Petition for Divorce - Georgia
Page 4 of 7
8. Other Custody Actions: (If there are minor children, check (a) or (b))
a) I have not participated as a party, or witness, or in any capacity in any other litigation
concerning the custody of the minor children in this or any other state. I do not know of
any custody proceeding concerning the minor children which may be pending in a Court in
this or any other state.
b) The minor children have been involved in the following custody actions.
County/State/Court Type of custody action Date Filed Status
9. Other Persons with Claims to Children: (If there are minor children, check (a) or (b))
a) I know of no other person, not a party to this proceeding, who has physical custody of the
children or claims to have custody or visitation rights with respect to the minor children.
b) The following persons who are not a party to this proceeding have custody or visitation
rights with the minor children:
10. Child Support/Alimony: (Complete if there are minor children and/or you are seeking alimony)
a) I am employed by _________________________ earning _________________________
per month. The Respondent is an able bodied person capable of earning sufficient money to
support (the minor children/ the minor children and me/ me). Respondent is employed by
_____________________________ earning _________________________ per month and I
am in need of financial assistance from the Respondent for the support of: (Check one:)
the minor children the minor children and me me.
b) The issues of child support and alimony cannot be decided in this action because Georgia
does not have personal jurisdiction over my spouse.
11. Health Insurance for Minor Children:
(Complete if there are minor children. (Check (a), (b) or (c) )
a) Respondent should be ordered to maintain a policy for dental, medical, and hospitalization
insurance for the minor children. Respondent should also be responsible for any other
expenses for the children's medical or dental treatment, if such expenses are not covered
by insurance policies.
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