Separation details form (MOD S)
Use this form to let us know you’ve separated from your partner.
Download and complete the Separation details form.
Remember to sign it before you submit it with your supporting documents.
The easiest way to do this is to upload them online using:
Read about how to submit your documents online.
This PDF is fillable. Download this form and complete it on your device, or print it and complete it by hand.
If you have a disability or impairment and use assistive technology, there are other ways you can do your business with us. You can use self service or request someone to deal with us on your behalf. If you can’t access our forms, please contact us. We can help you access, complete and submit them.
Page last updated: 17 February 2020