Get – Jewish Divorce Application

To initiate a religious divorce file with the cRc, please complete the form below.

Husband

First name *

Last name *

Son of *

Address including Street #/Street/City/State/Zip *

Email *

Parents adopted/converted? *

Previously married? *

If so, how did the previous marriage terminate?

Middle name

Hebrew name

Kohen / Levi / Israelite *

Home phone

Cell phone *

Adopted/converted? *

If previously divorced, provide the name of the Rabbinic Court that issued the Get Please
also upload relevant documents below.

Wife

First name *

Last name *

Daughter of *

Home phone *

Cell phone *

Will you resume your maiden name?
NoYes

Parents adopted/converted? *

If previously divorced, provide the name of the Rabbinic Court that issued the Get Please
also upload relevant documents below.

Middle name

Maiden name *

Hebrew name

Address including Street #/Street/City/State/Zip *

Email *

Adopted/converted? *

Previously married? *

If so, how did the previous marriage terminate?

More Info

Marriage date *

Marriage Officiating Rabbi *

Civil Divorce (State / County / City / Date of Final Decree / Index No.) *

Marriage city *

Separated as of *

Suggested dates

Instructions

1. A non-refundable deposit of $150 is due with this application and may be paid online:
by clicking Here.
Please make sure to choose the Beth Din category when asked “How do you want to apply this payment?” in
order to avoid the 3% service fee.

2. Additional documents requested include a copy of your ketuba and the first and last pages of your civil
divorce document. These and any other relevant documents may be uploaded below.