How Divorce Works in Every U.S. State
State Divorce Laws
Divorce Intake Worksheet

Divorce Intake Worksheet

Answer what you can and skip anything you are unsure about. Fields marked * are required.

Do not enter Social Security numbers, account numbers or passwords. If you are in danger, call 911. The National Domestic Violence Hotline is 1-800-799-7233.

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Full name *

Date of birth

Email *

Home address (city, state, ZIP)

State where you plan to file *

County of residence

Lived in this state since (month/year)

Occupation and employer

Approx. gross monthly income ($)

Spouse's full name *

Spouse's date of birth

Spouse's occupation and employer

Spouse's approx. gross monthly income ($)

Spouse's city and state

Does your spouse have an attorney?

Date of marriage

City and state of marriage

Date you separated (if any)

Still living together?

Prenuptial or postnuptial agreement?

Prior marriages for either spouse?

Minor children of the marriage (names and ages)

Current parenting arrangement and what you want

Home or real estate (who owns it, approximate value, mortgage)

Vehicles and loans

Bank, retirement and investment accounts (approximate totals only)

Business ownership or other major assets

Credit cards, loans and other debts (approximate totals)

Is there domestic violence or any safety concern?

Any pending court cases or protective orders?

Any upcoming deadlines or urgent concerns?

What outcome matters most to you?

Anything else we should know?

Acknowledgment *

I understand this form does not create an attorney-client relationship.

Divorce Form

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