Mandatory Case Disclosure Page 5
ADVERTISEMENT
1
2
3
4
5
6
7
8
9
10
11
12
133)
(P) CHILDREN OF THE MARRIAGE
1.
For each child of the marriage:
(name of child)
(child’s date of birth and
age)
(name of child)
(child’s date of birth and age)
(name of child)
(child’s date of birth and age)
(name of child)
(child’s date of birth and age)
2.
The child(ren) currently live(s) primarily with " Petitioner " Respondent " both
Petitioner
and
Respondent
"
another
person
______________________________.
(name of person children live with)
3.
Are the child(ren) in daycare or child care?
" Yes — Complete this Section
" No — Skip to D.
Name and address of daycare or child care provider:
The child care for all child(ren) combined costs $__________ per " week " month.
" Petitioner or " Respondent pay(s) for the child care.
4.
What
is
the
child(ren)’s
health
insurance
plan?
_____________________________
(name of plan)
Who pays for the health insurance? _____________________________
" Petitioner " Respondent " No Cost (Passport)
The cost of health insurance for the child(ren) only is $_________ per month.
5
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal