JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Online Georgia Divorce
Intake Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Date
MM
/
DD
/
YYYY
Your Complete Address
Your answer
Phone number
Your answer
Email address
Your answer
County you reside in
Your answer
Your date of birth
MM
/
DD
/
YYYY
Number of marriages
Your answer
How long a Georgia resident
Your answer
Date of Marriage
MM
/
DD
/
YYYY
Date of Seperation
Your answer
Spouse's Full Legal Name
Your answer
Spouse's Complete Address
Your answer
How long has spouse lived in Georgia
Your answer
Spouse's Date of Birth
MM
/
DD
/
YYYY
County Spouse resides in
Your answer
Spouse's number of marriages
Your answer
Wife's maiden name
Your answer
Does Wife want maiden or former name restored
Yes
No
Clear selection
If so, what will be Wife's full name
Your answer
Are there any minor children of this marriage
Yes
No
Clear selection
If so, please list all minor children giving full names and dates of birth
Your answer
Is there an agreement as to custody and visitation
Yes
No
Clear selection
If so, explain the custody and visitation agreement
Your answer
Do the minor children have health insurance? if so, who provides
Your answer
List all motor vehicles and the party retaining them
Your answer
Is there any real estate owned by either party
Yes
No
Clear selection
If so, list all real estate and the party retaining said property
Your answer
Are there any retirement, pensions, 401(k)s or other investments owned by the parties?
Yes
No
Clear selection
If so, list all plans and how they are to be divided
Your answer
Are there any debts owed by either party
Yes
No
Clear selection
If so, list specifically how debt is to be divided
Your answer
Is there any other personal property owned by the parties that needs to be divided? If so, how divided
Your answer
Are there any other provisions in agreement or questions for the attorney?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
