Application to Open a Get File Please choose one of the following: I already spoke with someone in the office regarding my case.I have not yet spoken with someone in the office regarding my case. Who is submitting this application? WifeHusband Wife's Information: Title: ---Dr.Mr.Ms.Mrs. First Name Maiden Name Preferred Last Name Home or Office Number Mobile Number Street Address State City Zip Code Country (if not U.S.A.) Email Address Year of Birth Place of Birth Husband's Information: Title: ---RabbiDr.Mr.Ms.Mrs. First Name Last Name Email Address Home or Office Number Mobile Number Street Address City Zip Code State Country (if not U.S.A.) Year of Birth Place of Birth Additional Information: Type of Marriage OrthodoxConservativeReformCivil Marriage OnlyI don't knowOther Year of Marriage Number of children from this marriage Age of youngest child from this marriage Approximately how long have you been separated? (If you are still living in the same residence, please indicate that you are still residing together; please note that a Get cannot be arranged if the couple still lives together) Was a halachic prenup signed? YesNoOther Was wife previously married to anyone else? If so, how did that marriage end? Is wife a convert? YesNo Was wife adopted as a child? YesNo Was husband previously married to anyone else? If so, how did that marriage end? Civil divorce status Is husband a convert? YesNo Was husband adopted as a child? YesNo Additional comments: Who will be paying for the Get?:
