AN CHUIRT TEAGHLAIGH CHUARDA
(THE CIRCUIT FAMILY COURT)

LOCAL CIRCUIT YOUR COUNTY

IN THE MATTER OF THE FAMILY LAW (DIVORCE) ACT 1996
Between/

XXXXX
Applicant

-and-

YYYYY
Respondent

CERTIFICATE PURSUANT TO SECTION 6 OF THE
FAMILY LAW (DIVORCE) ACT 1996
I, (name), the Solicitor acting for the above Applicant, do hereby certify as follows:

1. I have discussed with the Applicant the possibility of reconciliation with the Respondent and I have given the Applicant the names and addresses of persons qualified to help effect a reconciliation between spouses who have become estranged.

2. I have discussed with the Applicant the possibility of engaging in mediation to help effect a separation on an agreed basis (the spouses not being separated) or a divorce on a basis agreed between the Applicant and the Respondent, and I have given the Applicant the names and addresses of persons and organisations qualified to provide a mediation service for spouses who have become estranged.

3. I have discussed with the Applicant the possibility of effecting a separation by the negotiation and conclusion of a separation deed or written separation agreement with the Respondent.

4. I have ensured that the Applicant is aware of judicial separation as an alternative to divorce, no decree of judicial separation in relation to the Applicant and the Respondent being in force.

Dated the_____________day of_____________200_

Signed:______________________________
Solicitor
Address