UNCONTESTED LA. C.C. ART. 103 DIVORCE
Form 2
PURSUANT TO LA. C.C.P. ART. 969 (B) CHECKLIST
Date the parties were married: _____________________
Date the parties began living separate and apart: _____________________
The requisite period of time to live separate and apart (select one):
____ 180 days- no minor children of the marriage
____ 180 days- minor children, but the Court made a finding on _____________________ that
one spouse physically or sexually abused the other spouse or one of their children
____ 180 days- minor children, but a protective order or injunction protecting one spouse or their
children from abuse from the other spouse was issued on _____________________
____ 365 days- minor children of the marriage
Date the petition was filed: _____________________
Does the petition have a verifying affidavit? _____
Is the petitioner represented by an attorney? _____
Service / waiver (select one):
____ Personal / domiciliary service on: _____________________
____ Waiver was executed on: ________________ and filed on: _________________
____ Long arm service delivery on: ________________ and affidavit filed: _________________
Date the answer was filed: _____________________
Is the defendant represented by an attorney? _____
Is there a joint stipulation if facts, request for judgment, and sworn verification by each party filed
by counsels for both parties? _____
Is there a proposed judgment containing a certification that both counsels and both parties agree to
its terms? _____
CERTIFICATION OF ATTORNEY
I certify that the information I have provided above is correct after an examination of the record.
________________________________
_____________________
ATTORNEY SIGNATURE
DATE
THE FAMILY COURT
FORM 2
REVISED: NOV 2013