Services provided by the Foundation are contingent, in part, on your income. It is very important that you review the income guidelines to make certain you understand the limitations. Before you complete the forms below please visit the Services page to review the income thresholds.

You may begin the application process online, and receive a preliminary acceptance of your application. You will still be required to complete and submit the more detailed Financial Disclosure Statement, and you may download it, print it and fill out and mail/email it to the Foundation.

An online application is as follows:

1. Both of you must complete and submit you own Application and Certification form below.
2. One of you must complete and submit the brief online Preliminary Financial Summary statement below; this is used as a preliminary screening and income is not the only determinant.
3. Watch for an email or phone call from CFW requesting a more detailed financial statement.

Once steps 1 and 2 are submitted and reviewed, the Foundation will contact you by email or phone to initiate your case, and request that you and your spouse complete and submit the more detailed Financial Disclosure Statement.

We ask you to do this in 2 steps as the Financial Disclosure Statement may take some time for you to complete, but it does require information that both the Collaborative team and the Court will need to complete the process.

You and your spouse may also download these items and submit them to the Foundation via the mail; it is your choice. These files are in Adobe PDF format so you will have to print, fill out and mail to us at 1288 Summit Avenue, Suite 107 Box 106, Oconomowoc, WI 53066. If you have questions you may email us at info@collabwis.org or call 262-235-0009 and leave a message. We will respond as soon as possible.

Application & Certification – online
Please complete and submit the following, and then return to this page and complete the brief “Preliminary Financial Statement” and submit. All information is collected using a secure server and your confidentiality is important to us.

Preliminary Financial Statement – online

Preliminary Financial Information

The following financial information allows the Foundation to conduct an initial screening of your application. After a review, and If tentative acceptance is granted, you and your spouse will be required to complete the a more detailed Financial Disclosure Statement. We will send that form to you and your spouse. If you prefer, you may download the detailed form at the link provided at the very bottom of this page.

Spouse # 1 Name(required)

Spouse #2 Name(required)

Spouse #1 Address(required)

Spouse # 2 Address(required)

Spouse # 1 Birthdate(required)

Spouse #2 Birthdate(required)

Spouse #1 Occupation(required)

Spouse #2 Occupation(required)

Email address - Spouse #1

An email address where we can reach you, if available

Email address - Spouse #2

An email address where we can reach you, if available

Date of Marriage(required)

Date of Separation

Name Child 1

Age Child 1

Name Child 2

Age Child 2

Name Child 3

Age Child 3

Name Child 4

Age Child 4

If you have more than 4 children enter their ages below:

With Whom are the Children Living?

Supplemental Assistance Information

Supplemental Assistance Information- Check all that apply:

Supplemental Security Income

Food Stamps/Food Share

Relief funded under s.59.53(21) Wis Stats

Medical Assistance

Relief Funded under Public Assistance

Benefits for Veterans under 45.40(1m) or 38 USC 501-562

Other Means-Tested Public Assistance

Why we collect this information: Your participation in these programs may impact the court fees you will be required to pay as a result of filing for divorce. Your attorney will advise you further.

Spouse #1 Monthly Gross Income from wages including commissions and overtime pay(required)

Spouse #2 Monthly Gross Income from wages including commissions and overtime pay(required)

Spouse #1 Monthly Income from all other sources

Spouse #2 Monthly Income from all other sources

Spouse #1 Total Monthly Gross Income(required)

Spouse #2 Total Monthly Gross Income(required)

Spouse #1 Total Monthly Net Income/Take Home Pay(required)

Spouse #2 Total Monthly Net Income/Take Home Pay(required)

I/We understand that this information is accurate to the best of our knowledge and that before our application is accepted we must provide the completed Financial Disclosure Statement

Enter Spouse #1 Name Below(required)

Enter Spouse #2 Name Below(required)

Type the characters(required)

This field should be left blank

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The Detailed Financial Statement, which will be sent to you upon receipt of the two forms above, may also be downloaded here.