22ND JUDICIAL DISTRICT COURT, ST. TAMMANY AND WASHINGTON PARISHES, STATE OF LOUISIANA
LOUISIANA CIVIL CODE ARTICLE 103.1(2)
Default Confirmation under Code of Civil Procedure Article 1702E
With Minor Children AND No Prior Finding of Abuse or Protective Order
______________________________
Petitioner
versus
______________________________
Respondent
DOCKET NUMBER: ________________________
PARISH OF _______________________________
A. Dates
1. Date Petition for Divorce filed:
2. Date parties physically separated:
3. Date Petition served/waiver of service executed:
4. Days elapsed from physical separation to filing of petition:
5.
Date preliminary default entered:
___________________ Date
___________________ Date
___________________ Date
___________________ Days
(Must be 365 or more days)
___________________ Date
B. Pleadings
1. Is the Petition for Divorce in the record?
2. Is proper jurisdiction expressly alleged in the Petition?
3. Is proper venue expressly alleged in the Petition?
4. Does the petitioner’s Affidavit submitted with the Judgment specifically attest
to the facts sufficient to obtain a divorce or is testimony offered in lieu thereof?
5. Is petitioner’s certification attesting to the date and type of service on defendant
and the date of preliminary default attached?
6. Are the original and one copy of the proposed final Judgment attached?
C.
FORM C
Time Periods (La. C.C. Art. 103.1(2))
1. Are there minor children of the marriage?
2. Have the parties been living separate and apart for 365 or more days?
3. Have two days, exclusive of holidays, elapsed since the entry of preliminary
default with no answer or opposition having been filed?
________ Yes
________ Yes
________ Yes
________ Yes
________ Yes
________ Yes
_______ Yes
_______ Yes
_______ Yes
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(2) of the
Louisiana Civil Code and revised statutes.
______________________
Date of Record Examination
_________________________________________
Signed by Mover/Attorney for Mover
___________________
Attorney’s Bar Number
______________________
Date of Certification
_________________________________________
Address
___________________
Telephone Number
CLERK’S CERTIFICATION
Two days, exclusive of holidays, have elapsed since the preliminary default was entered and no answer or opposition has been filed.
__________________________
Date
__________________________________________
Signed by Minute Clerk
Hearing Officer Recommendation
Considering the record in this case, the submission of the mover/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(2) 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 C for Louisiana Civil Code Article 103.1(2) Divorce
Revised August 2010