Your First Name:
Your Middle Name:
Your Last Name:
Your Address & Postal Code:
Your Date of Birth:
Your Age:
You are resident in what municipality and province?:
How long have you been living in this municipality or province?
Have you been divorced before?:
If yes, what was the date of your divorce?:
Your Partner’s First Name:
Your Partner’s Middle Name:
Your Partner’s Last Name:
Your Partner’s Address & Postal Code:
Your Partner’s Date of Birth:
Your Partner’s Age:
Your partner is resident in what municipality and province?
How long has your partner been living in this municipality or province?:
Has your partner been divorced before?
If yes, what was the date of your partner’s divorce?
What is the date of your marriage?
What is the date of your separation?:
When did you start living together?:
Have you never lived together?:
Are you still living together?:
Full Name of your children::
Date of Birth of your children::
Your Children are now living in what municipality or province:
Who are your children living with at the moment?:
Have you ever been to court before concerning either yourselves or the children? If yes, please provide details.:
Have you made a written agreement dealing with any matter involving this case? If yes, please provide details.:
Please go through each of these claims and indicate “yes”, “no” or “don’t know” to each of them?:
I am making the following claims under the Divorce Act?:
Divorce:
Support for me:
Support for Children (Table Amount):
Support for Children (Other than Table Amount):
I am making the following claims under the Family Law Act or Children’s Law Reform Act.:
Sole Custody of Children:
Access to Children:
Restraining or Non-Harassment Order:
Indexing of Spousal Support:
Indexing Same-Sex Partner Support:
Declaration of Parentage:
Guardianship over child’s property :
My matter is in the Superior Court of Justice and I am making the following claims relating to property.:
Equalization of net family properties:
Exclusive possession of the matrimonial home:
Exclusive possession of the contents of the matrimonial home:
Freezing assets:
Sale of family property:
I am making these other claims:
