SUPERIOR COURT OF THE DISTRICT OF COLUMBIA FAMILY COURT Domestic Relations Branch ________________________________________ PRINT YOUR SPOUSE’S NAME ________________________________________ STREET ADDRESS ________________________________________ CITY, STATE AND ZIP CODE PLAINTIFF, v. DR _____________________ Related Cases: ________________________________________ PRINT YOUR NAME _____________________________ ________________________________________ STREET ADDRESS _____________________________ ________________________________________ CITY, STATE AND ZIP CODE SUBSTITUTE ADDRESS: CHECK BOX IF YOU HAVE WRITTEN SOMEONE ELSE’S ADDRESS BECAUSE YOU FEAR HARASSMENT OR HARM. DEFENDANT. CONSENT ANSWER TO COMPLAINT FOR LEGAL SEPARATION I, _________________________________, am the Defendant in this case and state that PRINT YOUR NAME 1. I AGREE WITH ALL OF THE STATEMENTS my spouse made regarding our marriage, marital property, alimony, child custody, and child support in Plaintiff’s Complaint for Legal Separation and any Attachments filed with that Complaint. 2. I also state that THERE ARE NO CONTESTED ISSUES for this Court to decide. 3. I am requesting that the Court set this matter for an uncontested legal separation hearing. DC Bar Pro Bono Program (revised 03.05) Complaint for Legal Separation (Consent Answer) Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com 4. I changed my name when I married my spouse and I now wish to return to my birth name or another legal name I used before my marriage. I have no illegal or fraudulent reason for making this request. The former name I want restored is: _______________________________________________________________________. PRINT THE FORMER NAME YOU WOULD LIKE THE COURT TO RESTORE Request for Relief I RESPECTFULLY REQUEST that [CHECK ALL THAT APPLY] The Court grant Plaintiff’s Complaint for Legal Separation. The Court restore me to my former name. I ALSO REQUEST that the Court award any other relief it considers fair and proper. [CHECK ONE] I do not know of any proceedings in the District of Columbia or in any state or territory involving the same claim or subject matter as this case. I do know of proceedings in the District of Columbia or in any state or territory involving the same claim or subject matter as this case, as listed on the first page of this Complaint (“Related Cases”). DC Bar Pro Bono Program (revised 03.05) Complaint for Legal Separation (Consent Answer) Page 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com Respectfully Submitted, ____________________________________ SIGN YOUR NAME ___________________________________________ STREET ADDRESS ___________________________________________ CITY, STATE AND ZIP CODE ___________________________________________ TELEPHONE NUMBER SUBSTITUTE ADDRESS: CHECK BOX IF YOU HAVE WRITTEN SOMEONE ELSE’S ADDRESS BECAUSE YOU FEAR HARASSMENT OR HARM. I, _________________________________, solemnly swear or affirm under criminal penalties for the making of a false statement that I have read the foregoing Answer to Complaint for Legal Separation and that the factual statements made in it are true to the best of my personal knowledge, information and belief. ___________________________________, Defendant ________________________ SIGN YOUR NAME DATE ___________________________________ PRINT YOUR NAME DC Bar Pro Bono Program (revised 03.05) Complaint for Legal Separation (Consent Answer) Page 3 of 3 American LegalNet, Inc. www.FormsWorkFlow.com