Divorce Questionnaire Louisiana Uncontested Divorce Questionnaire Please review our Terms of Service Please fill out this questionnaire as thoroughly as possible / Step 1 of 6 16% Info about you and your spouseYour Name* First Last Middle Name (If Applicable)Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Your date of Birth*Place of Birth*Maiden Name (If Applicable) First Last Married Before?* Yes No If Yes, how many times and indicate if marriage ended in divorce or deathYour Spouses Name* First Last Middle Name (If Applicable)Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone*Email* Your spouses date of Birth*Place spouses of Birth*Maiden Name (If Applicable) First Last Married Before?* Yes No If Yes, how many times and indicate if marriage ended in divorce or death Marriage & Separation InformationCity Married In*County Married In*State Married In*Date of Marriage*Date of Separation*Address where both parties lived as husband and wife Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Residency RequirementsAt least one of the spouses must have lived in Louisiana for six months prior to the filing of the divorce documents.* Yes Children InformationPlease list each childNameDate of BirthAddress Use the + button on the right to add more children If children had legal guardians other than parents in the past 5 years please include all names and addresses.Name of GuardianAddress Use the + button on the right to add more guardians Prior Custody: If a custody issue has ever been before a court on a child, please provide:Name of courtCase number Use the + button on the right to add more courts and case numbers Employment InformationMother's Employer*Mother's Business Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mother's Business Phone*Mother's Gross Income before Taxes*Father's Employer*Father's Business Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Father's Business Phone*Father's Gross Income before Taxes*Daycare, Insurance & Current Child SupportChildren in DaycareChild's NameMonthly CostWho is currently paying? To add more children please use the + button on the rightWho provides insurance?* Mother Father Other Who pays for insurance?* Mother Father Other Premium amount for children's portion:*Policy Identification Number:*Plan Administrator:* Name Change InfoCurrent Name First Last Middle Name (If Applicable)Name wanted after Divorce First Last Middle Name wanted after Divorce (If Applicable) Real Estate InformationPlease list current joint properties and who gets the property or if it is to be jointly held.Address of PropertyWho gets it or jointly For additional properties please use the + button on the right to create more rows.Debts and Personal Property: This information will be discussed and handled via telephone.I have read and understand the Terms of Service* Yes Please review our Terms Of Service
