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1. Your Details

EmailPost

YesNo

2. Your Partner's Details

YesNo


3. Other Information about the Marriage



If you have ticked Unreasonable Behaviour, please give 4 or 5 examples below.

If you have ticked 2 Years Separation with Consent. Please give details of the addresses where you and your husband/wife have lived since separation, and the relevant dates that you lived at these addresses.

YesNo


If YES, please provide details:

4. Children — Statement of Arrangements

Children Of The Family

Provide full details of all children born to either of you before, during or after the marriage and who are still living with the you.

Details of the Children & Living Arrangements:

  • MF


    YesNo


    YesNo

    YesNo

  • MF


    YesNo


    YesNo

    YesNo

  • MF


    YesNo


    YesNo

    YesNo

  • MF


    YesNo


    YesNo

    YesNo

  • MF


    YesNo


    YesNo

    YesNo


Children Of Either Party Who Are NOT Children Of The Family

Details of the Children & Living Arrangements:

  • MF


    YesNo

    YesNo

  • MF


    YesNo

    YesNo

  • MF


    YesNo

    YesNo

  • MF


    YesNo

    YesNo

  • MF


    YesNo

    YesNo


Health & Education Details (Children of the family only)

  • YesNo

    YesNo


    YesNo

  • YesNo

    YesNo


    YesNo

  • YesNo

    YesNo


    YesNo

  • YesNo

    YesNo


    YesNo

  • YesNo

    YesNo


    YesNo


What are the contact arrangements between the child(ren) and non-resident parent?

YesNo


If no, please give details:


YesNo


If no, please give details:

If Contact Arrangements have NOT been agreed and there is a dispute, are you intending to:

YesNo


YesNo


YesNo

YesNo

YesNo


If YES:–

VoluntarilyCSA

Please provide full details of the arrangement:

If No:–

YesNo


YesNo


YesNo



If YES, please provide details (please include information about any current proceedings in the youth or family court):

YesNo


If YES, please provide details (include name of local authority and the date of registration):

YesNo



If YES, please provide details (include name of local authority and the date of registration):

YesNo




If YES, please provide details (include name of local authority and the date of registration):

5. Any Other Issues

Are there any other issues which you feel we should be aware of at this stage in your proposed divorce?

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If you would like to see full details of our data practices please visit our Privacy Policy and if you have any questions please email info@burtondyson.com.

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