The Family Court of East Baton Rouge Parish, State of Louisiana
Divorce-6 Months Separate & Apart C.C.103(1)
Default Confirmation Under Code of Civil Procedure Article1702 E
_________________________________
Suit Number ________________
Petitioner
VS.
Division.____________________
_________________________________
Judge______________________
Respondent
Are there minor children of the marriage?
Has there been a finding by the court, 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
______
NO
______
YES
______
NO
Date of the finding by the court:
__________________
Date
OR
Has there been 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?
______
______
YES
NO
__________________
Date
_________________
Date
_________________
Date
_________________
Date
Date of the issuance of the protective order or injunction:
Physical separation date:
Petition for divorce filing date:
Service date
OR
Waiver
Date signed:
_________________
Date
_________________
Date
_________________
Date
____
____
YES
NO
Date filed:
Date preliminary default entered:
A verified petition?
Affidavit of petitioner specifically testifying as to facts
sufficient to obtain a divorce?
___
YES
____
NO
I certify the information above is correct after an examination of the record.
____________________________
Signed by (Petitioner’s Attorney)
____________________________
Date
FOR FAMILY COURT USE ONLY
Two days, exclusive of legal holidays, have elapsed since preliminary default entry and no answer or opposition has been
filed as of:
___________________________________
Date
__________________________________
Signed by (Minute Clerk)
Divorce Form 1, Divorce – 6 Months Separate and Apart C.C. 103(1)
Default Confirmation Under C.C. 1702 E
Form revised: May 2012