Divorce Questionnaire
Use this form to start your divorce case. All relevant information is required.
By submitting this information, you can save even more time when you come in to sign papers with your spouse.
If you would rather give your information directly to a lawyer, please call (212) 913-9907
Information regarding youThe Plaintiff |
Information regarding your spouseThe Defendant |
Your name |
Spouse's name |
Your full address |
Spouse's full address |
Your phone numbers |
Spouse's phone numbers |
Email address |
Spouse's email address |
Date of birth |
Spouse's date of birth |
Place of birth |
Spouse's place of birth |
Date of marriage |
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| Type of marriage ceremony Civil Religious | |
Maiden name |
Spouse's maiden name |
Social security number (SSN) |
Spouse's social security number (SSN) |
Number of marriages before this one |
Spouse - number of marriages before this one |
If previously married, how did those marriage(s) end?Divorce Death |
If spouse previously married, how did those marriage(s) end?Divorce Death |
Your race |
Spouse's race |
Your education levelNone1st grade 2nd grade 3rd grade 4th grade 5th grade 6th grade 7th grade 8th grade 9th grade 10th grade 11th grade 12th grade 1 yr college 2 yrs college 3 yrs college 4 yrs college 5+ yrs college or higher |
Spouse's education levelNone1st grade 2nd grade 3rd grade 4th grade 5th grade 6th grade 7th grade 8th grade 9th grade 10th grade 11th grade 12th grade 1 yr college 2 yrs college 3 yrs college 4 yrs college 5+ yrs college or higher |
Do you qualify for a 60-Minute Divorce? |
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Can you come in with your spouse one time to sign papers and complete the process?Yes No Not sure |
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Legal grounds for your divorce |
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Grounds for divorceAbandonment (you have not lived together for at least one year)Sexual abandonment (you have not had sex with your spouse for at least one year) Separation agreement (you have lived apart for at least one year pursuant to (a) a judgment of separation or (b) a written & filed separation agreement Imprisonment (your spouse has been imprisoned for at least three [3] consecutive years after you were married) Adultery (you will need the testimony of a witness to the adultery EVEN WITH your spouse's admission, and only if it has been less than 5 years since you found out ... this ground will add extra time & additional $100 fee ... save time & money by choosing "abandonment" or "sexual abandonment" if possible) Cruel & inhuman treatment (your spouse treated you so badly that it endangered your physical or mental health. You will need to specify exact dates, places and details of the cruel & inhuman treatment ... this will add extra time & additional $200 fee ... save time & money by choosing "abandonment" or "sexual abandonment" if possible) |
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If abandonment, who moved out of the marital home?Plaintiff Defendant |
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If abandonment, last date when you lived together |
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If sexual abandonment, last date when you had relations with your spouse |
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Complete address where you & your spouse were living together when the grounds you selected above occurred |
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Children |
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Number of children (with your spouse) under 21 |
If no children under 21, indicate "0" and skip the rest of this section. Go to Marital Property. |
Child #1NameSSN Date of birth |
Child #2NameSSN Date of birth |
Child #3NameSSN Date of birth |
Child #4NameSSN Date of birth |
Any children expected?Yes No |
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Where are children living?Me (plaintiff) Spouse defendant)Other |
Who shall have legal custody of the children?Me plaintiff) Spouse (defendant)Other |
Have you ever been to Family Court with your spouse?YesNo If yes, please provide the following: CHILD SUPPORTCourt docket no.County Date of Order CUSTODYCourt docket no.County Date of Order VISITATIONCourt docket no.County Date of Order Please provide copies of all court documents |
Visitation by spouseReasonable rights of visitation away from custodial residenceVisitation pursuant to existing court order |
Health insurance for childrenProvided by me (Plaintiff)Provided by DefendantName of insurance company Name of insurance companyAddress of insurance companyPolicy number |
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Child support:How much child support is to be paid by non-custodial parent? |
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| If employed, plaintiff annual gross income | If employed, defendant annual gross income |
| If unemployed, plaintiff annual gross income
Specify: SSI SSD Public assistance |
If unemployed, defendant annual income
Specify: SSI SSD Public assistance |
Name and address of NON-custodial parent's employer (required) |
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Marital property |
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| Is there any property, bank accounts, debts, etc. that need to be divided in a written agreement? Yes No | |
| If you answered yes above, please provide precise details regarding who gets what. |
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Residency |
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Please choose the statement which best describes your situation. If the first statement is accurate, please leave it checked.Plaintiff has been a resident of New York for a continuous period of at least two years immediately preceding filing for divorce.(please leave this one checked if it is true)Defendant has been a resident of New York for a continuous period of at least two years immediately preceding filing for divorce.
The grounds for divorce occurred in New York, and both parties were residents of New York at the time of filing for divorce.
Both spouses were married in New York as husband and wife, and either spouse is and has been a resident of New York for a continuous period of one year immediately preceding the divorce action.
Both spouses have resided in New York as husband and wife, and either spouse is a resident of New York when the action commenced, and has been a resident of New York for a continuous period of a year immediately preceding the action.
The grounds for divorce occurred in New York, and either spouse has been a resident of New York for a continuous period of one year before filing for divorce.
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Spousal support |
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| Are you or your spouse seeking spousal support? Yes No | |
| If you answered yes above, please provide precise details |
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Appointment time & place |
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When would you prefer to come in?On a Thursday at 305 Broadway (Court/City Hall area near Chambers St.)On a Saturday at 40 Exchange Place (Wall St. area) Other time & place to be arranged |
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Payment preferences |
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When you come in, how would you like to make payment?Credit/debit card (you will need to bring your email address & password to pay by card)Money order Cash |
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