MARRIAGE OF ______________ AND _________________


TO: ________________________

FROM: ________________________

I am giving you this notice because I think our marriage has serious problems that may lead to separation or divorce.

Information about marriage education and counseling resources is available from the U.S. National Healthy Marriage Resource Center ( or, and may be available from the _________ Courts in the State of ________.

Delivering this document makes divorce legally possible after an early warning and prevention period IF I write my initials here: ___; but NOT if I write my initials here: ___.

Date delivered or sent to my spouse _________________

Method of delivery ________________

Address of delivery _____________________________



Signature of spouse who delivered or sent this notice:


* This sentence of this Notice form can only be used in states that have enacted the Divorce Early Warning and Prevention Act.

Originally posted and maintained by Americans for Divorce Reform; now maintained by John Crouch. You can call me at (703) 528-6700 or e-mail me through my law office's web site.