Unconsested Divorce With Minor Children And With Prior Finding Of Abuse Or Protective Order Or With No Minor Children Form

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JUDICIAL DISTRICT COURT, ST. TAMMANY AND WASHINGTON PARISHES, STATE OF LOUISIANA
LOUISIANA CIVIL CODE ARTICLE 103.1(1)
FORM E
Uncontested Divorce Under Code of Civil Procedure Article 969B
With Minor Children AND With Prior Finding of Abuse or Protective Order
OR
With No Minor Children
______________________________
DOCKET NUMBER: ________________________
Petitioner
versus
______________________________
PARISH OF _______________________________
Respondent
A. Dates
1. Date Petition for Divorce filed:
___________________ Date
2. Date parties physically separated:
___________________ Date
3. Date Petition served/waiver of service executed:
___________________ Date
4.
Date Answer was filed:
___________________ Date
A.
Date court finding of abuse (La. C.C.P. 103.1(1)(b)
___________________ Date
B.
Date protective order issued (La. C.C.P. 103.1(1)(b)
___________________ Date
C.
Date protective order expires
___________________ Date
5.
Days elapsed from physical separation to filing of petition
___________________ Date
__________________ Days
(Must be 180 or more days)
B. Pleadings
1. Is the Petition for Divorce in the record?
________ Yes
2. Is proper jurisdiction expressly alleged in the Petition?
________ Yes
3. Is proper venue expressly alleged in the Petition?
________ Yes
4. Is the Petition verified?
________ Yes
5. Respond in the affirmative to at least one of the following questions:
A. Do you allege that there are no minor children of the marriage?
________ Yes
OR
OR
B. Has the court made a finding, pursuant to a rule to show cause, that the
other spouse has physically or sexually abused the spouse seeking divorce
or a child of one of the spouses?
________ Yes
Date of Finding:
___________ Date
OR
OR
C. After a contradictory hearing, has a protective order or injunction issued
against the other spouse to protect the spouse seeking the divorce or a child
of one of the spouses from abuse and, if so, is it in effect at the time the
Petition for Divorce was filed?
________ Yes
Date order expires:
___________Date
6. Are both parties represented by counsel?
________ Yes
7. Has each party, through their counsel, filed a written joint stipulation of facts,
request for judgment, and sworn verification?
________ Yes
8. Have counsel for the parties filed a proposed judgment containing a
certification that counsel and each party agree to the terms thereof?
________ Yes
C. Time Periods (La. CC. Art 103.1(1))
1. Have the parties been living separate and apart for 180 days or more?
________ Yes
NOTICE: If an attorney for absent defendant has been appointed, this procedure cannot be used. Petitioner and the appointed attorney must
testify in court.
I hereby certify that I have examined the record in the above captioned case and the information is accurate. This certification is
made to the court for use in the determination of eligibility for divorce in accordance with the provisions of Article 103.1(1) of the
Louisiana Civil Code and revised statutes.
______________________
_________________________________________
___________________
Date of Record Examination
Signed by Attorney for Mover
Attorney’s Bar Number
______________________
_________________________________________
___________________
Date of Certification
Address
Telephone Number
Hearing Officer Recommendation
Considering the record in this case, the submission of the mover’s counsel, it being the finding of the Hearing Officer that all
legal requirements for granting a divorce under Louisiana Civil Code Article 103.1(1) have been met.
IT IS HEREBY recommended that the attached Judgment of Divorce be made the Order of this Court, no objection having
been made by either party.
________________, Louisiana, this ____ day of _______________________, 20___.
_________________________________
Hearing Officer
Form E for Louisiana Civil Code Article 103.1(1) Divorce (Uncontested Under La. C.C.P. Art. 969B)
Revised February 2009

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