Domestic Relations Case Filing Information Form
Superior Court
County _____________________
Date Filed _____________
MM-DD-YYYY
Docket # ____________________
Plaintiff(s)
Defendant(s)
__________________________________
__________________________________
Last
First
Middle I. Suffix Prefix
Maiden
Last
First
Middle I. Suffix Prefix
Maiden
__________________________________
__________________________________
Last
First
Middle I. Suffix Prefix
Maiden
Last
First
Middle I. Suffix Prefix
Maiden
Plaintiff/Petitioner's Attorney
Pro Se
__________________________________
Bar # _________________
Last
First
Middle I.
Suffix
Check Case Type (one or more)
FAMILY VIOLENCE
Divorce (includes annulment)
Additional Information - Ex Parte Relief
Separate Maintenance
Adoption
Did the initial pleading include a request for relief
Paternity (includes legitimation)
1. From alleged family violence?
Yes
No
Interstate Support Enforcement Action
2. Was ex parte relief requested?
Yes
No
Domestication of Foreign Custody Decree
3. Was ex parte relief granted?
Yes
No
Family Violence Act Petition
MODIFICATION
Modification - Custody and/or Visitation
Modification - Child Support and Alimony
Modification - Child Support
Modification - Alimony
CONTEMPT
Contempt - Custody and/or Visitation
Contempt - Child Support and Alimony
Contempt - Child Support
Contempt - Alimony
Other Domestic Contempt
Other Domestic Relations Specify __________
________________________________
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