Family Law Application Form

Family Law Application Form

Applicant Name:   Applicant Address:

Respondent Name:   Respondent Address:

RECITALS

WHEREAS, the Applicant seeks judicial relief in relation to family law matters affecting the parties named above, including but not limited to dissolution of marriage, custody, visitation, support, property division, and related temporary orders; and

WHEREAS, the Respondent is a party whose legal rights and obligations may be affected by judicial orders issued in this proceeding; and

WHEREAS, the parties desire to present the facts and requests to the court and to certify under penalty of perjury the truth of the information supplied herein.

NOW THEREFORE

The Applicant hereby files this Application with the court and requests that the court consider and grant the relief requested below pursuant to the applicable family law statutes and rules.

1. COURT AND CASE IDENTIFIERS

2. JURISDICTION AND BASIS FOR RELIEF

The Applicant asserts that the court has jurisdiction over the parties and subject matter because:

3. RELIEF SOUGHT

The Applicant requests the court grant any and all appropriate relief, including the specific items checked below:

Divorce/dissolution of marriage

Legal separation

Child custody (legal and/or physical)

Visitation/parenting time

Child support

Spousal support (alimony)

Domestic violence protective order

Name change for Applicant or child(ren)

Other (specify):

4. CHILDREN

List all minor children of the parties and any child for whom relief is sought.

5. ASSETS, LIABILITIES, AND INCOME

Provide a concise statement of the parties' material assets, debts, and monthly income. Attach supporting documentation as required by court rules.

6. TEMPORARY REQUESTS

The Applicant requests the following temporary orders pending final disposition (check all that apply and explain):

Temporary custody/parenting time orders

Temporary child support

Temporary spousal support

Exclusive use of residence / occupancy

7. SERVICE AND NOTICE

The Applicant certifies the Respondent may be served at the address provided below or at any known location where service is proper under the applicable rules.

8. DECLARATION AND CERTIFICATION

I declare under penalty of perjury under the laws of the applicable jurisdiction that the statements and representations contained in this Application are true and correct to the best of my knowledge and belief. I understand that knowingly making a false statement on a court filing may subject me to penalties including contempt of court and possible criminal liability.

9. OTHER PROVISIONS

9.1 Governing Law. This Application shall be governed by and construed in accordance with the laws of the jurisdiction in which the court presides.

9.2 Entire Agreement. This Application, together with any orders entered in the proceeding, constitutes the entire written statement of requested relief by the Applicant and supersedes all prior statements or agreements made in writing concerning the matters addressed herein.

9.3 Severability. If any provision of this Application is held invalid or unenforceable, the remainder of the Application shall remain in full force and effect.

9.4 Amendments and Waiver. Any amendment or waiver of a provision of this Application must be in writing and signed by the party seeking the amendment or waiver. A failure to enforce any provision shall not constitute a waiver of future enforcement of that or any other provision.

9.5 Counterparts. This Application may be executed in counterparts and delivered by electronic image, each of which shall be deemed an original.

10. ATTORNEY INFORMATION (IF ANY)

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