Divorce Information Form

Please fill out the following information using our easy secure online form or if you wish to print out the document and fill it out before bringing to our office, please click the PDF button below:

Divorce Information PDF Form

Your Information (Plaintiff)

First Name(Required)

Middle Name(Required)

Last Name(Required)

Address(Required)

City(Required)

State(Required)

Zip Code(Required)

Home Phone(Required)

Cell Phone(Required)

Email Address(Required)

Social Security Number

Date of Birth (Required)

Place of Birth(Required)

Highest Completed Level of Education(Required)

Elementary

High School

College

Graduate

Maiden Name (If Applicable)

Married Before?(Required)

Yes

If Yes, How Many Times?

Your Race(Required)

Currently Employed(Required)

Yes

Current Occupation(Required)

Annual Income

Information About Your Spouse (Defendant)

First Name(Required)

Middle Name(Required)

Last Name(Required)

Street Address(Required)

City(Required)

State

Zip Code

Home Phone(Required)

Cell Phone(Required)

Email Address(Required)

Social Security Number

Date of Birth(Required)

Place of Birth(Required)

Highest Level of Completed Education(Required)

Elementary

High School

College

Graduate

Maiden Name (If Applicable)

Married Before?(Required)

Yes

If Yes, How Many Times?

Race(Required)

Currently Employed(Required)

Yes

Current Occupation(Required)

Annual Salary(Required)

Marriage and Separation Information

Date of Marriage(Required)

City of Marriage(Required)

State of Marriage(Required)

Country of Marriage(Required)

Type of Marriage Ceremony(Required)

Civil Court

Religious

Date of Separation(Required)

Last Address Where Both Parties Lived as Husband and Wife

Address(Required)

City(Required)

State(Required)

Zip Code(Required)

Grounds for Divorce

Please Explain(Required)

Residency Requirements

Residency Requirement is Satisfied by One of the Following(Required)

Plaintiff has been a New York Resident for 2 years

Defendant has been a New York Resident for 2 years

Marriage in New York plus Plaintiff has been a New York Resident for 1 year

Marriage in New York plus Defendant has been a New York Resident for 1 year

Having resided in NY as husband and wife plus 1 year residence by Plaintiff

Having resided in NY as husband and wife plus 1 year residence by Defendant

The act upon which the divorce grounds are based is founded occurred in NY and both parties resided in NY for 1 year

The act occurred in New York and both parties reside in New York

Children Information (Minor Children (under 18 – 21*)

Custody/Support issues (who gets and who pays)

1st child 17%; 2nd child 25%; 3rd 29%; 4th 31%; 5+ no less than 35%

Child #1 Full Name

Child #1 Date of Birth

Child #1 Social Security Number

Comments

Child #2 Full Name

Child #2 Date of Birth

Child #2 Social Security Number

Comments

Child #3 Full Name

Child #3 Date of Birth

Child #3 Social Security Number

Comments

Child #4 Full Name

Child #4 Date of Birth

Child #4 Social Security Number

Comments

Child #5 Full Name

Child #5 Date of Birth

Child #5 Social Security Number

Comments

Insurance Information (Indicate Who the Insurance Covers)

*Minor Children are required to have health insurance (either through parents or Gov)

Please note that you will be requested to provide the Social Security Numbers of the Plaintiff, Defendant, and the Children, as they are required to file for an Uncontested Divorce.

Who Provides the Insurance?

Mother

Father

Group Health Plan

Identification Number

Plan Administrator

Type of Coverage

Assets/Liabilities (Yours, His, and Ours)

(Use a Separate Page if Necessary and Upload Toward End of Form)

Rental Property/Rent:

Personal (bank accounts, credit cards, cars, boats, other adult toys, personal):

Retirement Accounts and Programs:

Other:

Court Fees

Index Number-$210

Fee to Service Papers ($100)

Note of issue- $30 + RJI $85 = $125

Cert Copy of Judgment for each party - $25.00 ttl

Mailing Cert Copy of Judgment (if necessary) – Varies with type of mailing service

File upload (If applicable)

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Maximum size 10MB

Type the characters(Required)

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FK Law Group, PC
LEGAL SPECIALISTS
FIGHTING FOR YOU

Your Information (Plaintiff)

Information About Your Spouse (Defendant)

Marriage and Separation Information

Last Address Where Both Parties Lived as Husband and Wife

Grounds for Divorce

Residency Requirements

Children Information (Minor Children (under 18 – 21*)

Custody/Support issues (who gets and who pays)

1st child 17%; 2nd child 25%; 3rd 29%; 4th 31%; 5+ no less than 35%

Insurance Information (Indicate Who the Insurance Covers)

*Minor Children are required to have health insurance (either through parents or Gov)

Assets/Liabilities (Yours, His, and Ours)

(Use a Separate Page if Necessary and Upload Toward End of Form)

Court Fees

Quick Links

Practice Areas

Contact

FK Law Group, PC LEGAL SPECIALISTS FIGHTING FOR YOU

Divorce Information Form

Your Information (Plaintiff)

Information About Your Spouse (Defendant)

Marriage and Separation Information

Last Address Where Both Parties Lived as Husband and Wife

Grounds for Divorce

Residency Requirements

Children Information (Minor Children (under 18 – 21*)

Custody/Support issues (who gets and who pays)

1st child 17%; 2nd child 25%; 3rd 29%; 4th 31%; 5+ no less than 35%

Insurance Information (Indicate Who the Insurance Covers)

*Minor Children are required to have health insurance (either through parents or Gov)

Assets/Liabilities (Yours, His, and Ours)

(Use a Separate Page if Necessary and Upload Toward End of Form)

Court Fees

Quick Links

Practice Areas

Contact

FK Law Group, PC
LEGAL SPECIALISTS
FIGHTING FOR YOU