Divorce Information Center

California Dissolution of Marriage Contact Form

Name

Email Address

Phone Number

Address

City

State

Zip

Social Security Number (optional)

Please let us know if we should contact you confidentially and list the phone number and address information that we should use

Name and address of employer

Annual gross salary

Job title and description

Employed since

Name of spouse

Number of years married

Do you have children and if so, what are their ages?

Have you been married before and if so please list the date(s) of your previous marriage(s) and date(s) of dissolution(s).

Are you separated from your current spouse?
Yes No

If so, what is the status?

Have you discussed reconciliation?
Yes No

If so, what is the date you last lived together?

Have there been any incidents of violence in the marriage?
Yes No

Has your spouse retained an attorney?
Yes No

If so, please list the name of the firm and/or attorney.

Please provide a general description of the assets of both parties.

Please provide a general description of the liabilities, including obligations for child support or spousal support, of both parties.

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