QUESTIONNAIRE FOR VOLUNTEER SETTLEMENT MASTER
1.
2.
3.
4.
I was appointed by the Family Court as the Volunteer Settlement Master (VSM) in
case number and name:
on [date of appointment] .
On
[date]
, I faxed my “Report from Volunteer Settlement
Master” to the Family Court, and as a consequence, I was then discharged as the
VSM in this case.
The extent of my volunteer service as a VSM can be described as follows:
[ ]
a. I volunteered less than 3.5 hours of my time.
[ ]
b. I volunteered just about 3.5 hours of my time.
[ ]
c. I volunteered more than 3.5 hours of my time. I would estimate that I
volunteered
[hours]
of hours as a VSM in this case.
As a consequence of the VSM process:
[ ]
a.
The parties reached an agreement on all issues.
[ ]
b. The parties reached an agreement (or confirmed their prior agreement) on
the following issues:
[ ]
Jurisdiction of the Family Court
[ ]
Granting of the divorce
[ ]
Legal custody
[ ]
Physical custody
[ ]
Child support
[ ]
Child related expenses (e.g., expenses for child care, preschool, private
school, summer school, post high school, and extracurricular activities)
[ ]
Child healthcare (e.g., maintenance of insurance, payment of excess
expenses)
[ ]
Alimony
[ ]
Security for support
[ ]
Property Division - credit union/bank accounts
[ ]
Property Division - securities
[ ]
Property Division - vehicles
[ ]
Property Division - real property
[ ]
Property Division - life insurance
[ ]
Property Division - retirement
[ ]
Property Division - business assets
[ ]
Property Division - investment assets
[ ]
Property Division - household effects
[ ]
Property Division - personal effects
[ ]
Property Division - trust property
[ ]
Property Division - other property
[ ]
Debt
[
[
]
Tax matters (e.g., liability, refunds, deductions)
]
Payment of fees (e.g., attorney fees and costs, expert fees and costs,
mediation/arbitration fees and costs, custody evaluator/custody
guardian ad litem fees and costs)
RG-AC-508 (8/19)
AD-P-860