Uncontested Divorce Form
Please answer all questions to the best of your ability. Questions followed by a red asterisk * MUST be answered in order for this form to be submitted. This application is confidential and will only be viewed by an Intake Specialist.
Date
*
-
Month
-
Day
Year
Date
Legal Name
*
First Name
Middle Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Home Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Cell Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Preferred Method of Contact
Email
Cell
Text
Home Phone
Preferred time of day to be contacted (if needed)
Morning
Afternoon
Evening
Gender
Male
Female
Other
Date of Birth
*
-
Month
-
Day
Year
Date
Spouse's Legal Name
*
First Name
Middle Name
Last Names
Spouse's Address
Street Address
Apt.-Suite-Unit
City
State
Zip Code
Spouse's Date of Birth
-
Month
-
Day
Year
Date
Souse's Gender
Male
Female
Other
Spouse's Email (if known)
example@example.com
2. How did you hear about us? If referred by someone, please list their name
*
Relationship Status
Living Together
Separated
Please list the date of marriage and location of the marriage:
4. If separated, what is the date of separation, and in which city/parish/state you lived last together?
*
5. Do you understand that you must be separated from your spouse for 6 months with no children or one year if children were born during the marriage, to be eligible for the quickest divorce?
Yes
No
6. Minor Children born after you were married?
No
Yes
7. Number of Children from marriage: If none, please put "0" in box:
8. List Minor Children's Name, Age, and D.O.B.:
Did you enter into a covenant marriage?
No
Yes
If yes, please explain:
9. Are you or your spouse currently in the Active Military
No
Yes
If yes, please give name.
10. Did you adopt any children or are you in the process of adopting a child ?
No
Yes
If yes, please explain:
11. Are you are your spouse currently pregnant ?
No
Yes
If yes, please explain:
12. Is your spouse willing to sign a one page form agreeing to the divorce with a notary
No
Yes
If no, please explain:
13. What is your preferred method of receiving documents?
USPS Mail
Email
Pick Up
Fedex/UPS (extra charge)
14. What is your preferred method of payment?
Zelle or Quick Pay
Cash App
Paypal (Friends and Family)
Cash
Credit or Debit (3.5% Transaction Fee)
Would you be interested in additional Court Orders like Custody, Support, Property? Please list and we can provide a Flat Fee Price where applicable.
Please list any concerns:
PLEASE SUBMIT ANY DOCUMENTS. IF YOU DON'T HAVE THEM YET, YOU CAN EMAIL THEM TO OUR RECEPTIONIST AT: LEGAL@WEISER-LAW-FIRM.COM
Browse Files
Drag and drop files here
Choose a file
Subir Archivos Electronicos o Correo Electronico
Cancel
of
Submit
Should be Empty: