Santa Barbara — Minor Marriage Domestic Partnership Questionnaire

Source: https://www.santabarbara.courts.ca.gov/system/files/forms-and-filings/minor-marriage-domestic-partnership-questionnaire.pdf

The Superior Court of Family Court Services California, County of Santa Barbara 312 E. Cook Street, Bldg. E Santa Maria, CA 93454 Telephone: (805) 614-6429 Facsimile: (805) 614-6459

MINOR MARRIAGE/DOMESTIC PARTNERSHIP QUESTIONNAIRE

INSTRUCTIONS:

When a minor files a Judicial Council of California form FL-910 with the court (Request of Minor to Marry or Establish a Domestic Partnership), California law requires that Family Court Services investigate the matter (unless the minors involved are 17 and have a high school diploma or high school equivalency certificate). Upon submitting the FL-910 form to the court, the minor and their proposed spouse/domestic partner must each complete the enclosed questionnaire and submit it to Family Court Services (FCS) within 10 business days.

Once Family Court Services receives the completed questionnaire, they will reach out to schedule an interview of the minor, the minor’s proposed spouse/domestic partner and any of the consenting parents or guardians. All parties will be interviewed separately. Attendance at the interview is mandatory pursuant to Family Code § 304.

Family Court Services may choose to contact collateral sources, such as therapists, during their investigation as well. If this does occur, parties will be asked to complete any necessary release of information forms at the time of their appointment.

Family Court Services will file a confidential report with a recommendation to either grant or deny the petition for the minor to marry/establish a domestic partnership upon completion of their investigation. The report will only be shared with the court (or other parties authorized by the court). While the investigation process is confidential, the Family Court Services investigator is required by law to report suspected abuse or neglect of a minor, elder or dependent adult, or a person’s intent to seriously harm themselves or others, to the local child protection, adult protection or law enforcement agency.

The minor and their proposed spouse/domestic partner must each furnish the following documents to Family Court Services at the time of the interview:

□ Original or certified copy of their birth certificate □ Valid California Driver’s License, Photo Identification Card, Passport or Current Student ID

The minor and their proposed spouse/domestic partner must also each furnish Family Court Services with any of the following documents that are applicable at the time of the interview:

□ High School Diploma or equivalency (GED) □ School report card or transcripts □ Verification of pre-martial counseling which includes the counselor’s license number, professional recommendation, the topics covered in the pre-marital counseling and any areas of growth emphasized □ Verification of pregnancy with the physician’s signature □ If the couple has had a child, a certified copy of the child’s birth certificate □ Verification of employment and proof of earnings □ If either the minor or their proposed spouse/domestic partner has been previously married, a certified copy of the Dissolution of Marriage, Annulment, Termination of Domestic Partnership, or Death Certificate of former spouse needs to submitted

The consenting parents/legal guardians must furnish the following documents to Family Court Services at the time of the interview:

□ Valid California Driver’s License, Photo Identification Card or Passport □ If a legal guardian is giving consent, Letters of the Guardianship must be provided as proof of guardianship □ Copies of any court order granting one of the minor(s)’ parents Sole Legal Custody (if applicable)

Note: If either the minor and/or their proposed spouse/domestic partner are a ward of the court (juvenile dependency), Family Court Services must be notified and furnished proof.

The MINOR MARRIAGE/DOMESTIC PARTNERSHIP QUESTIONNAIRE commences on the following page of this document. There is one copy for the minor who filed the application to complete and one copy for their proposed spouse/domestic partner to complete. They should be completed and turned in to Family Court Services by each party separately:

Revised on 10/9/2023

MINOR MARRIAGE/DOMESTIC PARTNERSHIP QUESTIONNAIRE

MINOR WHO FILED THE APPLICATION TO MARRY/ENTER INTO A DOMESTIC PARTMNERSHIP TO COMPLETE:

I. BACKGROUND INFORMATION:

Your Name: DOB: Age: ___ (First) (Middle) (Last)

Place of birth: Driver License Number: State: _______

Current Street Address: ________________________________________________________________

City: State: Zip Code: ___________________

How long have you lived at this address? _________________________________________________

Phone: ( ) What language do you prefer to speak? _______________

Do you have any children? ☐ Yes ☐ No

If yes, how many? _____ Where do they live? ______________________________________________

Please list:

Name: Date of Birth: Place of Birth: _____

Name: Date of Birth: Place of Birth: _____

Name: Date of Birth: Place of Birth: _____

Has the decision to marry been of your own free will? ☐ Yes ☐ No If no, please explain: _________________________________________________________________

---

Why do you want to get married? ______________________________________________________

