EBBI Simple Divorce Intake — Ontario (Blank)

Simple divorce only. This intake is for ending the marriage after one year of separation — not for custody, parenting, support, or property. Write dates as Day / Month / Year. List names exactly as on your marriage certificate (first, middle, last). Where a question does not apply, write N/A. Return by mail, in person, or scan and email to admin@explorebeyondborders.ca.

1. Case Type & Eligibility

Ontario Superior Court / Family Court (FLR). You or your spouse must have lived in Ontario for at least one year.

Application type:

Sole — I am the applicant; my spouse is the respondentJoint — we apply together (both sign Form 8A)

Municipality where you plan to file (city/town)

Who has lived in Ontario 1+ year? (Applicant / Spouse / Both)

Ontario residency since (D/M/Y)

Date you began living separate and apart (D/M/Y)

Confirm all — simple divorce only:

Lived separate and apart 1 year or more (or will have by filing) Asking for divorce only — no custody, parenting, support, or property claims Both agree on the divorce (uncontested)

2. Applicant (You)

Use exact legal names on your marriage certificate.

Family name / surname

Given name(s)

Middle name(s) on marriage certificate (if any)

Date of birth (D/M/Y)

Former name(s), if different from certificate

If current name differs from certificate, explain why

Occupation

Citizenship

2. Applicant — Address & Contact (continued)

Current street address

City

Province

Postal code

Phone

Email

3. Spouse (Respondent / Joint Applicant)

Family name / surname

Given name(s)

Middle name(s) on marriage certificate (if any)

Date of birth (D/M/Y)

Former name(s), if any

Current street address

City

Province / state / country

Postal / ZIP code

Phone (if known)

Email (if known)

Address for service same as current address above? YesNo — write below

If different, address for service (include country if outside Canada)

4. Marriage & Separation

Date of marriage (D/M/Y)

Place of marriage (city and country)

Where married? (Ontario / Other province in Canada / Outside Canada)

Original marriage certificate on hand? (Yes / No / Can order / Unavailable)

Certificate language (English or French / Translation needed / Not sure)

If either party was previously married — prior divorce or death certificate details (or N/A)

Separation agreement? (No / Yes)

Date of separation agreement, if any (D/M/Y)

5. Children of the Marriage (if any)

Ontario Form 8A requires listing children even when asking for divorce only — this is not a custody application. Leave rows blank if none.

Are there children of this marriage? NoYes — list below

Full legal name	DOB	Age	Resides in (municipality)	Prov.	Now living with (name & relationship)

6. Documents for Simple Divorce

Check documents you currently have:

Original or certified marriage certificate Prior divorce judgment or death certificate (if remarriage) Certified English/French translation of marriage certificate (if needed)

Court fee waiver needed? (Will pay fees ~$679 / May need waiver — discuss with EBBI)

Anything else we should know (optional)

7. Client Declaration

I confirm the information provided is true and complete. I am applying for a simple divorce only — not custody, parenting, support, or property. I understand this intake does not file with the court; I will review and sign court forms separately. I authorize EBBI to share this information with Atty. George M. Garvida to prepare my application.

☐ I have read and agree to the above declaration

Full legal name (print)

Signature

Date (D/M/Y)

For EBBI Staff Use Only

Received by

Date received (D/M/Y)

Case / file #