Summary FL WS1 WS Task

Statement in support of To be completed by the Petitioner

divorce / dissolution / Name of court Case No.

(judicial) separation –
unreasonable behaviour Name of Petitioner


Section 1(2)(b) Matrimonial Causes Act 1973
Section 44(5)(a) Civil Partnership Act 2004 Name of Respondent



If completing this form by hand, please use black ink and BLOCK CAPITAL LETTERS and tick the boxes that apply.


About the petition
1. Have you read the petition for divorce dissolution (judicial) separation in this case?
Yes No

2. Do you wish to alter or add to any statement in the divorce / dissolution / (judicial) separation petition?

Yes No

If Yes, please state the alterations or additions to be made.




3. Subject to these alterations or additions (if any) is everything stated in your divorce / dissolution /
(judicial) separation petition true?

Yes No

If any statement is not within your own knowledge, please indicate this and state whether it is true to the
best of your information and belief.




4. If you consider that the Respondent’s behaviour has affected your health, state the effect it has had.




D80B Statement in support - Behaviour (04.14) © Crown Copyright 2014
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