Separation details form (MOD S)

Use this form to let us know you’ve separated from your partner.

Complete and return your form

  1. Open the Separation details form, fill it in, print and sign it.
  2. Submit your form and supporting documents. The easiest way to do this is to upload them online using:

Read about how to submit your documents online.

If you can’t upload your form and supporting documents you can submit them at a service centre or by post.

This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.

If you use assistive technology because of a disability or impairment we provide help for assistive technology users of forms.

Page last updated: 8 January 2018