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