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File No Health Insurance Notice (Form 4) Division 2026
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- Click ‘Get Form’ to open the File No Health Insurance Notice in the editor.
- Begin by filling out the 'File No.' and 'Division' fields at the top of the form. Ensure that you provide accurate information as this is crucial for court processing.
- In the 'Plaintiff' section, enter your name (First, Middle, Last) as the spouse filing for divorce. Similarly, fill in the 'Defendant' section with your spouse's full name.
- Complete the address sections for both you and your spouse, including street address, city, state, and zip code.
- Indicate whether you have health insurance that covers your spouse by checking the appropriate box. If applicable, provide details about your health insurance policy including company name and policy number.
- Fill out the Certificate of Service section to confirm that a copy of this notice was mailed to your spouse. Include the date sent and sign where indicated.
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