Divorce Intake Form

    1. Who is making this application?
    2. Your details:
    First Name
    Middle Name
    Family Name
    DOB
    Address
    Occupation
    Phone
    Email

    3. Spouse's details?

    First Name
    Middle Name
    Family Name
    DOB
    Address
    Occupation
    Phone
    Email
    Husband Wife
    4. Do you regard Australia as your home? YesNo YesNo
    Are you an Australian Citizen? YesNo YesNo
    Have you become an Australian citizen? YesNo

    Proof of citizenship

    YesNo

    Proof of citizenship

    Have you lived in Australia for the last 12 months? YesNo YesNo
    You Spouse
    If born outside Australia, what is your country of birth?
    If born outside Australia, date you started living in Australia?

    Marriage

    Date of Separation
    6a. Since separation have you and your spouse lived together in the same home but NOT as husband and wife?
    YesNo
    Start
    Finish
    6b. Since separation have you and your spouse lived together in the same home as husband and wife?
    YesNo
    Start
    Finish
    7. Are there any current or pending cases about family law or family violence? Are there any existing orders about family law or family violence?
    YesNo
    8. Do you have any children under 18 years of age that are children of you and your spouse?
    YesNo

    Children's details

    Child 1
    First Name
    Middle Name
    Last Name
    Birthday
    Lives with:
    How is the child's health? (20-30 words)
    How is the child progressing at school? (20-30 words)
    Which school do they attend? What year?
    What are the current contact arrangements? (20-30 words)
    Is there a child support arrangement? (20-30 words)
    Child 2
    First Name
    Middle Name
    Last Name
    Birthday
    Lives with:
    How is the child's health? (20-30 words)
    How is the child progressing at school? (20-30 words)
    Which school do they attend? What year?
    What are the current contact arrangements? (20-30 words)
    Is there a child support arrangement? (20-30 words)
    Lives with:
    Child 3 (if needed)
    First Name
    Middle Name
    Last Name
    Birthday
    Lives with:
    How is the child's health? (20-30 words)
    How is the child progressing at school? (20-30 words)
    Which school do they attend? What year?
    What are the current contact arrangements? (20-30 words)
    Is there a child support arrangement? (20-30 words)
    Lives with:
    Child 4 (if needed)
    First Name
    Middle Name
    Last Name
    Birthday
    Lives with:
    How is the child's health? (20-30 words)
    How is the child progressing at school? (20-30 words)
    Which school do they attend? What year?
    What are the current contact arrangements? (20-30 words)
    Is there a child support arrangement? (20-30 words)
    Do you have any joint assets with your former spouse such as real estate, loans, investments? YesNo
    Do you intend to formalise a property agreement? YesNo
    Do you have a copy of your marriage certificate? YesNo
    Please upload a copy of your marriage certificate
    Do you have a Centrelink health care card? YesNo
    Please upload a copy of your Centrelink health care card
    Do you have a driver's licence? YesNo
    Please upload a copy of your Driver's licence