Are you emancipated? ☐ Yes ☐ No

If yes, what is the date and county of your emancipation? ___________________________________

Have you ever been married or entered into a domestic partnership? ☐ Yes ☐ No

If yes, what is the date you married/entered into a domestic partnership : ____________

Date Divorced: ______________

What was the age of your previous spouse/domestic partner at the time you married? ______________

Why did your marriage/domestic partnership end? ___________________________________________

---

Page 1

How did you and your proposed spouse/domestic partner meet? ___________________________

---

When did you and your proposed spouse/domestic partner meet? __________________________

How long have you been in your current relationship? ____________________________________

Have you and your proposed spouse/domestic partner attended pre-marital counseling together? ☐ Yes ☐ No

Do you or your proposed spouse/domestic partner live together? ☐ Yes ☐ No

If no, what are your living arrangement plans for the future? ______________________________

Have there been any incidents of domestic violence between you and your proposed spouse/domestic

partner (including emotional, verbal, financial, physical)? If yes, please explain:

---

How do you handle disagreements between you and your proposed spouse/domestic partner?

What do you and your proposed spouse/domestic partner argue about?

---

How are decisions made between you and your proposed spouse/domestic partner?

---

How does your parent or guardian feel about the proposed marriage/domestic partnership?

Do you have an attorney? ☐ Yes ☐ No

If yes, who is your attorney? _______________________________

Phone number: __________________________

Page 2

I. YOUR EDUCATION:

Are you currently enrolled in school? ☐ Yes ☐ No

If yes, name of school: __________________________________________

Do you have a High School Diploma, GED or high school equivalency? ☐ Yes ☐ No

If yes, when did you graduate: If no, what is the highest grade you completed: _______

Reason for leaving school: _____________________________________________________

Do you have plans for future education or training? ☐ Yes ☐ No

If yes, please explain: _________________________________________________________

License(s) or Credential(s) Received: ___________________________________________

II. YOUR EMPLOYMENT:

Name of Employer: Work Location: ______________________

Occupation: Length of Employment: Salary: ___________

Work Schedule (Days/Times): Day(s) Off: ____________________________

Supervisor’s Name, Address, and Telephone Number:

III. YOUR HEALTH:

Are you pregnant? ☐ Yes ☐ No

If yes, what is your expected due date? ______________________

Have you or your proposed spouse/domestic partner been diagnosed with a medical condition? ☐ Yes ☐ No

If yes, please explain: _____________________________________________________________

Have you or your proposed spouse/domestic partner been diagnosed with a mental health condition? ☐ Yes ☐ No

If yes, please explain: ____________________________________________________________

Have you or your proposed spouse/domestic partner been hospitalized for psychiatric reasons?

☐ Yes ☐ No

If yes, please explain: ____________________________________________________________

Are you taking medication? ☐ Yes ☐ No

If yes, please explain (name of medication and what it is prescribed for):

Page 3

Do you or your proposed spouse/domestic partner consume drugs (including Marijuana) or alcohol?

☐ Yes ☐ No If yes, please explain: _______________________________________

Have you attended or are you attending counseling? ☐ Yes ☐ No

If yes, please explain: __________________________________________________________

Have you been diagnosed with a disability of which you are receiving services with the Regional Center or accommodations in your education or place of employment? ☐ Yes ☐ No If yes, please explain: __________________________________________________________

IV. LAW ENFORCEMENT AND CHILD WELFARE INFORMATION:

Are you or have you been involved with the Juvenile Dependency Court or Child Protective Services? ☐ Yes ☐ No

If yes, please explain: ______________________________________________________________

Social Worker’s Name: _____________________________________________________________

Phone: County: ____________________________

Have you or your proposed spouse/domestic partner ever been convicted of a crime or been involved in Juvenile Delinquency (criminal) Court? ☐ Yes ☐ No

If yes, please explain: _______________________________________________________________

Probation/Parole Officer Name: ______________________________________________________

Phone: County: _____________________________

V. PARENT(S)/LEGAL GUARDIAN(S):

(Full legal names) If one of the natural parents has died, please mark “deceased” for that person’s
address and add the date of death, if known.

