Domestic Relations - Benton County Arkansas
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Multiple claims. If a complaint asserts multiple claims which involve different subject matter divisions of the circuit court, the cover
sheet for that division which is most definitive of the nature of the case should be selected and completed.
COVER SHEET
STATE OF ARKANSAS
CIRCUIT COURT: DOMESTIC RELATIONS
The domestic relations reporting form and the information contained herein shall not be admissible as evidence in any court proceeding or
replace or supplement the filing and service of pleadings, orders, or other papers as required by law or Supreme Court Rule. This form is
required pursuant to Administrative Order Number 8. Instructions are located on the back of the form.
FILING INFORMATION
County:
District:
Docket Number: DR
Judge:
Division:
Filing Date:
Plaintiff:
Defendant:
Last Name First Name
Last Name First Name
Date of Marriage:
Month Day Year
Attorney Providing Information:
G Plaintiff
G Defendant
Address
Litigant, if Pro Se:____________________________________________ _____________________________________________________
Address
Related Case(s): Judge ________________________________________ Case Number(s) ________________________________________
G
Type of Case: (Select One)
IVD Case (For OCSE use only)
G
G
G
(DV)
Divorce
(CS)
Custody/Visitation
(DA)
Domestic Abuse
G
G
G
(DS )
Divorce w/Support
(SP)
Child Support
(FJ)
Foreign Judgment
G
G
G
(AN ) Annulment
(PT)
Paternity
(CT)
Contempt
G
G
G
(SM)
Separate Maintenance
(PS)
Paternity/Support
(BA) Body Attachment
G
(OT)
Other_______________________
G Original
G ReOpen
G Transfer
Manner of Filing:
DISPOSITION INFORMATION
G Bench Trial
G NonTrial
G Jury Trial
Disposition Date:
Decree or Judgment Type:
Dismissal Type:
Other:
G (JD) Divorce Granted
G (DW) Dismissed with Prejudice
G (TR) Transferred to Another Jurisdiction
G (OD) Other Decree
G (DN) Dismissed without Prejudice
G (OJ) Other Judgment
Family Information:
G There are no children born of the marriage.
G There are children born of the marriage; See Confidential Data AOC Form 35
Public Law 104193 Information:
G
G Plaintiff
G Defendant
G Other (Name) __________________________________
( )
Custody Placed With:
G
G New
G Modified
G Terminated
( )
Child Support
G
G New
G Modified
G Terminated
( )
Spousal Support
G
G Plaintiff
G Defendant
G Child
( )
Order of Protection
G
( )
Income Withholding
Judgment Amount $____________________________
Clerk Signature_______________________________________________ Date____________________________________________
AOC 24 705
Send 1 paper or electronic copy to AOC upon Filing.
625 Marshall Street
Send 1 paper or electronic copy to AOC upon Disposition.
Little Rock AR 72201
Keep original in Court file.
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