Divorce Checklist

Date: __________________
Please supply us with the following information. Also please provide any other
information to this case on a separate sheet or sheets of paper.
1. Your full name: _________________________________________
2. The full name of your spouse: ______________________________
3. What do you want with this divorce?
___ (a.) Custody of the child/children
___ (b.) Joint custody of the child/children
___ (c.) Access to the child/children (if not applying for custody)
___ (d.) Support for the child/children in the amount of $________ per month per child
___ (e.) Support for yourself in the amount of $_________ per month
___ (f.) Non-molestation order (Restraining Order)
___ (g.) Costs (Legal)
4. What grounds for divorce exist in relation to your marriage breakdown?
___ (a.) Section 8(2)(a) You and your spouse have lived separate and apart for at least
one year immediately proceeding the determination of the divorce proceedings and are
living separate and apart at this time. You can start a divorce now if you have not yet
been separated for one year.
___ (b.) Section 8(2)(b)(i) Your spouse since the celebration of marriage, committed
adultery.
___ (c.) Section 8(2)(b)(ii) Your spouse since the celebration of marriage, treated you
with physical cruelty of such kind as to render intolerable your continued cohabitation.

___ (d.) Section 8(2)(b)(ii) Your spouse has since the celebration of marriage, treated
you with mental cruelty of such kind as to render intolerable your continued
cohabitation.
Reconciliation
5. Is there any possibility of you and your spouse living together again as husband and
wife (reconciliation)?
6. Have any efforts to reconcile been made:

Yes_____

No_____

If yes, please give particulars:

___________________________________________________________________
___________________________________________________________________
Particulars of Marriage
7. Date of the marriage (Month/Day/Year): ____________________________________
8. Place of marriage (City/Province): _________________________________________
9. Your surname at birth: ___________________________________________________
10. Your spouses surname at birth: __________________________________________
11. The marital status at the time of marriage:
Wife:

Never Married____

Divorced____

Widowed____

If divorced: Former name(s) used: ______________________________________

Maiden name: _______________________________________________________

Husband:

Never Married____

Divorced____

Widowed____

12. You were born at (City/Province):_________________________________________

13. Your date of birth (Month/Day/Year):______________________________________
14. Your spouse was born at (City/Province):___________________________________
15. Your spouses date of birth (Month/Day/Year):_______________________________
Domicile and Jurisdiction
16. Date you and your spouse stopped living together (Month/Day/Year)_____________
17. Your permanent residence address (including post code):
__________________________________________________________________
__________________________________________________________________
18. Your spouses permanent residence address (including postal code):
__________________________________________________________________
__________________________________________________________________
19. Number of years you have been resident in Alberta: ___________
20. Number of years your spouse has been a resident in Alberta: ___________

21. Are you a Canadian citizen? Yes_____

No_____

If no, please advise us of particulars of your citizenship, immigration or other status:

__________________________________________________________________
__________________________________________________________________
Children
22. Full names and birthdates of all living children of the marriage:
Name

Birthdate (Month/Day/Year)

1. ______________________________________

_________________________

2. ______________________________________

_________________________

3. ______________________________________

_________________________

4. ______________________________________

_________________________

5. ______________________________________

_________________________

23. Are you aware of the Parenting After Separation Seminar?

Yes _____ No _____

Have you attended the seminar?

Yes _____ No _____

If not, are you scheduled to attend the seminar?

Yes _____ No _____

24. Do you wish to claim custody of the children?

Yes _____ No _____

25. Do you wish to claim joint custody of the children?

Yes _____ No _____

If yes, what do you want to achieve by having joint custody? (Why do you want it?)
_________________________________________________________________
26. If you do not wish to claim custody, what visiting rights do you want (access)?
_________________________________________________________________
_________________________________________________________________
27. Are the children currently living with you or your spouse? _____________________
28. Please give particulars as to the current living situation for the children ___________
____________________________________________________________________
Age and Disability
29. Are either you or your spouse under the age of 18 years?

