Domestic Relations Case Final Disposition Information Form

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Domestic Relations Case Final Disposition Information Form
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Superior Court
County _____________________
Date Disposed _____________
MM-DD-YYYY
Docket # ____________________
Reporting Party __________________________________
___________________________
Last
First
Middle I. Suffix Prefix
Maiden
Title
Name of Plaintiff/Petitioner(s)
Name of Defendant/Respondent(s)
__________________________________
__________________________________
Last
First
Middle I. Suffix Prefix
Maiden
Last
First
Middle I. Suffix Prefix
Maiden
Plaintiff/Petitioner's Attorney
Pro Se
Defendant/Respondent's Attorney
Pro Se
__________________________________
__________________________________
Last
First
Middle I.
Suffix
Last
First
Middle I.
Suffix
Bar # _________________
Bar # _________________
Type of Disposition
Relief Granted
(Check all that apply)
(Check all that apply)
1.
Ex Parte Relief
1.
Dismissed Without Final Order
2.
Temporary Relief
A.
Voluntary (by parties)
3.
Final Relief
B.
Involuntary (by court)
a.
Divorce/Annulment/Separate Maintenance
b.
Child Custody
2.
Pre-Trial Settlement
 Yes  No
Parenting Plan?
3.
Judgment on the Pleadings
Custodial Arrangement?  Yes  No
4.
Summary Judgment
If Yes, check one:
 Joint Custody
5.
Trial
 Joint Legal Custody
A.
Bench Trial
 Joint Physical Custody
B.
Jury Trial
 Sole Custody to:_____________________
14 year old parental selection?  Yes
 No
1.
Dismissal after jury selected
c.
Visitation or Parenting Time
2.
Settlement during trial
Approx. Parenting Time (days per year)
3.
Judgment on Verdict
Mother_____________Father______________
Parenting Time Contested?
 Yes
 No
4.
Directed Verdict or JNOV
d.
Child Support
Forms attached?
 Yes  No
e.
Legitimation/Paternity
ADR
f.
Alimony
g.
Contempt
1. Was mediation utilized?
 Yes  No
h.
Equitable Division
2. If Yes, was it (check if applicable)
i.
Protective Order
court annexed?
Person
Property
Finding of Family Violence?
court mandated?
j.
Adoption
3. Binding Arbitration Agreement  Yes  No
k.
Attorneys Fees?
If Yes, what matters were subject:
If Yes, enter amount:___________
 Child Custody
to whom:______________
 Visitation/Parenting Time
l.
Other (Specify) _______________________
____________________________________
 Parenting Plan
4.
Dismissed prior to granting of relief.

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