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Civil Marriage Act
COURT FILE NO.

Clerk’s Stamp

COURT OF QUEEN’S BENCH OF ALBERTA

COURT
JUDICIAL CENTRE

SPOUSE 1
SPOUSE 2

JOINT STATEMENT OF CLAIM
FOR DIVORCE – Civil Marriage Act

DOCUMENT

ADDRESS FOR SERVICE
AND CONTACT
INFORMATION OF
SPOUSE 1
ADDRESS FOR SERVICE
AND CONTACT
INFORMATION OF
SPOUSE 2

THE PARTIES
1.

(1)

(2)

(3)

(a)

The date of the marriage was:

(b)

The place of the marriage was:

(a)

The parties started to cohabit on:

(b)

The parties ceased cohabiting on:

Particulars respecting Spouse 1:
Address:
Date of birth:
Place of birth:
Surname at birth:
Surname at the time of marriage:
Marital status at the time of marriage:

(4)

Particulars respecting Spouse 2:
Address:
Date of birth:
Place of birth:
Surname at birth:
Surname at the time of marriage:
Marital status at the time of marriage:

, Alberta.

-2RESIDENCE
2.

Neither Spouse 1 nor Spouse 2 currently resides in Canada.

3.

On the date of this Statement of Claim, and for at least one year immedi