Would you like an appointment with Attorney Hastings to talk about your family situation? Either call 603.654.5000 or complete and submit the form below. If you use the form, her staff will contact you the next business day.

Note: There is a charge (fee) for every appointment. It is not possible for Attorney Hastings to meet with every person who submits a request. She is not able to represent every person she meets with.

CONTACT INFORMATION
Name:
Phone Daytime:
Phone Evening:
Cell Phone:
Email:
Residence City/State:
CASE INFORMATION
Type of case you want to discuss. Check all that apply.
Divorce	Problem with Spouse
Grandparents Rights	Problem with Former Spouse
Parenting (Custody)	Child Support
Alimony	Unwed Situation
Premarital Agreement	Other (please specify)
Full name of spouse or other party:
His/Her attorney’s name:
What is your reason for making appointment? Check all that apply. Get information on my rights and options Assist my filing court papers for divorce or reopen divorce, parenting (custody), support, paternity, etc. Spouse (or former spouse/partner/other parent) has filed/intends to file court papers. I’ve been representing myself and need advice. I want Attorney Hastings to review an agreement I have worked out with my spouse, former spouse, other parent. I’m in mediation and need advice. I want Attorney Hastings to review an agreement we have worked out in mediation. I have a lawyer, but want a “second opinion.” Who is your lawyer? Other (explain)
Is there a court case open now?	Yes No
Is there a hearing scheduled?	Yes No
CHILDREN AND OTHER INFORMATION
How many children do you have with this spouse or other person who are under the age of 11?
How many children do you have with this spouse or other person who are between 11 and 18 years of age?
Which parent are the children living with?	No Children Father Mother Both (we live together) Both (we live apart)
Your annual income:	less than $50K $50 – 99K $100K or more
Spouse’s (or other party’s) annual income:	less than $50K $50 – 99K $100K or more
If still married to the other party, please answer the following questions
Are you living with your spouse?	Yes No
If you are divorced from the other party, please answer the following questions.
Where were you divorced?
When?
ISSUES TO DISCUSS
Please list a few issues or questions you want to discuss with Attorney Hastings.
If you were referred by someone, please give the person’s name here:
If you have questions about filling out this form, or about fees, call 603.654.5000.