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
HusbandWife
4. Do you regard Australia as your home?YesNoYesNo
Are you an Australian Citizen?YesNoYesNo
Have you become an Australian citizen?YesNoYesNo
Have you lived in Australia for the last 12 months?YesNoYesNo

Marriage

Relationship commenced
Date of Marriage
Date of Separation
Place of Marriage
Wife's Maiden Name
6. Did you in the last 12 months live together in the same house but not as husband and wife?
YesNo
Start
Finish
7. 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)
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