Part A - The Applicant(s)
Do you want to attend the hearing?
It may be compulsory for you to attend.
Part B - Husband and Wife
Husband
9. Address
If you have safety concerns, you do not need to disclose a residential address.
10. Address for Service of Documents
Wife
9. Address
If you have safety concerns, you do not need to disclose a residential address.
10. Address for Service of Documents
Part C - Jurisdiction
11. Mark yes or no to each statement below
The Husband...
The Wife...
Part D - Marriage and Separation
12. Date and place of marriage on your marriage certificate
13. Full names of both parties as they appear on the marriage certificate
14. Date of separation
15a. At the date of separation, did you regard the marriage as over?
15b. If you answered no to question 15(a), on what date did you regard the marriage as over?
16b. give dates of each period you and your spouse lived together in the same home after separation.
17b. give dates of each period you and your spouse lived together as husband and wife.
18. Do you think it is likely that you and your spouse will live together again as husband and wife?
19. At the date of filing this application, is it less than two years since you married?
Part E - Other Court Cases
20. Are there any current or pending cases in this or any other court about family law, child support, family violence, or abuse in relation to a child (including orders which have applied to a child or a member of the child’s family), or child welfare, involving any of the parties and/or children listed in this application?
Please detail
21. Are there any existing orders, binding agreements, parenting plans or undertakings to a court about family law, child support, family violence, or abuse in relation to a child (including orders which have applied to a child or a member of the child’s family), or child welfare, involving any of the parties and/or children listed in this application?
Please detail
Part F - Children
22. Are there any children currently under 18 who:
Child 1
Current details for the child
Child 2
Current details for the child
Child 3
Current details for the child
Child 4
Current details for the child
Child 5
Current details for the child
Child 6
Current details for the child
Child 7
Current details for the child
Child 8
Current details for the child
Child 9
Current details for the child
Child 10
Current details for the child