7/2/2020
Rockingham County Circuit Court
SERVING THE RESIDENTS OF ROCKINGHAM COUNTY AND THE CITY OF HARRISONBURG
80 Court Square, Harrisonburg, VA 22802
DIVORCE INSTRUCTIONS
(One-Year Separation)
If you choose to represent yourself, it is your responsibility to know the law.
FORMS MUST BE TYPED AND COMPLETED IN ENTIRETY. The section about restoring
former name is optional. Case number will be assigned upon filing. Please review all
paperwork prior to filing to make sure all blanks are filled correctly.
INCOMPLETE OR INACCURATE FORMS MAY DELAY YOUR DIVORCE PROCEEDINGS.
A fee of $91.00 is due at the time of filing. An additional $28.50 per name change is
required if either party wishes to resume their maiden name. We accept personal checks,
cash, money orders and credit cards. There is a 4% surcharge on all credit card
transactions.
You will need two (2) copies of the complaint. Failure to provide correct amount of copies
will result in a fee of 50¢ per page.
The complaint is submitted along with a VS-4 form. The VS-4 form is available in the
Clerk’s Office at the Civil Counter.
Please bring a valid photo ID with you.
After the complaint is docketed in the court, you must decide on how to serve your
spouse:
1. This may be done by a sheriff for a fee of $12.00 in the Commonwealth of Virginia.
2. You may give or mail a copy of the complaint along with a form our office provides
and they can accept service via notary.
3. Spouse can come to the Courthouse and accept service from a deputy clerk.
You will have to appear in court twice; once to review your paperwork and to set a court
date, and again for your actual hearing. You will need to bring a witness for your actual
hearing.
FORMS ARE AVAILABLE ON A COMPUTER IN THE CLERK’S OFFICE FOR
COMPLETION AND PRINTING. HANDWRITTEN FORMS WILL BE RETURNED.
Office hours are 8:30 am to 4:30 pm, Monday thru Friday, excluding holidays.
Please call the Civil Division at 540-564-3113 or 540-564-3114 with any questions.
**Court personnel are prohibited by law from giving legal advice, restating the law, or recommending legal action.
Questions regarding interpretation of the law should be directed to an attorney licensed in the Commonwealth of Virginia.
The forms are provided as a convenience and were not prepared by the Court or the Clerk’s office. No representations are
made by the Court or Clerk’s office as to the appropriateness of the attached forms or information.**
VIRGINIA: IN THE CIRCUIT COURT OF ROCKINGHAM COUNTY
_________________________________________
Plaintiff
_________________________________________
Address
_________________________________________
City, State & Zip Code
V. Case No.__________________________
_________________________________________
Defendant
_________________________________________
Address
_________________________________________
City, State & Zip Code
COMPLAINT
No Fault One Year Separation - No Contest
Comes now Plaintiff, named below, and for his/her Complaint, respectfully represents as
follows:
1. Plaintiff’s full name is: ____________________________________________________.
2. Defendant’s full name is:___________________________________________________.
3. The parties lawfully married one another on the following date:____________________.
4. They were married in: ______________________City or County
______________________State
5. Your Plaintiff is domiciled in and has been a bona fide resident and domiciliary of the
Commonwealth of Virginia for at least six months immediately preceding the commencement of
this suit.
6. The parties last cohabited together in the following county/city and state:
_________________________________________________________________________.
Print Form
7. The parties separated on the following date:____________________________________.
8. At the time of the separation, it was the intent of one or both of the parties that the
separation be permanent, and the parties have lived separate and apart without any cohabitation
and without interruption for at least one year proceeding the institution of this suit.
9. Neither of the parties hereto are active members of the Armed Forces of the United
States and they both are over the ages of eighteen (18) years.
10. There is no hope for reconciliation between the parties.
11. (Check one box) There
are are not children born or adopted of the parties. If any,
each and every child born or adopted of the parties is noted below:
Full Name and Date of Birth:______________________________________
Full Name and Date of Birth:______________________________________
Full Name and Date of Birth:______________________________________
Full Name and Date of Birth:______________________________________
Full Name and Date of Birth:______________________________________
Full Name and Date of Birth:______________________________________
12. As to the children of the parties who are currently minors, Plaintiff asserts as follows:
(check one)
The Court shall not take jurisdiction on matters of child custody, visitation, or child
support. The parties will rely on any previous court orders entered on those issues and
may petition a court of competent jurisdiction to seek modification, enforcement or
determination of those issues in the future.
OR
The parties entered into a written agreement, not already made a part of a previous
order in any court, that decides custody, visitation and child support issues between
the parties. There are no further issues for the Court to determine. The written
agreement is properly executed and is attached to this Complaint, to be served on the
opposing party. Plaintiff asks that it be incorporated as noted below. Plaintiff further
requests that all matters regarding the modification or enforcement of child custody,
visitation, or child support be referred to the appropriate Juvenile and Domestic
Relations District Court.
12. The parties do not have any property or spousal support issues to be addressed by the
Court, unless checked as follows:
The parties entered into a written agreement that decides all property and support
issues between the parties and there are no further issues for the Court to determine.
The written agreement is properly executed and is attached to the Complaint, to be
served on the opposing party. Plaintiff asks that it be incorporated as noted below.
13. The Plaintiff requests a change of name incident to divorce. Plaintiff shall prepare the
proper order and the Plaintiff’s full name shall be changed to:
___________________________________________________________________________.
Defendant may make separate application for Defendant’s own change of name.
WHEREFORE, Your Plaintiff prays as follows:
That Plaintiff be awarded a vinculo matrimonii from the Defendant on the ground of the parties
living separate and apart without cohabitation or interruption for a period in excess of one year.
If applicable, that the agreement(s) noted above entered into between the parties, be affirmed,
ratified and incorporated, but not merged, into the Final Decree of divorce to the extent
permitted under Section 20-109.1 of the Code of Virginia, and the parties may be ordered to
comply with the terms therein. Plaintiff requests that Plaintiff’s failure to attach a properly
executed agreement to the Complaint and have it served on the opposing party be considered a
request for the Court to not take jurisdiction on issues of property, spousal support, child
custody and visitation, or child support.
That Plaintiff may have such other and further relief as the nature of this case may require.
Respectfully Submitted,
Plaintiff
Plaintiff’s Phone Number:___________________
Defendant’s Phone Number:__________________
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