Client intake

New York divorce questionnaire.

Our uncontested divorce document preparation service is for spouses with no children under 21 from the marriage. Complete this after discussing your request with us.

Complete the form, then choose Send questionnaire to email your answers to our office. Use Save as PDF to keep a copy for your records.

Use the exact spelling on your marriage certificate in the certificate-name fields, including every middle name and surname. Enter your current legal name separately if it has changed. Use “Unknown” where needed instead of guessing.

Do not enter Social Security numbers, account or card numbers, passwords, passport numbers or immigration identification numbers. Any document-specific identifiers must be handled separately. Fields marked * are required.

1. Contact and service scope

Tell us how we may safely contact you.

Your role in this case *

Your email address *

Your phone number *

Preferred contact method

Safe days and times to contact you

May we leave a voicemail that mentions AC Divorce Services?

Preferred language / interpreter needed

Contact restrictions or safety concerns

Do not describe incidents in detail here. Call us if a device or email account is shared.

2. Your details

Names on the marriage certificate and current legal names are collected separately.

First / given name on marriage certificate *

Enter exactly as printed on the certificate.

Middle name(s) on marriage certificate

Last / family name on marriage certificate *

Current full legal name *

If unchanged, repeat the full certificate name.

Maiden / birth surname before marriage

Separate from the current surname. Use “Not applicable” if needed.

Other former legal names or name changes

Date of birth *

Birthplace — city, state/region and country

Current residential address, including apartment, city, state, ZIP and country *

Different mailing address, if applicable

Current county, if living in New York

Continuous New York residence began

Give the start date of the current uninterrupted period, if known.

Addresses / states lived in during the last two years, with dates

Highest education level completed

Number of marriages before this marriage

Most recent prior marriage: how, when and where it ended

Divorce, annulment or death; date and court/county or country. Do not include document numbers.

Occupation and employer, or employment status

Approximate gross annual income (USD)

Before taxes, if known. Do not enter account information.

Currently serving in the military?

Request to resume a former surname after divorce?

Exact former surname to be resumed, if requested

3. Your spouse’s details

Names on the marriage certificate and current legal names are collected separately.

First / given name on marriage certificate *

Enter exactly as printed on the certificate.

Middle name(s) on marriage certificate

Last / family name on marriage certificate *

Current full legal name *

If unchanged, repeat the full certificate name.

Maiden / birth surname before marriage

Separate from the current surname. Use “Not applicable” if needed.

Other former legal names or name changes

Date of birth

Birthplace — city, state/region and country

Current residential address, including apartment, city, state, ZIP and country

Different mailing address, if applicable

Current county, if living in New York

Continuous New York residence began

Give the start date of the current uninterrupted period, if known.

Addresses / states lived in during the last two years, with dates

Highest education level completed

Number of marriages before this marriage

Most recent prior marriage: how, when and where it ended

Divorce, annulment or death; date and court/county or country. Do not include document numbers.

Occupation and employer, or employment status

Approximate gross annual income (USD)

Before taxes, if known. Do not enter account information.

Currently serving in the military?

Request to resume a former surname after divorce?

Exact former surname to be resumed, if requested

Spouse’s email address, if known

Spouse’s phone number, if known

Is the spouse’s current location known? *

Will your spouse sign the divorce papers? *

Availability for signatures / notarization; country if outside the U.S.

Does your spouse have an attorney for this matter?

4. Marriage and residence

Provide the marriage facts and your New York connections. We do not choose a legal ground or make legal decisions for you.

Marriage date *

Marriage city, state/region and country *

Type of marriage ceremony

Marriage certificate language and whether you have a copy

Last address where you lived together as spouses

Dates you lived together at that address

Date you began living apart, if applicable

Has the marriage been irretrievably broken down for at least six months? *

Approximate date the breakdown began

Did the marriage take place in New York?

Have you lived together in New York as a married couple?

Did the circumstances underlying the divorce occur in New York?

County in which filing is being considered

If a different ground was selected with legal advice, describe it briefly

5. Agreements and existing proceedings

These questions identify documents and issues that need review. We do not recommend financial terms.

Have you both resolved the financial terms of the divorce? *

Real estate, joint assets or business interests to address?

Joint debts or liabilities to address?

Pension or retirement interests to address?

Agreed position on spousal maintenance

Describe your existing agreed arrangements for assets, debts and maintenance

Do not include account numbers. If terms are unresolved, say so.

Prenuptial, postnuptial, settlement or separation agreement?

Agreement type, date and whether it was signed / acknowledged

Any existing or earlier case concerning this marriage?

Court, county, type of case, date and current status

Any relevant support order, protection order or other court order?

Type of order and issuing court; any restrictions on contact

Any pending bankruptcy or other proceeding affecting the financial terms?

Is either spouse currently incarcerated?

Does either spouse provide the other with health insurance?

Insurer / employer and whose coverage it is; known continuation arrangements

Do not include policy, member or identification numbers.

6. Documents and final notes

Have these available for our follow-up. This page does not accept document uploads.

Do you have a readable marriage certificate?

Do you have any relevant prior divorce, agreement or court records?

Any difficulty signing, reading English or arranging notarization?

Anything else we should know before preparing the paperwork?

Review and save your answers.

I confirm that this is an agreed divorce with no children under 21 from the marriage.I understand that AC Divorce Services is not a law firm and that this questionnaire does not file a case or retain an attorney.I have reviewed these answers and have identified information that is unknown or still needs to be checked.I agree to email my questionnaire answers to AC Divorce Services at info@acdivorce.com.