The New York uncontested divorce forms
| Form | Name | What it does |
|---|---|---|
| Notice of Automatic Orders | Notice of Automatic Orders (DRL §236) | Tells both spouses about the orders that start automatically (for example, no hiding or selling marital property). Served with the summons in every case. |
| Notice of Guideline Maintenance | Notice of Guideline Maintenance | Explains the state formula for post-divorce spousal support. Served with the summons in cases started on or after 1/25/16. |
| Notice Concerning Continuation of Health Care Coverage | Notice Concerning Continuation of Health Care Coverage (DRL §255) | Warns that health insurance through your spouse may end after the divorce. Served with the summons in every case. |
| LDSS-4515 | Child Support Standards Chart | The yearly state child support chart. Must also be served with the summons if there are children. |
| UD-1 | Summons With Notice | Starts the divorce and lists what you are asking for. Use this or UD-1a plus UD-2. How to fill it out |
| UD-1a | Summons | Plain summons that starts the case. Always used together with the Verified Complaint (UD-2). |
| UD-2 | Verified Complaint | States the grounds and what you are asking for. Filed with the plain Summons (UD-1a). How to fill it out |
| UD-3 | Affirmation of Service | Proof, signed by the person who delivered the papers, that your spouse was served. How to fill it out |
| UD-4 and UD-4a | Sworn Statement of Removal of Barriers to Remarriage (with proof of service) | Confirms you removed any religious barriers to your spouse remarrying. Required for religious-ceremony marriages unless the defendant signs UD-7. How to fill it out |
| UD-5 | Affirmation (Affidavit) of Regularity | Tells the court whether your spouse was served, signed UD-7, or defaulted (did not respond). How to fill it out |
| UD-6 | Sworn Affirmation of Plaintiff | Your sworn statement of the facts (residency, marriage, grounds, children, relief). Required in every case. How to fill it out |
| UD-7 | Affirmation of Defendant | Your spouse's signed statement agreeing to the divorce and to putting it on the calendar without waiting 40 days. How to fill it out |
| UD-8(1) | Annual Income Worksheet | Calculates each spouse's income. Needed if either spouse seeks maintenance or child support. |
| UD-8(2) | Maintenance Guidelines Worksheet | Calculates guideline spousal maintenance. Needed if either spouse seeks maintenance (cases started on or after 1/25/16). |
| UD-8(3) | Child Support Worksheet | Calculates child support under state guidelines. Needed if there are children of the marriage under 21. |
| UD-8a | Support Collection Unit Information Sheet | Gives the Support Collection Unit the details it needs if support will be paid through it. |
| UD-8b | Qualified Medical Child Support Order | Order directing an employer health plan to cover the children. |
| UD-9 | Note of Issue | Asks the court to put the case on the uncontested calendar. How to fill it out |
| UD-10 | Findings of Fact and Conclusions of Law | Proposed findings the judge signs stating the facts and legal basis for the divorce. How to fill it out |
| UD-11 | Judgment of Divorce | The proposed final divorce order for the judge to sign. How to fill it out |
| UD-12 | Part 130 Certification | Certifies the papers are not frivolous. How to fill it out |
| UD-13 | Request for Judicial Intervention (RJI) - uncontested matrimonial version of UCS-840 | Asks for the case to be assigned to a judge. |
| UCS-840M | Addendum for the RJI (Matrimonial) | Extra RJI page required when there are children under 18. |
| UD-14 | Notice of Entry | Tells your spouse the signed judgment was entered. Served with a copy of the judgment. |
| UD-15 | Affirmation of Service by Mail of Judgment of Divorce | Proof that the judgment and Notice of Entry were sent to your spouse. |
| DOH-2168 | Certificate of Dissolution of Marriage | Required by the NYS Department of Health to record the divorce. Must be the original DOH form (Nassau rules say photocopies are not accepted). How to fill it out |
| Postcard | Stamped, self-addressed postcard | The clerk mails it to tell you the judgment was signed. Listed as required in the statewide packet; Queens lists it as optional. |
| UCS-111 | Child Support Summary Form (UCS Divorce and Child Support Summary Form) | Summary of child support data. Required in divorces with children. |
| NYS Case Registry Filing Form | NYS Case Registry Filing Form for use with Non-IV-D orders | Registers a support order paid directly (not through a Support Collection Unit). Not used for spousal-only orders. |
| LDSS-5037 | Income Withholding Order for Child Support or Combined Child and Spousal Support | Directs an employer to deduct child (or child plus spousal) support from pay. |
| LDSS-5038 | Income Withholding Order for Spousal Support Only | Directs an employer to deduct spousal support only from pay. |
| LDSS-5039 | IWO Numbered Instructions | Instructions for filling out the income withholding orders. |
| LDSS-5258 | Child Support Enrollment Form (Application for Child Support Services) | Applies for state child support enforcement services. The Short Form Application may be used instead. |
| DRL 255 Addendum | DRL 255 Addendum to Matrimonial Agreement | Adds the required health-coverage notice language to a written settlement agreement. |
| Fee waiver forms | Affirmation in Support of Application to Waive Court Costs, Fees and Expenses; Order to Waive Court Costs, Fees and Expenses; Affirmation of Service of Proposed Order | Asks the court to waive filing fees if you cannot afford them. |
| Notice of Settlement | Notice of Settlement | Gives notice of proposed papers to be signed, used depending on the circumstances. |
Not every form applies to every case. Child support and maintenance worksheets, income withholding orders and the Support Collection Unit forms depend on whether you have children or one spouse will pay support.
Questions people ask
Which form starts a New York divorce?
Either the Summons With Notice (UD-1), or the Summons (UD-1a) together with the Verified Complaint (UD-2). You file it with the County Clerk and buy an index number.
Last checked against official New York court sources on October 1, 2026.
More New York divorce guides
Can I file in New York? Residency and groundsHow much an uncontested divorce costsHow long it takes, step by stepCommon mistakes that delay a divorce
Where to file, by county
Manhattan (New York County)Brooklyn (Kings County)Queens CountyBronx CountyStaten Island (Richmond County)Nassau CountySuffolk CountyWestchester County
General information about New York court procedure, not legal advice. LawCat is an independent do-it-yourself document service, not a law firm. Court rules, forms and fees change; confirm with the court or County Clerk before filing.