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Legal Document Preparation Services
CHILD AND SPOUSAL SUPPORT
Would you like to request Child Support?
% of time Children spent with you:
% of time Children spent with Other Parent:
If not sure, explain here:
Do you have health insurance available to you for the children through your job?
If so, please fill out the following:
Name of Insurance Company:
Monthly Cost: $
Address:
Are/have you and him/her:
Would you like to have physical/legal custody of child(ren)
if not, please mention who should have custody:
Other information:
ADDITIONAL EXPENSES FOR THE CHILDREN IN THIS CASE
Childcare so you can work or get trained: $
Children’s healthcare not covered by insurance: $
Travel Expenses for Visitation: $
Children’s education or other special needs: $
SPECIAL HARDSHIPS
Hardship
Extraordinary health expenses
Major losses not covered by insurance (fire, theft, etc.)
Expenses for minors who are from other relationships and living with me
Monthly $
For # of Months
Minor's Name
Age
If the Expenses above create an extreme financial hardship, explain why:
SPOUSAL SUPPORT
Would you like to ask for Spousal Support?
Summons
Civil Restraining Orders
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