What is your social security number?

Please upload a copy of the front of your driver's license.

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What is your driver's license number?

Which state issued your driver's license?

Name of Spouse or Opposing Party

Address of Spouse or Opposing Party

Phone Number of Spouse or Opposing Party

Email Address of Spouse or Opposing Party

Date of Birth of Spouse or Opposing Party

Have you and your spouse both resided in the State of Indiana the last 6 months?

Yes

No

Have you and your spouse both resided in the county where this action will be filed for at least three months?

Yes

No

Do you have a case currently in the court system for this proceeding?

Yes

What is the cause number?

No

Are you or your spouse currently pregnant?

Yes

No

Please select the number of children child support may be established for in this matter?

Select an option 1 2 3 4 5 6 7 8

What type of action do you wish to pursue in this matter?

Select an option Legal Separation Divorce Establishment of Paternity

When were you married?

When did you separate from the other party?

Name and DOB of Child 1

Name and DOB of Child 2

Name and DOB of Child 3

Name and DOB of Child 4

Name and DOB of Child 5

Name and DOB of Child 6

What type of physical custody arrangement do you wish to establish? (Where do you want the children to reside primarily?)

Select an option Full Custody for Mother; Standard Visitation for Father Full Custody for Father; Standard Visitation for Mother 50/50 Custody where Children will spend equal time with both parents Sole Custody for Mother; Supervised Visitation for Father Sole Custody for Father; Supervised Visitation for Mother Sole Custody for Mother; No Visitation for Father Sole Custody for Father; No Visitation for Mother

What type of Legal Custody do you wish to establish? (Legal custody relates to life changing decisions such as school choice, doctor visits, ability to move out of state without notifying other individual)

Select an option Joint/Shared Legal Custody (Both parents must consent to any major changes and notify each other of important information) Sole Legal Custody for Mother Sole Legal Custody for Father

Do you wish for the court to set up child support payments?

YesNo

If you wish to establish child support payments, please upload a copy of most recent pay stub.

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If you wish to establish child support payments, please upload a copy of your last completed tax return.

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Please list the vehicles owned by you. (year/make/model) Please also list who will keep each vehicle in their possession until the divorce is finalized.

For the vehicles owned by the parties, who will be responsible for making the payments on each vehicle for the loan, insurance, and upkeep?

Each party will be responsible for the loan, insurance, and upkeep of the vehicles in their possession as detailed in the previous question.Husband will make all payments for the loans, insurance, and upkeep on all vehicles.Wife will make all payments for the loans, insurance, and upkeep on all vehicles.A different arrangement is requested (please make note of your desires in the "Additional Information" section below.

Which person will live in the marital residence?

Select an option Wife Husband Both individuals will continue to reside together during the divorce/legal separation proceedings.

Are there any other court proceedings currently pending that involve the children in this matter? If so, please list them below including the Cause Numbers. This includes child support, criminal or delinquency matters, or any case where the children may be listed as an interested party.)

Do you have a place to live currently?

Yes

No

Are all your normal bills paid currently?

Yes

No

Do you feel your child is safe?

Yes

No

Do you have concerns about Domestic or Family Abuse?

Yes

No

Do you have concerns about Emotional Abuse?

Yes

No

Do you have access to your money (if married)?

Yes

No

Have you been able to see your child regularly?

Yes

No

When is the last time you saw your child?

Do you have concerns about Alcohol or Drug Abuse?

Yes

No

Do you have concerns about Sexual Abuse?

Yes

No

Are you planning to move?

Yes

Where do you plan to move to?

No

Do you, or the other person, or child have major health problems?

Yes

If yes, please explain.

No

Is there currently an Order of Protection involving the same people in this matter?

Yes

If yes, please list case number(s).

No

Are you currently Married?

Yes

No

How long have you known the other person?

Yes

No

Have you ever lived with the other person in this matter?

Yes

If yes, when?

No

Who do the children live with now?

Who makes the major decisions about the children now?

Do you have a current schedule for the children to spend time with each parent?

Yes

If yes, please explain.

No

Do you and the other parent have a plan concerning making major medical decisions such as education, health, and religion?

Select an option Yes No Don't Know Partial Agreement

Do you and the other parent have a plan concerning where the children will live?

Select an option Yes No Don't Know Partial Agreement

If you answered yes to the previous question, please indicate the expected plan for where the children will live.

Select an option Equal Shared Mom Primary Father Primary Other (explain in "Additional Information" Section Below)

Do you and the other parent have a plan concerning when the children will spend time with each parent?

Select an option Yes No Don't Know Partial Agreement

If you answered yes to the previous question, please indicate which plan you will follow for visitation time.

Select an option Our Plan Standard Indiana Parenting Time Guidelines

Do you and the other parent have a plan concerning child support and insurance?

Select an option Yes No Don't Know Partial Agreement

Do you and the other parent have a plan concerning who will be able to claim the children for tax exemption purposes?

Select an option Yes No Don't Know Partial Agreement

Are you employed?

Yes

No

Is your spouse employed?

Yes

No

Are you disabled?

Yes

No

Please write any additional information you would like to add below along with any requested additional information from questions above.

Is your spouse disabled?

Yes

No

Who has and keeps the financial records within your marriage or relationship?

Select an option Both parties Husband/Father Wife/Mother Don't Know