Worksheet - Divorce With Children

Divorce with Children Go to www.legalaidofnebraska.com/node/418- Click on "Divorce with Children automated court forms" In order to type in your divorce paperwork online, you will need the following information at the computer with you: For the "Complaint for Dissolution": County where you will file divorce Wife full name Address, City, State, County Former name (if changed and want back) Husband full name Address, City, State, County Former name (if changed and want back) Date, City, State of Marriage _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ Restraining/protections orders: Court ordering, case number(s), date(s) How many children The name(s) & birth date(s) of child(ren) you and your spouse have _________________________________________ _____________ _________________________________________ _________________________________________ The names and current address of people the children have lived with for the past 5 years ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ If you have been a party in another proceeding concerning custody of/visitation with the children Name of the court _________________________________________ Case number _________________________________________ Determination date _________________________________________ If there is currently a proceeding which could affect this action Name of the court _________________________________________ Case number _________________________________________ Determination date _________________________________________ If any one else has had custody/claim to have custody Full name of each person _________________________________________ Full address of each person _________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com If other existing restraining orders, protection orders, or criminal no-contact orders Type of order _________________________________________ Name of court _________________________________________ Case number _________________________________________ Date of each order _________________________________________ Person getting custody Person getting visitation _________________________________________ _________________________________________ Confidential Party Information (2 forms and information in addition to above): Case number (Assigned by Clerk at counter) _________________________________________ Wife phone Employer Employer address Health insurance Policy number Address Social Security Number Husband phone Employer Employer address Health insurance Policy number Address Social Security Number Social Security Numbers of Children under 18, born during the marriage _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ _________________________________________ Bureau of Vital Statistics Form (not court form, complete as much as possible): Husband Current Residence _________________________________________ Place of Birth _________________________________________ Date of Birth _________________________________________ Financial Affidavit for Child Support (additional information combined with above): If currently an order for support for minor children Name of the court _________________________________________ Case number _________________________________________ Amount of support _________________________________________ Number of children _________________________________________ Name of your employer Gross monthly income If per hr, amount/# of hrs If per mo, amount/bonuses _________________________________________ _________________________________________ _________________________________________ _________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com Name of spouse employer Gross monthly income If per hr, amount/# of hrs If per mo, amount/bonuses _________________________________________ _________________________________________ _________________________________________ _________________________________________ If you made more money than currently making Name of past employer _________________________________________ Gross monthly income _________________________________________ If per hr, amount/# of hrs _________________________________________ If per mo, amount/bonuses _________________________________________ If spouse made more money than currently making Name of past employer _________________________________________ Gross monthly income _________________________________________ If per hr, amount/# of hrs _________________________________________ If per mo, amount/bonuses _________________________________________ Amount you pay for health insurance per month for children ONLY _________________________________________ Amount spouse pays for health insurance per month for children ONLY _________________________________________ Amount you contribute to retirement acc. Amount spouse contributes to retire. acc. _________________________________________ _________________________________________ Number of other children you support, if any _____________________________________ Birthdates _________________________________________ Method of support _________________________________________ Name of the court, if ordered _________________________________________ Case number _________________________________________ Amount _________________________________________ Name of other parent, if not ordered _________________________________________ Parent's gross monthly income _________________________________________ Number of oth