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A member of our staff will contact you to go over the information you are about to provide us. We have provided a blank area for comments at the very end.
Your Full Name
You are the
Your Address
Other party's name
Other Party's Address
Check at least one option from this section...
...and one from this section:
How are you planning to serve the respondent
Who is/are the child(ren) living with?
Full Legal Name Child # 1
Sex Child #1
Date of Birth Child #1
Full Legal Name Child # 2
Sex Child #2
Date of Birth Child #2
Full Legal Name Child # 3
Sex Child #3
Date of Birth Child #3
Beginning with the current address of the child and going back in the past,
list the address(es) of the OLDEST child for the past 5 years
Dates: From / To
Do you have MORE than ONE minor child?
If you answered “NO”, skip to the next page. If you answered “YES”, then answer the next question.
Have all of your minor children lived together?
Check all that apply
Please answer the following questions:
Has anyone other than the respondent covered any birth or pregnancy costs?
Is public assistance being provided to the child?
Has the respondent, who is the child's parent, failed to support the child?
Child Support (Don't expect to determine child support at this stage. It will be determined at a later date, either by agreement by the parties, or by Court's order)
Reasonable expenses of pregnancy and birth be paid by
Child Custody
Who should get LEGAL custody of the child(ren)?
Who should get PHYSICAL custody of the child(ren)?
Child Visitation
Name of the person filling out the questionnaire
All answers were provided by me and I did not receive any legal advice from the staff at The Document People