max. files: 15. Include all liabilities you are aware of (yours, your partner’s, and joint). Use the entry forms below to add as many records as needed.Liabilities Liability details Estimated amount Who is responsible Who is to be responsible Actions Edit Delete There are no Liabilities. Add Liability Maximum number of liabilities reached. Supporting InformationDo you have any other information related to the Liabilities?Upload any supporting documents for the liabilities. Drop files here or Select files Max. file size: 100 MB, Max. files: 15. Nature of the DisputeSelect all that apply Ownership Value Division Debt responsibility Trust/business Contributions Hidden assets Other Explain the disputeDescribe key issues and positions.Previous Steps TakenSelect all that apply Informal discussions Written agreement Mediation Lawyer involvement Court proceedings Details of previous stepsInclude outcomes and current status. Desired Outcome and TimingWhat do you want to achieve?Immediate concernsHow urgently do you need the agreement completed? To meet a deadline Soon Not urgent Date of your deadline DD slash MM slash YYYY Please provide more information regarding this deadline AcknowledgementAcknowledgement(Required) I confirm the aboveI confirm that I am completing this form alone and that the information is based on my knowledge and understanding. I understand that the firm does not act for both parties and that submitting this form does not create a solicitor-client relationship.