General Civil And Domestic Relations Case Filing Information Form

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General Civil and Domestic Relations Case Filing Information Form
Superior or ☐ State Court of ______________________________ County
GWINNETT
For Clerk Use Only
Date Filed _________________________
Case Number _________________________
MM-DD-YYYY
Plaintiff(s)
Defendant(s)
__________________________________________________
__________________________________________________
Last
First
Middle I.
Suffix
Prefix
Last
First
Middle I.
Suffix
Prefix
__________________________________________________
__________________________________________________
Last
First
Middle I.
Suffix
Prefix
Last
First
Middle I.
Suffix
Prefix
__________________________________________________
__________________________________________________
Last
First
Middle I.
Suffix
Prefix
Last
First
Middle I.
Suffix
Prefix
__________________________________________________
__________________________________________________
Last
First
Middle I.
Suffix
Prefix
Last
First
Middle I.
Suffix
Prefix
Plaintiff’s Attorney ________________________________________
Bar Number __________________
Self-Represented ☐
Check One Case Type in One Box
General Civil Cases
Domestic Relations Cases
Automobile Tort
Adoption
Civil Appeal
Dissolution/Divorce/Separate
Contract
Maintenance
Garnishment
Family Violence Petition
Paternity/Legitimation
General Tort
Support – IV-D
Habeas Corpus
Injunction/Mandamus/Other Writ
Support – Private (non-IV-D)
Other Domestic Relations
Landlord/Tenant
Medical Malpractice Tort
Product Liability Tort
Post-Judgment – Check One Case Type
Real Property
Contempt
Restraining Petition
Non-payment of child support,
Other General Civil
medical support, or alimony
Modification
Other/Administrative
Check if the action is related to another action(s) pending or previously pending in this court involving some or all
of the same parties, subject matter, or factual issues. If so, provide a case number for each.
____________________________________________
____________________________________________
Case Number
Case Number
I hereby certify that the documents in this filing, including attachments and exhibits, satisfy the requirements for
redaction of personal or confidential information in O.C.G.A. § 9-11-7.1.
Is an interpreter needed in this case? If so, provide the language(s) required. ________________________________
Language(s) Required
Do you or your client need any disability accommodations? If so, please describe the accommodation request.
_________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________
Version 1.1.18

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