DIVORCE QUESTIONNAIRE
Please complete this questionnaire as fully as you can and return it to us. To enable us to
comply with the Money Laundering Regulations, we will also need to see evidence of your ID
(such as your passport, driving licence or birth certificate) and proof of address (bank
statement, utility bill etc).
Please see the evidence of identity form at the back of this questionnaire and return the
required documentation along with this questionnaire.
How did you hear about our firm?
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I am an existing client
Internet
Our website
Personal recommendation
Citizens Advice Bureau
Yellow pages
Thompson directories
Other firm of solicitors
Other – please specify
YOUR NAME AND CONTACT DETAILS
Forename(s):
Surname:
Have you been known by any other name(s)? if so please confirm:
Have you changed your name by deed poll?  Yes (please provide a copy)  No
Date of birth:
Occupation:
Email address:
Home telephone number:
Mobile:
Work telephone number:
Your address
Street 1:
Street 2:
Town:
County:
Postcode:
Private & Confidential?
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Yes
No
Alternative address for correspondence if you do not want us to write to you at the above
address:
Address
Street 1:
Street 2:
Town:
County:
Postcode:
Private & Confidential?
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Yes
No
YOUR SPOUSE’S NAME AND CONTACT DETAILS
Forename(s):
Surname:
Has your Spouse changed his/her name by deed poll?  Yes  No
Date of birth:
Occupation:
Spouse’s address
Address
Street 1:
Street 2:
Town:
County:
Postcode:
Does your spouse have a solicitor?
 Yes
 No
 Not known
Name of the firm:
Name of solicitor (if known):
Address
Street 1:
Street 2:
Town:
County:
Postcode:
MARRIAGE INFORMATION
Date of marriage:
Place of marriage:
Date of cohabitation:
Date of separation(including if you are living under the same roof but you are separated):
Last address where you lived together:
Street 1:
Street 2:
Town:
County:
Postcode:
UNREASONABLE BEHAVIOUR
If you wish to petition on your spouse’s unreasonable behaviour, please set out 5 paragraphs
detailing your spouse’s unreasonable behaviour towards you during the marriage or within the
last few years of the marriage:Please use a the continuation page at the back of this questionnaire if necessary
1
2
3
4
5
ADULTERY
If you wish to petition on your spouse’s adultery, please confirm when the adultery took place
and whether it is still ongoing. Please confirm whether your spouse would agree to admit the
adultery to the court. We do not need to name the identity of the person with whom the
adultery with committed:.......................................................................................
.......................................................................................
CHILDREN OF THE MARRIAGE
Full name of Child 1:
Date of birth:
Which school the child attends:
Address where the child lives:
Full name of Child 2:
Date of birth:
Which school the child attends:
Address where the child lives:
Full name of Child 3:
Date of birth:
Which school the child attends:
Address where the child lives:
Full name of Child 4:
Date of birth:
Which school the child attends:
Address where the child lives:
PARTIES’ CHILDREN FROM PREVIOUS/NEW RELATIONSHIPS
Full name of Child 1:
Date of birth:
Parents:
Was the child regarded as a child of the family during the marriage?  Yes
 No
Which school the child attends:
Address where the child lives:
Who does the child live with?
Full name of Child 2:
Date of birth:
Parents:
Was the child regarded as a child of the family during the marriage?
Which school the child attends:
Address where the child lives:
Who does the child live with?
 Yes
 No
Full name of Child 3:
Date of birth:
Parents:
Was the child regarded as a child of the family during the marriage?
 Yes
 No
 Yes
 No
Which school the child attends:
Address where the child lives:
Who does the child live with?
Full name of Child 4:
Date of birth:
Parents:
Was the child regarded as a child of the family during the marriage?
Which school the child attends:
Address where the child lives:
Who does the child live with?
Please use a the continuation page at the back of this questionnaire if necessary
CONTINUATION PAGE
EVIDENCE OF IDENTITY
Field Overell is required by law to verify the identity of clients for whom it acts.
Please supply the documentation as set out below to enable us to act on your behalf – we will require
an original or a certified copy of one document form list A and a copy of one document from list B:LIST A
 Valid full passport/residence permit or national identity card
 Current UK photo card driving licence
NB If neither of the above 2 documents are available the following will be acceptable:
 Current old style driving licence
 Recent evidence of entitlement to government issued benefit, tax credit, pension or grant
 Valid full passport/residence permit or national identity card
LIST B
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Utility bill (less than 3 months old)
Bank statement (less than 3 months old)
Council tax bill (valid for the current year)
Current UK driving licence (unless used for the purposes of List A).
Please note that in certain circumstances, we may ask clients to provide further identification.
Certification of LIST A documents
List A documents (but not List B) must be originals or certified copies. The following are appropriate
persons who are able to certify documents for this purpose: Member of Parliament, Justice of the
Peace, Doctor or similar professional status.
In the case of non-UK nationals, copies must be certified by an Embassy, Consulate or High Commission
Officer of the country of issue, or a lawyer/attorney.
The copy should be certificed as follows (please write the following on the copy document):
I certify this is a true likeness of …………..
Or
I have seen the original document of which this is a true copy
Signed ……………………………………………………..….
Name ……………………………………………………………
Occupation ………………………………………………….
Date ………………………………………………………