File No Health Insurance Notice (Form 4) Division 2026

1. Click ‘Get Form’ to open the File No Health Insurance Notice in the editor.
2. 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.
3. 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.
4. Complete the address sections for both you and your spouse, including street address, city, state, and zip code.
5. 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.
6. 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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