Divorce Kit Preparation - with Minor Child or Children
Please note that all fields followed by an asterisk must be filled in.
First Name*
Last Name*
E-Mail Address*
Street Address*
City*
State/Prov*
Zip/Postal Code*
Country* Country United States Canada ---------------- Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Grenada Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribadi North Korea South Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Federated States of Micronesia Moldova Monaco Mongolia Montserrat Morocco Montenegro Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda S. Georgia and S. Sandwich Isls. Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam US Virgin Islands Wallis and Futuna Islands Western Sahara Yemen Yugoslavia (former) Zaire Zambia Zimbabwe
Home Phone*
Business Phone*
Gender*
Date of Birth (mmddyyyy)*
Social Security Number*
Job Title or Occupation*
Employer's Name and Address*
Have you or your spouse lived in Arizona (or been stationed in Arizona while a member of the Armed Services) for at least 90 days before you intend to file the divorce action? [This is a requirement of filing for divorce in Arizona.]: *
Date of Marriage (mmddyyyy)*
Place of Marriage (city and State)*
Do you have a covenant marriage: [A covenant marriage means that at the time you were married to your spouse, you and your spouse signed an affidavit where you both declared that your marriage was a covenant marriage for life. Arizona law requires certain facts in order to obtain a divorce from a covenant marriage.]*
Spouse's Full Name*
Spouse's Date of Birth (mmddyyyy)*
Spouse's Social Security Number (if known)*
Spouse's Current Street Address*
Spouse's Current City*
Spouse's Current State*
Spouse's Current Zip Code/Postal Code*
Spouse's Current Daytime Phone Number*
Spouse's email address*
Spouse's Job Title or Occupation*
Spouse's Current Employer's Name and Address*
Spouse's Employer's Phone Number*
List the name, date of birth, and social security number of each child who is a common child of yourself and your spouse*
List the name and address at which each child is currently living, and the length of time that each child has been living at that address*
Are you or your spouse currently pregnant? *
If the answer is “yes”, are you and your spouse are the natural parents of that unborn child.
If yes, enter the due date (mmddyyyy)
If you intend to ask for joint custody of the children, there must have been no significant domestic violence in your marriage. Has significant domestic violence occurred during your marriage?*
Do you and your spouse have a signed agreement concerning the custody and parenting time (visitation) for the children?*
Who do you want the Court to order be held responsible for providing medical insurance for the children?*
Do you want the Court to order dental and/or vision insurance be provided for the children as well?*
Please enter the word that you see below.