Plaintiff Release of Attorney

							                     DRO Drafts Questionnaire
                                                                        Filing Information
    Order will be
           filed:
                                   State                                 County                          File/Docket Number
                                                Husband, Wife and Opposing Counsel Information


       Marriage:
                             Date of Marriage                      Date of Separation                 Date of Divorce, if Divorced



   Your Client is:
                              Husband/Wife                    Participant/Alternate Payee                 Defendant/Plaintiff


                     Husband                               Wife                                 Requesting Attorney Info             Opposing Counsel


      Full Name:


 Street Address:


  City, State Zip:



            DOB:
                                                                                                              Firm Name                      Firm Name

             SSN:


                                                                      Documents Required
 In addition to completing this questionnaire please provide the following items:

 1. Copy of the order dividing the account or the separation agreement with the terms of the division
 2. Copy of the complaint or the file number under which the order will be entered
 3. Most recent benefits statement for the Participant
 4. Most recent Summary Plan Description*
 5. Written QDRO procedures from the Plan Administrator, if available*
* Not required for IRAs, Military Retired Pay or Federal Civil Service divisions

If you have not yet obtained the items listed above, please request them from the Plan Administrator. A Participant Release Form and a
letter requesting the documents from the Plan Administrator have been provided for this purpose.


                                                                      Drafts Status of DRO

I am not an attorney and will prepare this draft DRO as a paralegal. Additionally, the document provided will be a draft DRO that requires
attorney review prior to submission to the Plan Administrator for qualification. Please contact me immediately if you have questions or
concerns regarding the draft status of the document provided to you or the review requirement.




                                            DroDrafts@DroDrafts.com                Ph: 919.414.0713      Fax: 919.336.5087