Court form number
DOH-2168
What it does
Required by the NYS Department of Health to record the divorce. Must be the original DOH form (Nassau rules say photocopies are not accepted).
Mistakes to avoid on this form
- Required documents or information are missing or incomplete (affidavits, worksheets, Certificate of Dissolution, UCS-111, Case Registry form, blank health-insurance fields), or the summons does not state the basis of venue.
All New York uncontested divorce forms · Common mistakes · Court fees
Do you need the Certificate of Dissolution?
Check your court’s current instructions to determine whether the Certificate of Dissolution applies to your filing path. The required forms depend on the case, including children, requested orders and local requirements.
Check which drafts LawCat can prepare
LawCat uses saved case information to prepare available drafts. Check your workspace for the forms enabled for your case, review every answer and complete any required attachments, signatures and court steps. A generated form alone is not a complete divorce packet.
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General information about the New York Certificate of Dissolution, not legal advice for your situation. LawCat is not a law firm. Confirm the current official form with the court before filing.