Parent’s Name: DOB: Age: ____ (First) (Middle) (Last)

Your Parent’s Current Street Address: ______________________________________________________

City: State: ______ Zip Code: _______________

Mark the box below to indicate this parent’s attitude about your proposed marriage/domestic partnership: ☐ Supportive ☐ Neutral ☐ Strongly Opposed ☐ Attitude Unknown

Page 4

Other Parent’s Name: DOB: Age: ____ (First) (Middle) (Last)

Your Parent’s Current Street Address: ______________________________________________________

City: State: ______ Zip Code: _______________

Mark the box below to indicate this parent’s attitude about your proposed marriage/domestic partnership: ☐ Supportive ☐ Neutral ☐ Strongly Opposed ☐ Attitude Unknown

Your Guardian’s Name: DOB: Age: ____ (First) (Middle) (Last)

Current Street Address: _________________________________________________________________

City: _________________________ State: ______ Zip Code: ________________

Mark the box below to indicate this parent’s attitude about your proposed marriage/domestic partnership: ☐ Supportive ☐ Neutral ☐ Strongly Opposed ☐ Attitude Unknown

Co-Guardian’s Name: DOB: Age: ____ (First) (Middle) (Last)

Current Street Address: _________________________________________________________________

City: _________________________ State: ______ Zip Code: ________________

Mark the box below to indicate this parent’s attitude about your proposed marriage/domestic partnership: ☐ Supportive ☐ Neutral ☐ Strongly Opposed ☐ Attitude Unknown

VI. HOUSING AND FINANCES:

The home you and your proposed spouse/domestic partner will live in is: ☐ owned ☐ rented

Monthly cost: $ Expenses paid by: __________________________

Number of bedrooms: Number of bathrooms: Approximate Size: sq. ft.

Page 5

LIST ALL PERSONS LIVING IN YOUR HOME (do not include yourself)

Name Date of Age Relationship to you
Birth

Income: List source(s) of household income and amount(s).

Income Source Amount

1.
2.
3.

Other Assets: List your other major assets or real property such as a car, bank accounts, house.

Asset Value
1.
2.
3.

Debts: List your other debts and amounts owed.

Money Owed To: Amount

1.
2.
3.

I declare under penalty of perjury under the laws of the State of California that all of the
information I have submitted in this FCS Questionnaire is true and correct.
Date:

Type or print name Signature

Page 6

MINOR MARRIAGE/DOMESTIC PARTNERSHIP QUESTIONNAIRE

PROPOSED SPOUSE/DOMESTIC PARTNER TO COMPLETE:

II. BACKGROUND INFORMATION:

Your Name: DOB: Age: ___ (First) (Middle) (Last)

Place of birth: Driver License Number: State: _______

Current Street Address: ________________________________________________________________

City: State: Zip Code: ___________________

How long have you lived at this address? _________________________________________________

Phone: ( ) What language do you prefer to speak? _______________

Do you have any children? ☐ Yes ☐ No

If yes, how many? _____ Where do they live? ______________________________________________

Please list:

Name: Date of Birth: Place of Birth: _____

Name: Date of Birth: Place of Birth: _____

Name: Date of Birth: Place of Birth: _____

Has the decision to marry been of your own free will? ☐ Yes ☐ No If no, please explain: _________________________________________________________________

---

Why do you want to get married? ______________________________________________________

Are you emancipated? ☐ Yes ☐ No

If yes, what is the date and county of your emancipation? ___________________________________

Have you ever been married or entered into a domestic partnership? ☐ Yes ☐ No

If yes, what is the date you married/entered into a domestic partnership : ____________

Date Divorced: ______________

What was the age of your previous spouse/domestic partner at the time you married? ______________

Why did your marriage/domestic partnership end? ___________________________________________

---

Page 1

How did you and your proposed spouse/domestic partner meet? ___________________________

---

When did you and your proposed spouse/domestic partner meet? __________________________

How long have you been in your current relationship? ____________________________________

Have you and your proposed spouse/domestic partner attended pre-marital counseling together? ☐ Yes ☐ No

Do you or your proposed spouse/domestic partner live together? ☐ Yes ☐ No

If no, what are your living arrangement plans for the future? ______________________________

Have there been any incidents of domestic violence between you and your proposed spouse/domestic

partner (including emotional, verbal, financial, physical)? If yes, please explain:

---

How do you handle disagreements between you and your proposed spouse/domestic partner?

What do you and your proposed spouse/domestic partner argue about?

---

How are decisions made between you and your proposed spouse/domestic partner?

---

How does your parent or guardian feel about the proposed marriage/domestic partnership?

