BEGINNING DIVORCE WORKSHOP

This workshop will show you how to start a divorce. This is the first step of the divorce process. There are multiple steps you need to take to finish your divorce.

YOUR WORKSHOP DATE : WEDNESDAY, ______8:45AM* *Please arrive on time, we will not accommodate late attendees LOCATION: ROOM ____

Important Information: 1. Please fill out this form accurately and completely. Do not leave any information out. 2. The information you provide on this form will be included on your divorce forms, and will be seen by your spouse. Your divorce is public record. 3. If any of the information on this form is incomplete or inaccurate, you may not be able to attend the workshop on your scheduled date. 4. You may need to hire an attorney if you have complex property issues and require legal advice. 5. Not everyone will have their divorce forms completed by the end of the workshop. You may need to finish your forms at home and return to Room 509 on Monday, Tuesday, or Thursday from 8:30 – 12:00 or 1:30 – 4:00 to have your completed forms reviewed.

CUSTOMER INFORMATION :

Full Legal Name: ______Today’s Date______Address: ______City: ______Zip Code: ______Telephone: ______Language: ______How long have you lived in California?______How long have you lived in San Francisco?______Date of Marriage:______Date of Separation: ______Years: ______Months:____ Have you or your spouse ever filed for a divorce? □ YES □ NO If Yes, when: ______where: ______Your Monthly Gross Income (before taxes): ______# OF PEOPLE IN YOUR HOUSEHOLD: ______Do they work? Yes No Your Source of Income: Employment*(_) SSI/SSP (_) CalWorks/AFDC (_) GA (_) Food Stamps (_) Unemployment (_) Other (_) *You will need to bring your paystubs to the workshop if you applying for a fee waiver

OTHER PARTY’S INFORMATION:

Spouse’s Legal Full Name: ______Spouse’s Address: ______

1 ACCESS 7/2015 Spouse’s Monthly Gross Income:______Source of Income:______

NUMBER OF MINOR CHILDREN OF THE MARRIAGE* (under 18 years of age): ______

Name Age Date of Birth M/F ______

Location of the Children: ______*You must complete Form FL 105, UCCJEA if you have children and bring it to the workshop

PROPERTY Please list all assets and debts for both parties. Attach FL 160, Property Declaration, if necessary.

Real Property/Land/House: Date Purchased: Date Purchased: Name on Title: Name on Title: Value: Value: Amount Owed: Amount Owed

Cars/RV/other forms of vehicles: Date Purchased: Date Purchased: Name on Title: Name on Title: Value: Value: Amount Owed: Amount Owed:

Bank Accounts/Credit Union/Investment accounts: Name of Bank: Name of Bank: Date Opened: Date Opened: Amount of Money in account: Amount of Money in account:

Retirement Account/Pension/401k: Date Opened: Date Opened: Value: Value:

Debts/Credit Cards/Loans/Mortgage: Date Incurred: Date Incurred: Amount of Debt: Amount of Debt: Name(s) on account: Name(s) on account: Financial Institution: Financial Institution:

Other Assets or Debts:

2 ACCESS 7/2015 Staff: ______Related case search: ______

3 ACCESS 7/2015