Section 5-C:58 - Divorce, Legal Separation, and Civil Annulment FormsI. The petitioner or his or her legal representative shall provide the following information, in writing, for both the husband and the wife in order to complete a petition of divorce, legal separation, or civil annulment: (a) Their full names and usual residences by city, town or location, county, and state.(b) Their birthplaces by state or foreign country.(c) Their dates of birth.(d) Whether the most recent marriage is the first, second, and so forth for each.(e) If previously married, the number of marriages ended by death or divorces, and prior civil annulments, if any. (f) Their social security numbers. (g) Their educational level specifying only the highest grade completed.II. The petitioner, or his or her legal representative, shall provide the following information, in writing, about the marriage: (a) The place of the marriage in question by city or town, county, and state or foreign country.(b) The date of the marriage in question by month, day, and year.(c) The date the couple last resided in the same household.(d) The number of children ever born alive to or adopted by the couple.III. The petitioner or his or her legal representative shall provide the following information, in writing, about the filing: (a) The number of children under 18 years of age in the household, as of the date couple last resided in same household.(b) The petitioner, identified as husband, wife, both, or other, including but not limited to legal guardian.(c) The name of the attorney for the petitioner, or the petitioner's name if the petition is a pro se filing.(d) The legal representative's business address or pro se petitioner's address by building number, street, city or town, state and zip code.(e) The date the report was completed by the legal representative or pro se petitioner.IV. The petitioner, or his or her legal representative, shall provide the following information in writing, about the action in superior court: (b) The cause for filing, stating irreconcilable differences or specifying other cause.(c) The decree, entered as an uncontested hearing, a contested hearing, or a defaulted hearing.(d) The type of decree, specifying divorce, legal separation, or civil annulment.(e) The date the decree becomes final.(f) The first and last name of the hearing official and an indication of whether the hearing official is a judge or master.(g) The name to be used by the wife after divorce.(h) Whether legal custody of the children was awarded jointly to the mother and father, to the mother, to the father, to other as specified, or not applicable. (i) The number of children under 18 whose physical custody was awarded to the mother, to the father, split between the mother and the father, to other as specified, or not applicable. (j) Whether the physical custody award was uncontested, contested, defaulted, or not applicable.(k) The signature of the clerk of the superior court; the county of the court's location; and the date signed.V. The division shall promulgate a divorce, legal separation, and civil annulment form to record the information specified in paragraphs I-IV.VI. The clerk of court shall forward the original certificates of divorce, legal separation, or civil annulment granted during the preceding calendar month to the division on or before the 12th day of each calendar month in accordance with RSA 458:15.VII. Only an original form obtained from a court shall be accepted by the division.VIII. In the event that a clerk of a town or city issuing a marriage certificate is presented with a court decree showing that a marriage performed in the state of New Hampshire has been annulled, a copy of the civil annulment attached to the form to amend a vital record shall be forwarded by the clerk to the division. The state registrar shall mark the state copy of the affected marriage certificate as "VOID." 2005, 268:1, eff. Jan. 1, 2006.