FL-315 [Rev. January 1, 2018]
Page 2 of 3
REQUEST OR RESPONSE TO REQUEST FOR SEPARATE TRIAL
(Family Law)
PETITIONER:
RESPONDENT:
CASE NUMBER:
FL-315
Division of property(1)
4.
Conditions relating to bifurcation of the status of the marriage or partnership:
I understand that the court must enter an order to preserve the claims of each spouse or domestic partner in all retirement plan
benefits upon entry of judgment granting a dissolution of the status of the marriage or domestic partnership.
a.
I request that the court order the following as a condition of granting the bifurcation and ending the marriage or partnership upon
an early and separate trial:
b.
The and his or her estate must indemnify and hold me harmless from any taxes,
reassessments, interest, and penalties that I have to pay in connection with the division of the community estate that I
would not have had to pay if we were still married or in a domestic partnership at the time the division was made.
petitioner
respondent
Health insurance(2)
Until judgment has been entered on all remaining issues and has become final
must maintain all existing health and medical insurance coverage for me and any minor children as named dependents as
long as he or she is eligible to do so. If at any time during this period, he or she is not eligible to maintain that coverage, he
or she must, at his or her sole expense, provide and maintain health and medical insurance coverage that is comparable to
the existing health and medical insurance coverage to the extent it is available.
petitioner respondent
To the extent that coverage is not available, the must be responsible for
paying, and demonstrate to the court's satisfaction the ability to pay, for health and medical care for me and the minor
children to the extent that care would have been covered by the existing insurance coverage but for the dissolution of
marital status or domestic partnership, and must otherwise indemnify and hold me harmless from any adverse
consequences resulting from the loss or reduction of the existing coverage.
petitioner
respondent
Probate homestead(3)
Until judgment has been entered on all remaining issues and has become final, the
must indemnify and hold me harmless from any adverse consequences if the bifurcation results in a termination of my right
to a probate homestead in the residence in which I am residing at the time the severance is granted.
petitioner
respondent
Probate family allowance(4)
Until judgment has been entered on all remaining issues and has become final, the
must indemnify and hold me harmless from any adverse consequences if the bifurcation results in the loss of my right to a
probate family allowance as the surviving spouse or surviving domestic partner.
petitioner
respondent
Retirement benefits(5)
Until judgment has been entered on all remaining issues and has become final, the
must indemnify and hold me harmless from any adverse consequences if the bifurcation results in the loss of my rights with
respect to any retirement, survivor, or deferred compensation benefits under any plan, fund, or arrangement, or to any
elections or options associated those benefits, to the extent that I would have been entitled to those benefits or elections as
the spouse or surviving spouse or the domestic partner or surviving domestic partner.
petitioner respondent
Social security benefits(6)
The must indemnify and hold me harmless from any adverse consequences if
the bifurcation results in the loss of rights to social security benefits or elections to the extent that I would have been entitled
to those benefits or elections as the surviving spouse or surviving domestic partner.
petitioner respondent
Beneficiary designation—nonprobate transfer(7)
The must maintain the beneficiary designation specified for each Nonprobate
Transfer Asset (Probate Code section 5000) identified on the attached list in the percentage indicated. (See Attachment 7
(not a form), which lists each asset and proposed percentage.) This designation must stay in effect until judgment has been
entered with respect to the community ownership of that asset and until my interest in it has been distributed to me.
petitioner
respondent