Find Illinois Supreme Court approved forms at: ilcourts.info/forms.
DV-I-136.1
Page 1 of 2
(03/23)
HOW TO FILL OUT THE CERTIFICATE OF DISSOLUTION
OF MARRIAGE/CIVIL UNION
NOTE: This form has some sections completed for you because it is meant to be used with our How
to Get a Divorce form suite. Do not use this for a case asking for a legal separation or asking that a
marriage be declared invalid.
Introduction:
The Certificate of Dissolution must be filed in every divorce case, whether it is a marriage or a civil
union. The information you provide in the form is used by the Illinois Department of Public Health for
statistical purposes. It does not have anything to do with whether a divorce is granted by the judge.
We recommend that you complete and file this form at the same time you file your Petition for
Dissolution of Marriage/Civil Union so that you do not forget to do it. If you do this, you will get your
copy at the end of your case.
If you complete this form online, you will only have to enter the information one time. If you want to
file a paper copy, you will have to complete each of the four copies (Original, County Clerk’s Copy,
Court Copy and Legal Representative’s Copy).
Enter the information requested on the form. Use the instructions we have provided for help with
completing the form. If a section has been completed already, you do not have to enter anything
there.
Instructions for filling out the Certificate of Dissolution of Marriage/Civil Union Form
3 – Enter only
the last four
digits of your
Social Security
Number.
8 – Enter only
the last four
digits of your
spouse’s Social
Security.
XXX-XX-1234
XXX-XX-4567
Name of County:
enter the name of
the county in
which your case
is filed.
Court File Number:
enter the number
given to your case
by the circuit clerk,
e.g. 22-DC-15.
State File
Number:
leave this
blank.
Find Illinois Supreme Court approved forms at: ilcourts.info/forms.
DV-I-136.1
Page 2 of 2
(03/23)
20-26: These answers are only used for informational purposes.
Dissolution
Irreconcilable Differences
16 – If there are no children of
the marriage/civil union, check
the “no children box.” If there
are children under 18 years old,
leave it blank if you are filing this
form at the time you are filing
your Petition for Dissolution of
Marriage/Civil Union; complete it
if you are filing it after the
Judgment of Dissolution of
Marriage/Civil Union and
Parenting Plan have been
signed by the judge.
17 - Leave this
blank unless a
lawyer is
representing you. If
you are represented
by a lawyer, enter
the name and
address of the
lawyer.
18 – Leave
blank. This is
for the Circuit
Clerk to
complete.
19 - Leave
blank. This is
for the Circuit
Clerk to
complete.
20 - Enter
the race
of each
person.
21 – Enter
the
educational
level of
each
person.
22a/25a – Enter
the number of
times each
person has had
a marriage/civil
union.
22b-e and 25b-e
(If previously
entered into) –
complete this
section only if you
have earlier
marriages or civil
unions that were
declared invalid
or ended in a
divorce.
22b/25b -
Enter either
marriage or
civil union.
22c/25c –
Enter either
divorce,
invalidation
or death.
22d/25d – Enter
the date your
most recent
marriage/civil
union ended by
divorce,
invalidation or
death.
22e/25e – Enter the
county and state where
your most recent
marriage/civil union
ended by divorce,
invalidation or death.
