** Divorce questionnaire **

Use this form to start your divorce case.  All relevant information is required.

If you would rather give your information directly to a lawyer, please call (212) 913-9907.

Information regarding you
(the Plaintiff)
Information regarding your spouse (the 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
 
Place of marriage
 
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 level
None
1st 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 level
None
1st 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
Service of documents on your spouse
Is your spouse willing to accept, sign, and return divorce documents quickly (within 120 days) and without the need for professional service of process? 
Yes    No   Not sure

If yes, how would you like your spouse to receive documents?
Mail directly to spouse
Email directly to spouse
Email to me so I can print out and deliver to spouse myself
Mail to me so I can deliver to spouse myself

Please note:
(a) If you indicate "yes", be aware that if your spouse does not sign & return documents to us within 4 weeks, we will need to have him/her professionally served to avoid the risk of having your case expire. Professional service will add to your cost.
(b) If you indicate "no" or "not sure", we will need to perform professional service at additional cost ($99 & up).

Legal grounds for your divorce
Grounds for divorce
Abandonment (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)

If abandonment, who moved out of the marital home?
Plaintiff    Defendant
If abandonment, last date when you lived together
If sexual abandonment, last date when you had relations with your spouse
Complete address where you & your spouse were living together when the grounds you selected above occurred
Children
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 #1
Name

SSN
Date of birth
Child #2
Name

SSN
Date of birth
Child #3
Name

SSN
Date of birth
Child #4
Name

SSN
Date of birth
Any children expected? Yes    No  
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?
Yes   No

If yes, please provide the following:

CHILD SUPPORT
Court docket no.

County 
Date of Order 

CUSTODY
Court docket no.

County 
Date of Order 

VISITATION
Court docket no.

County 
Date of Order 

Please provide copies of all court documents.
 

Visitation by spouse
Reasonable rights of visitation away from custodial residence
Visitation pursuant to existing court order
 
Health insurance for children
Provided by me (Plaintiff)
Provided by Defendant

Name of insurance company

Address of insurance company

Policy number

Child support:

How much child support is to be paid by non-custodial parent? (minimum $300 per year)
 
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)

 
 
Marital property
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.
Residency
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.

 
Spousal support
Are you or your spouse seeking spousal support? Yes    No
If you answered yes above, please provide precise details
 
Payment preferences
If payment has not already been made, how would you like to make payment? 

One payment in advance (get the lowest price)
Two payments.. 50% down and 50% prior to filing final papers (adds $100 additional cost)
 

By what method do you want to pay?

Credit/debit card
Check/money order
 

Would you like expedited processing for an additional $99? This would (1) get your case started immediately, (2) push your case to the top of our case list, and (3) all mailings would be handled by Priority Mail, including prepaid postage. 

Yes
No

If you have not already made payment, we will send an invoice via email.