Do you have an attorney? ☐ Yes ☐ No

If yes, who is your attorney? _______________________________

Phone number: __________________________

Page 2

VII. YOUR EDUCATION:

Are you currently enrolled in school? ☐ Yes ☐ No

If yes, name of school: __________________________________________

Do you have a High School Diploma, GED or high school equivalency? ☐ Yes ☐ No

If yes, when did you graduate: If no, what is the highest grade you completed: _______

Reason for leaving school: _____________________________________________________

Do you have plans for future education or training? ☐ Yes ☐ No

If yes, please explain: _________________________________________________________

License(s) or Credential(s) Received: ___________________________________________

VIII. YOUR EMPLOYMENT:

Name of Employer: Work Location: ______________________

Occupation: Length of Employment: Salary: ___________

Work Schedule (Days/Times): Day(s) Off: ____________________________

Supervisor’s Name, Address, and Telephone Number:

IX. YOUR HEALTH:

Are you pregnant? ☐ Yes ☐ No

If yes, what is your expected due date? ______________________

Have you or your proposed spouse/domestic partner been diagnosed with a medical condition? ☐ Yes ☐ No

If yes, please explain: _____________________________________________________________

Have you or your proposed spouse/domestic partner been diagnosed with a mental health condition? ☐ Yes ☐ No

If yes, please explain: ____________________________________________________________

Have you or your proposed spouse/domestic partner been hospitalized for psychiatric reasons?

☐ Yes ☐ No

If yes, please explain: ____________________________________________________________

Are you taking medication? ☐ Yes ☐ No

If yes, please explain (name of medication and what it is prescribed for):

Page 3

Do you or your proposed spouse/domestic partner consume drugs (including Marijuana) or alcohol?

☐ Yes ☐ No If yes, please explain: _______________________________________

Have you attended or are you attending counseling? ☐ Yes ☐ No

If yes, please explain: __________________________________________________________

Have you been diagnosed with a disability of which you are receiving services with the Regional Center or accommodations in your education or place of employment? ☐ Yes ☐ No If yes, please explain: __________________________________________________________

X. LAW ENFORCEMENT AND CHILD WELFARE INFORMATION:

Are you or have you been involved with the Juvenile Dependency Court or Child Protective Services? ☐ Yes ☐ No

If yes, please explain: ______________________________________________________________

Social Worker’s Name: _____________________________________________________________

Phone: County: ____________________________

Have you or your proposed spouse/domestic partner ever been convicted of a crime or been involved in Juvenile Delinquency (criminal) Court? ☐ Yes ☐ No

If yes, please explain: _______________________________________________________________

Probation/Parole Officer Name: ______________________________________________________

Phone: County: _____________________________

XI. PARENT(S)/LEGAL GUARDIAN(S):

(Full legal names) If one of the natural parents has died, please mark “deceased” for that person’s
address and add the date of death, if known.

Parent’s Name: DOB: Age: ____ (First) (Middle) (Last)

Your Parent’s Current Street Address: ______________________________________________________

City: State: ______ Zip Code: _______________

Mark the box below to indicate this parent’s attitude about your proposed marriage/domestic partnership: ☐ Supportive ☐ Neutral ☐ Strongly Opposed ☐ Attitude Unknown

Page 4

Other Parent’s Name: DOB: Age: ____ (First) (Middle) (Last)

Your Parent’s Current Street Address: ______________________________________________________

City: State: ______ Zip Code: _______________

Mark the box below to indicate this parent’s attitude about your proposed marriage/domestic partnership: ☐ Supportive ☐ Neutral ☐ Strongly Opposed ☐ Attitude Unknown

Your Guardian’s Name: DOB: Age: ____ (First) (Middle) (Last)

Current Street Address: _________________________________________________________________

City: _________________________ State: ______ Zip Code: ________________

Mark the box below to indicate this parent’s attitude about your proposed marriage/domestic partnership: ☐ Supportive ☐ Neutral ☐ Strongly Opposed ☐ Attitude Unknown

Co-Guardian’s Name: DOB: Age: ____ (First) (Middle) (Last)

Current Street Address: _________________________________________________________________

City: _________________________ State: ______ Zip Code: ________________

Mark the box below to indicate this parent’s attitude about your proposed marriage/domestic partnership: ☐ Supportive ☐ Neutral ☐ Strongly Opposed ☐ Attitude Unknown

XII. HOUSING AND FINANCES:

The home you and your proposed spouse/domestic partner will live in is: ☐ owned ☐ rented

Monthly cost: $ Expenses paid by: __________________________

Number of bedrooms: Number of bathrooms: Approximate Size: sq. ft.

Page 5

LIST ALL PERSONS LIVING IN YOUR HOME (do not include yourself)

Name Date of Age Relationship to you
Birth

Income: List source(s) of household income and amount(s).

Income Source Amount

4.
5.
6.

Other Assets: List your other major assets or real property such as a car, bank accounts, house.

Asset Value
1.
2.
3.

Debts: List your other debts and amounts owed.

Money Owed To: Amount

1.
2.
3.

I declare under penalty of perjury under the laws of the State of California that all of the
information I have submitted in this FCS Questionnaire is true and correct.
Date:

Type or print name Signature

Page 6