Dr0706138 Case Designation Form - Court Of Common Pleas Cuyahoga County
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1THIS FORM (IN DUPLICATE) MUST
COURT OF COMMON PLEAS
ACCOMPANY ALL NEW DOMESTIC
CUYAHOGA COUNTY
DOMESTIC RELATIONS
RELATIONS COMPLAINTS
DIVISION OF DOMESTIC RELATIONS
CASE DESIGNATION FORM
P L E A S E
T Y P E
Case Number___________________________________
Judge_________________________________________
Pending, closed or previously filed and dismissed Domestic Relations’ Case(s) between the parties, list case number and judge.
I certify that to the best of my knowledge the within case is not related to any now pending or previously filed, except as noted above.
DIVORCE – CHILDREN (1810)
DOMESTIC VIOLENCE (1850)
DIVORCE – NO CHILDREN (1811)
DIVORCE WITH CHILDREN & DOMESTIC VIOLENCE (1860)
LEGAL SEPARATION (1820)
DIVORCE W/O CHILDREN & DOMESTIC VIOLENCE (1861)
ANNULMENT (1830)
UNIFORM INTERSTATE FAMILY SUPPORT ACT (1560)
DISSOLUTION – CHILDREN (1840)
FOREIGN DECREE (1890)
DISSOLUTION – NO CHILDREN (1841)
OTHER (1890)
Service:
Certified Mail________
Waiver _________
Personal ___________
Publication _____________
Plaintiff’s Length of Residence:
Cuyahoga County______________
Ohio______________
WIFE
HUSBAND
FULL NAME:
FULL NAME:
ALIAS NAME:
ALIAS NAME:
MAIDEN NAME:
DATE OF BIRTH:
DATE OF BIRTH:
NUMBER OF THIS MARRIAGE:
NUMBER OF THIS MARRIAGE:
ADDRESS:
ADDRESS:
CITY:
CITY:
STATE:
ZIP:
STATE:
ZIP:
DATE OF MARRIAGE: _________________________ PLACE OF MARRIAGE: ___________________________________________
CHILDREN’S NAMES:
M
F
DATE OF BIRTH:
AGE
______________________________________
E-mail Address
Attorney of Record (Print or Type)
______________________________________
_________________________________________
Address
Signature
______________________________________
_________________________________________
Telephone and Fax Number
Ohio Supreme Court Registration Number
Witness:___________________________________________ Address: _______________________________________________________
(COURT USE ONLY)
SET FOR HEARING_____/_____/_____
DM
PARENTING SEMINAR WIFE _______
HUSBAND ________
□
CONTESTED
CHILD SUPPORT_________________________________________
PLTF.
DECREE FOR
GROUNDS
______________________
UNCONTESTED
DEFT.
□
SPOUSAL SUPPORT______________________________________
OTHER
ATTORNEY FEES________________________________________
□
PLTF.
CUSTODY
REALTY__________________________________
DATE OF FINAL JOURNAL ENTRY_______________________
□
DEFT.
DR0706138 Case Designation Sheet.doc
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