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If you have questions or need assistance in completing this questionnaire, please feel free contact us at +1 (646) 715-5296.  We will be more than glad to assist you with your inquiry.

Information about you (Plaintiff)

First Name Middle Name Last Name
Street City State                                     Zip Code
 
Phone Number Email Address
Date of Birth Place of Birth
Highest Completed Education Maiden Name (if applicable)
 
Married before? If married before, how many times?
Ethnicity                        Others, specify
 
 

Information about your spouse (Defendant)

First Name Middle Name Last Name
Street City State                                     Zip Code
 
Phone Number Email Address
Date of Birth Place of Birth
Highest Completed Education Maiden Name (if applicable)
 
Married before? If married before, how many times?
Ethnicity                        Others, specify
 
 

Marriage and Separation Information

Place of Marriage:
City State Country
Date of Marriage Type of Ceremony Date of Separation                                  
Address where both parties lived as husband and wife:
 

Grounds for Divorce


 
Abandonment
Desertion
Extreme Cruelty
Separation
Voluntarily induced addiction/ habituation to any narcotic drug or habitual drunkness
Institutionalization for mental illness
Imprisonment
Deviant sexual conduct
Irreconcilable differences
           

Residency Requirements

Either spouse have been a resident of New Jersey State for at least one year prior to the filing of the action
Adultery as the ground for divorce
 

Children Information

 
Child's Name Date of Birth Address
1
2
3
4
5
 

Who provides insurance?
Group Health Plan
Identification Number
Plan Administrator
Insurance Coverage

Please note that you will be requested to provide Social Security Numbers of the Plaintiff, Defendant, and children as they are required to file for Uncontested Divorce.