Start Your Divorce Now

Client Information

Select the office you would like to work with:*
Associate working with you on your case:*
How did you hear about us:*
Name:*
Mailing Address:*
Phone #1:*
-
Phone#2:
-
E-mail:*
Social Security Number:
Driver License & Issuing State:
Date of Birth:*
 / 
 / 
Date of marriage:*
 / 
 / 
Upload your Marriage Certificate:
Date of separation:*
 / 
 / 
Place of marriage:*
Maiden Name:
Would you like to restore your last name?

Government Assistance

Do you receive government assistance?:*
If so, what do you receive?: Click all that apply
Upload the award letter or proof of assistance:

Spouse Information

Spouse Name:*
Address:*
Social Security Number:
Date of Birth:
 / 
 / 
Phone#1:
-
Phone#2:
-
E-mail:
Driver License & Issuing State:

Spouse  Employment Information

Employer Name:
Employer Address:
If unemployed, give estimated date of when they last worked:
Employer Phone:
-
Occupation or Job Title:
Date of Hire:
 / 
 / 
Gross Monthly Earnings:
What were their gross monthly earnings at that time:

Process Server Information

Would you like for us to serve the documents?: (Note: Process Server will attempt up to 3 times at the same location if you need process server to attempt more times or a different location additional fees may apply.)*
Where would you like us to serve the documents?:
If you would like for us to serve the documents what address would you like them served at?:
What is the best time to serve the documents to your spouse?
What is the description of the vehicle they drive?:
What is your spouse Ethnic background:
Hair Color:
Eye Color:
Height:
Weight:
Would like to terminate or reserve spousal support?:*

Minor Children of This Relationship

***If there are no children skip this section.***


1. Child's Full Name:
Sex:
Date of Birth: 1(4)(5)
 / 
 / 
Social Security Number:
Place of Birth:


2. Child's Full Name:
Sex:
Date of Birth: 1(4)(6)
 / 
 / 
Social Security Number:
Place of Birth:


3. Child's Full Name:
Sex:
Date of Birth: 1(4)(4)
 / 
 / 
Social Security Number:
Place of Birth


4. Child's Full Name:
Sex:
Date of Birth: 1(4)(3)
 / 
 / 
Social Security Number:
Place of Birth:


5. Child's Full Name:
Sex:
Date of Birth: 1(4)(2)
 / 
 / 
Social Security Number:
Place of Birth:


6. Child's Full Name:
Sex:
Date of Birth: 1(4)(1)
 / 
 / 
Social Security Number:
Place of Birth:

Questions Regarding the Child(ren)

What type of legal custody would you like?*
What type of physical custody would you like?*
What is the proposed visitation for the child(ren) (Example: Every 1st and 3rd weekend of the month commencing Friday at 6pm to Sunday at 6pm or you don't have a set schedule you can just say that you would like to award spouse liberal visitation either way it must be addressed in the box below)**If this section does not apply to you just put N/A**:*
Will child support be reserved or is there an agreement? If there is an agreement please continue to the following question:*
Please fill out the following:

Minor Children Living In Your Home From Another Relationship?

***If there are no children skip this section.***

1. Child's Full Name:
Sex:
Date of Birth: 1(4)
 / 
 / 
Social Security Number:
Place of Birth:


2. Child's Full Name:
Sex :
Date of Birth: 1(3)
 / 
 / 
Social Security Number:
Place of Birth:


3. Child's Full Name:
Sex :
Date of Birth: 1(2)
 / 
 / 
Social Security Number:
Place of Birth:


4. Child's Full Name:
Sex :
Please provide the residence address for each child of this relationship for the last five (5) years:
Notes (additional information you would like to add) Please take note any asset or debt information will be taken from you at a later time, therefore we do not need it at this time:
Date of Birth: 1(1)
 / 
 / 
Social Security Number:
Place of Birth:

Please read the following carefully sign and date by printing your name you are signing this document electronically.

I declare under the penalty of perjury under the laws of the state of California that the foregoing is true and correct. I also Understand that Legal Service Centers will prepare all legal documents at my direction. I understand there may be additional fees if the matter becomes contested, as well as additional filing fees, process service fees, or court runner fees. If any amendments , or additional documents are prepared there will be additional fees that will apply. I understand Legal Service Centers DOES NOT ISSUE REFUNDS.


Today's Date:*
 / 
 / 
By typing my name bellow I understand that that I am signing this document electronically.*