Yes _____

No _____

30. Are either you or your spouse suffered from any other legal disability? ___________
____________________________________________________________________
_
Agreements and Court Proceedings

31. Are there any agreements (written or verbal) about the support of you, your children,
your spouse and/or custody or access to the children?
Yes _____

No _____

If yes, please provide us with details. ______________________________________

____________________________________________________________________
____________________________________________________________________
32. Is there a Separation Agreement, Minutes of Settlement or Matrimonial Settlement
Agreement?
Yes _____

No _____

If yes, what is the date of the agreement? ___________________________________

Has there ever been a support agreement registered with the court? Yes ___ No ___
If yes, please provide us with details. ______________________________________
____________________________________________________________________
____________________________________________________________________
33. Have there been any court proceedings between you and your spouse?
Yes _____

No _____

If yes, please provide us with details. ______________________________________

____________________________________________________________________
____________________________________________________________________
Employment
34. Your occupation: ______________________________________________________
35. The name and address of your present employer: _____________________________
____________________________________________________________________
____________________________________________________________________
36. Your gross monthly income is $______________
37. You are paid every (2 weeks/months/etc.) __________________________________
38. The total income declared on line 150 of your last income tax return filed in 20___
(year of last return filed) was $_________ and your net taxable income on line 226
was $_________.
39. Your spouses occupation:
______________________________________________________
40. The name and address of your spouses present employer: _____________________

____________________________________________________________________
____________________________________________________________________
41. Your spouses gross monthly income is $______________
42. Your spouse is paid every (2 weeks/months/etc.) ___________________________
43. The total income declared on line 150 of your last income tax return filed in 20___
(year of last return filed) was $_________ and your net taxable income on line 226
was $_________.
Miscellaneous
44. Do you have a will? ___________
45. Do you and your spouse have any joint bank accounts (chequing, savings, term
deposits or other accounts)?
Yes _____

No _____

If yes, please provide us with details. ______________________________________

____________________________________________________________________
____________________________________________________________________
46. Do you and your spouse own any real estate?

Yes _____

No _____

If yes, please provide us with details. ______________________________________

____________________________________________________________________
____________________________________________________________________
47. Do you and your spouse have any joint loans, or have you and your spouse co-signed
loans for each other or for another party?
Yes _____

No _____

If yes, please provide us with details. ______________________________________

____________________________________________________________________
____________________________________________________________________
48. Do you and your spouse have any joint credit cards?
Yes _____

No _____

If yes, please provide us with details. ______________________________________

____________________________________________________________________
____________________________________________________________________

49. Do you and your spouse have any Personal Guarantees?

Yes _____

No _____

If yes, please provide us with details. ______________________________________

____________________________________________________________________
____________________________________________________________________
50. If a Restraining Order is going to be issued please provide the following physical
descriptors and personal information about your spouse:
(a) Race:

___________________________

(b) Height:

___________________________

(c) Weight:

___________________________

(d) Hair color: ___________________________

(e) Eye color:

___________________________

(f) Description of any scars, marks or tattoos: ________________________________

____________________________________________________________________
_
____________________________________________________________________
_

(g) Any other information you feel would be useful in identifying your spouse:
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
_
____________________________________________________________________
_
51. Please provide as soon as possible as much of the following information as you can:
(a) Photograph of your spouse *;
(b) Original Marriage Certificate from Vital Statistics *; if you do not have one,
please advise and we will order;
(c) Copy of Separation Agreement (if there is one), or copy of any other Agreement
between you and your spouse.
(d) Original Certificate of Completion of Parenting After Separation Seminar if you
have already attended;
(e) Copy of each of the last 3 years income tax returns made by you (and your spouse

if possible) and a copy of each of the last 3 Notices of Assessment received by

you and your spouse or a copy of the Revenue Canada printout of the last 3 years
income tax returns of you and your spouse;