• Your Personal Information

    This section contains information about you. If anything does not apply to you, please leave it blank.
  • What is your Date of Birth?
     / /
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Information about your Spouse

    This section contains information about your Spouse. If anything does not apply, please leave it blank.
  • Date of Birth
     / /
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Marriage Information

  • Date of Marriage
     / /
  • Date of Separation
     / /
  • Have you seen a marriage counselor, either alone or with your spouse?
  • Have you or your spouse consulted with another attorney about your divorce?
  • To the best of your knowledge, has your spouse ever spoken to our office about this divorce or any other legal matter?
  • Have you been a resident of the county in which you now live for at least three (3) months?

  • Real Property

  • Do you or your spouse own any real property (home or land)? If yes, please complete the additional information requested. If no, please skip to the next page.
  • Date Marital Home was Acquired
     / /
  • Whose Name(s) is/are on the title?
  • Does the wife want a previous/maiden name restored to her? (Note: Even if not mentioned formally in the divorce, a party can resume use of a prior name. If you are unsure if you want to resume use of a prior name, it is a smart idea to include it in the paperwork to make the legal name change process easier in the future.)

  • DEBTS

    Please list ALL debts incurred during the marriage that are currently outstanding, even if you already have an agreement as to who will assume responsibility for the debt. Please include debts that are in individual names, as well as debts held jointly. Remember to include mortgage debts, automobile loans, student loans, etc. If you are unaware or unsure of all the debt for you and/or your spouse, you may obtain a free copy of your annual credit report from each credit bureau once per year. You may obtain your free credit report at: www. annualcreditreport.com
  • Debt #1 - Whose name is on this debt? And who should be ordered to pay the debt?
  • Debt #2 - Whose name is on this debt? And who should be ordered to pay the debt?
  • Debt #3 - Whose name is on this debt? And who should be ordered to pay the debt?

  • Financial Accounts

    If you wish you divide your joint bank accounts, please provide information about each of the financial accounts you own, either jointly or individually. If you do not have any joint financial accounts that need divided, please indicate so and skip to the next page.
  • Do you have any joint bank accounts with your spouse that need to be divided?
  • Who should be awarded this account?
  • Who should be awarded this account?

  • Retirement Accounts

  • Do either you or your spouse have a retirement, 401(k), IRA, or pension plan?

  • Personal/Marital Property

  • Do you and your spouse have an agreement as to the division of personal property (furniture, vehicles, appliances, etc.)?
  • Do you and your property division detailed in your divorce paperwork?

  • Alimony

  • Should alimony be awarded to either spouse?

  • Mandatory Divorce Waiting Period

    There is a mandatory 30-day waiting period for all divorces in Utah. When "extraordinary circumstances" exist, you may ask the court to waive the 30-day waiting period. Sometimes, the court will consider the uncontested nature of your divorce to be "extraordinary" enough. Other common reasons are for financial support reasons, prolonged period of separation occurring before the divorce, tax implications, etc.
  • Are you interested asking the Court to waive the required 30-day waiting period?

  • Minor Children

    This section is only applicable if there are minor children involved in this action. This section deals with the physical and legal custody of the children, child support, and other support provisions. If you have no minor children, please indicate below, then skip to the next page.
  • Are there any minor children involved in your action?

  • Name of Child: Date of Birth:

  • Name of Child: Date of Birth:

  • Name of Child: Date of Birth:

  • Name of Child: Date of Birth:

  • Custody

  • LEGAL CUSTODY refers to the rights, privileges, duties and powers of a parent and often includes decision-making authority. It does not affect the physical custody of the child, nor prohibit one party from being designated as the primary custodial parent. Who should be given permanent LEGAL CUSTODY of the children?
  • PHYSICAL CUSTODY refers to physical custody of the children -- referring to the number of overnights the child is with both parents. There are 3 basic types, but a multitude of variations. The 3 basic types are: (1) Sole physical custody (one parent has the child for more than 70% of the year); (2) Joint physical custody (in which the child stay with each parent overnight for more than 40% of the year and both parties contribute to the expenses of the child in addition to child support); or (3) Split custody (this is less common). Who should be given PHYSICAL CUSTODY of the children?
  • For JOINT custody, you will need to specify the percentage of overnights each parent will have the children and propose a schedule for the children. There is an alternative parent-time schedule for JOINT CUSTODY located in the statute at Utah Code 30-3-35.1 for a 60/40 custody division or Utah Code 30-3-35.2 for a 50/50 custody division. Please indicate your JOINT physical custody preference:
  • If you chose the 30-3-35.1 Parent-time Schedule, which of you will be the parent exercising majority custody (60%)?
  • If you chose the 30-3-35.2 Parent-time Schedule, please indicate your preferred schedule.

  • If you selected a WEEK ON/WEEK OFF parent-time arrangement, indicate when parent-time exchanges will occur. Exchanges will occur every day on (day of the week) at (time).

  • Other Support Items

    This section asks questions about various child-related expenses.
  • Do you or your spouse currently receive any financial assistance from the State of Utah?
  • Have you or your spouse received any financial assistance from the state of Utah in the past one (1) year?
  • Child Care Expenses are not included in child support. According to Utah Statute, each parent should pay one-half (1/2) of all child care expenses incurred for the minor children so that the parties can work or attend school on a full-time (up to 40 hours per week) basis. Do you currently incur child care expenses?
  • Health insurance premiums and health care expenses are not included in child support. According to Utah Statute, each parent should pay one-half (1/2) of all healthcare insurance premiums and out-of-pocket expenses incurred for the minor children. Are the children currently covered under a health insurance plan?
  • After the divorce, who will maintain health insurance for the minor children?

  • After the divorce, MY PLAN plan will cover people on the policy. The total cost for the plan is: $ .

  • After the divorce, MY SPOUSE'S plan will cover people on the policy. The total cost for the plan is: $ .

  • CHILD SUPPORT

    In Utah, Child Support is calculated using a formula established by Utah Code 78B-12-201. The calculation is based on the custody arrangement (number of overnights) and the income of both parents. Generally teh amount ordered for child support will be consistent with the guidelines, unless you and your spouse can show good cause why the court should deviate from the guidelines.
  • You can determine the child support amount due by visiting the online child support calculator at: https://orscsc.dhs.utah.gov/orscscapp-hs/orscscweb/actions/Csc0002;jsessionid=yO04TXgtsublAbgvJJI0m4_IenDlXkuJFcSVvZBx.ip-10-204-48-119
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  • Utah Law provides for child support collection through Universal Withholding through the Office of Recovery Services (ORS). An ORS case can be opened by either party. Universal Withholding allows child support to be paid directly from the paying parent's paycheck (from their employer) and sent to the receiving parent automatically. You may elect to pay/receive child support directly, without Universal Withholding if both parties agree.
  • Do you or your spouse have any court-ordered child support or alimony obligations from any previous marriage(s) or relationship(s)?
  • LIFE INSURANCE. The obligation to maintain life insurance on a parent's life is not required by law, but it is a good idea for divorcing parents. An obligation to carry life insurance can provide peace of mind for payment of future child support or expenses if something were to happen to you or your spouse. Usually, the parent paying child support would be the parent ordered to pay for and maintain life insurance on his/her own life. The children should be named as the beneficiaries of the policy for as long as support is owed.
  • If you answered Yes above, what amount of life insurance should be ordered?
  • TAX EXEMPTION. How would you like to divide the child tax exemption with your spouse?
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