QDRO Checklist

Fill out this form to get you started with our expert QDRO preparation.

Petitioner Information

First Name*

Last Name*

Street Address *

City*

State*

Zip Code*

Date of Birth

Email Address*

Phone Number*

Social Security Number

Respondent Information

First Name*

Last Name*

Street Address *

City*

State*

Zip Code*

Date of Birth

Email address*

Phone Number*

Social Security Number

Case Information

Date of Divorce

Date of Account Division

(If different than date of divorce)

Date of Marriage

County

State of Action

Case Number

(not necessary if provided with case caption)

Name of Spouse with Pension/401(k)

Percentage/Dollar Amount of Award(s)

Precise Name of Plan(s)

Please Provide a Recent Copy of Account Statement/Benefit Statement.

Please Provide a Judgment/Marital Settlement Agreement specific to retirement benefits

Fee ($400 to $750 per QDRO)

(payable in advance or before commencement of work)

Engagement Letter from Attorney or Attorney Contact information

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QDRO Checklist

Petitioner Information

Respondent Information

Case Information

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