Domestic Relations - Benton County Arkansas Page 2
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3Effective 8122005
INSTRUCTIONS FOR COMPLETING DOMESTIC RELATIONS COVER SHEET
The domestic relations reporting form and the information contained herein is intended for case assignment and statistical purposes. It 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. Authority: Supreme Court Administrative Order Number 8.
FILING INFORMATION
The filing information must be completed by the attorney or pro se litigant filing an initial pleading with the court Clerk. The Clerk shall not
accept the pleading unless accompanied by this reporting form. The Clerk shall place the original reporting form in the case file and send a
paper or electronic copy of the filing information to the Administrative Office of the Courts in a weekly mailing.
Line 1: Fill in the blanks for County and Judicial District where this pleading is being filed. Unless this is a reopen case, the Clerk will assign you the
docket number to fill in that blank.
Line 2: Fill in the blanks for Judge’s name and division (if applicable). In a multijudge county, the Clerk will tell you the correct Name and Division
or will complete this information. The Filing Date is the month, day, and year you are filing this pleading.
Line 3 4: Fill in the blanks for the Plaintiff and Defendant names as they appear in the style of the pleading you are filing and enter the last name and
then the first name. Fill in the date of marriage on the appropriate line.
Lines 5 7: Fill in the name and address of the attorney providing the information and check the appropriate box of the party the attorney is representing.
If you are a Pro Se litigant please complete that information. “Pro Se” means you are filing this pleading on your own behalf and are not represented
by an attorney.
Line 8: Reference any related case(s).
Type of Case: Place an “X” in the single box which best describes the subject matter of the pleading you are filing. If no Type accurately describes the
subject matter, place an “X” in the box for Other and specify the type of filing in the blank. (DV)=Divorce without support issues. (DS)=Divorce with
child or spousal support. (CS)=Modification of either custody or visitation. (SP)= Modification of child support. (PT)= Paternity without support issues.
(PS)=Paternity with support.
Manner of Filing: Place an “X” in the appropriate box. For the purposes of this reporting form, the following definitions apply. “Original” means a
filing of a complaint or petition at the beginning of a case. “Reopen” means a case which has been disposed of but is now being resubmitted to the court.
For example, the plaintiff and defendant have divorced each other, and the subject of this pleading is a change of custody or modification of child support.
“Transfer” means a case filed with this court from another court due to invalid jurisdiction, venue, etc. A form should not be completed when enforcing
a judgment, e.g. contempt motion.
DISPOSITION INFORMATION
When the final order/decree/judgment is presented for filing with the Clerk, the Clerk or other official as the trial court may designate, shall
complete the following disposition information on the reporting form which was placed in the case file when the initial pleading was filed. The
order shall not be filed unless the Disposition Information is completed.
Disposition Date: This is the month, day, and year of the Clerk’s date stamp.
Place an “X” in the appropriate box for type of trial. For the purposes of this reporting form the following definitions apply. A “Bench Trial”
is a trial in which there is no jury and in which a judge determines both the issue of fact and law in a case. A “NonTrial” is where a case is disposed
of by one of the following methods: a) a settlement by agreement of the parties; b) an order of dismissal; c) an order granted prior to the trial which
concludes the case; d) the defendant did not respond to the allegations contained in the complaint, e.g., an uncontested divorce.
Decree or Judgment Type: Place an “X” in the box which best describes the type of final order/decree/judgment that is being filed.
Dismissal Type/Other: Place an “X” in the box which describes the manner of disposition.
Family Information: Place an “X” in the appropriate box. If there are children born of the marriage see Confidential Data AOC Form (35).
Public Law 104193 Information: Effective 1098, Public Law 104193 requires this information in all cases involving support. Place an “X” in each
box that applies. Order of Protection information should identify the party(ies) being protected.
Judgment Amount: If applicable, fill in the dollar amount granted. Fees and costs are not included.
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