See form 18-12 for a short-form version of the disputed issues checklist.
Disputed Issues Checklist
(Attach additional sheet if necessary)
Case:
Name of party:
Date of marriage: ________________ Date of separation:
Place of marriage: ________________ ¨ ceremonial ¨ common law
1.Name, age, and sex of each child:
|
Name: |
|
Name: |
||
|
Age: |
Sex: |
|
Age: |
Sex: |
|
Name: |
|
Name: |
||
|
Age: |
Sex: |
|
Age: |
Sex: |
|
Name: |
|
Name: |
||
|
Age: |
Sex: |
|
Age: |
Sex: |
2.Stipulations and agreements:
3.Please place an “x” by each matter in dispute:
|
____ |
residency requirements |
____ |
persons with possession of or access |
|
____ |
jurisdiction |
|
to children (e.g., grandparents, |
|
____ |
existence of marriage |
|
military duty) |
|
____ |
grounds for divorce |
____ |
parental rights and duties |
|
____ |
parentage |
____ |
residence restrictions |
|
____ |
type of conservatorship |
____ |
parenting times |
|
____ |
pickup and return of children |
____ |
alimony |
|
____ |
methods/costs of travel |
____ |
spousal maintenance |
|
____ |
international travel |
____ |
judgment and liens to adjust |
|
____ |
child support |
|
property division |
|
____ |
adjustments to child support |
____ |
delivery of property |
|
____ |
income withholding |
____ |
tax matters |
|
____ |
health insurance |
____ |
release of claims |
|
____ |
tax exemptions for children |
____ |
indemnification provisions |
|
____ |
uninsured health-care expenses |
____ |
omitted or undisclosed asset |
|
____ |
child support binding on estate |
|
provisions |
|
____ |
notice of medical treatment |
____ |
permanent injunctions |
|
____ |
control of property of children |
____ |
signing of documents |
|
____ |
life insurance to secure child support |
____ |
attorney’s fees and liens |
|
____ |
division of property |
____ |
settlement of future disputes |
|
____ |
allocation of liabilities |
____ |
confidentiality/sealing records |
|
____ |
separate property |
____ |
discovery retention |
|
____ |
reimbursement |
____ |
other |
|
|
|
|
|
4.If property is in dispute, each party must bring a complete list of all household items to be divided showing which items he or she wants, the value of each item, and who currently possesses each item.