Divorce Settlement Agreement for Military Personnel

1. Parties

Petitioner (Service Member): Respondent (Spouse): Branch of Military Service: Rank and Service Number:

2. Marriage Information

Date of Marriage: Place of Marriage:

3. Grounds for Divorce

State Grounds:

4. Children

Names and Dates of Birth:

5. Child Custody and Visitation

Custody Arrangement: Visitation Schedule:

6. Child Support

Support Amount: Payment Terms:

7. Spousal Support (Alimony)

Support Amount: Duration & Terms:

8. Division of Property & Assets

Military Benefits (e.g., retirement pay): Other Assets and Property:

9. Debts and Liabilities

Division of Debts:

10. Medical and Insurance Benefits

TRICARE/Health Insurance Arrangements:

11. Other Terms

12. Signatures

Petitioner Signature: Date: Respondent Signature: Date: