Civil Family Juvenile Related Cover Sheet Template

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CIVIL (FAMILY/JUVENILE-RELATED) COVER SHEET
WASHOE
County, Nevada
Case No.
(Assigned by Clerk's Office)
I. Party Information
(provide both home and mailing addresses if different)
Plaintiff/Petitioner (name/address/phone):
Defendant/Respondent/Co-petitioner (name/address/phone):
D.O.B.
D.O.B.
Attorney (name/address/phone):
Attorney (name/address/phone):
Will an Interpreter be required for court hearings? Yes
No
Will an Interpreter be required for court hearings? Yes
No
If yes, what language will need to be interpreted?_______________
If yes, what language will need to be interpreted?____________
Contact court clerk for further information about interpreters
II. Nature of Controversy
(Please check applicable bold category and applicable subcategory, if appropriate)
Family-Juvenile Related Cases
Domestic Relations Case Filing Types
Other Family Related Case Filing Types
Marriage Dissolution Case
Request for Temporary Protective Order (TP)
Annulment (AN)
Request for Extended Temporary Protective Order
Divorce - With Children (DC)
Other Domestic Relation Case Filings
Divorce - Without Children (DO)
Name Change-Minor (NM)
Foreign Decree (FD)
Permission to Marry (MM)
Joint Petition - With Children (JC)
Other Domestic Relation Filings (OF)
Joint Petition - Without Children (JN)
Mental Health (IC)
Separate Maintenance (LS)
Guardianship Case Filing Types
Paternity - (PY)
Custody (Non-Divorce) (CU)
Guardianship of an Adult (GA)
Support (Non-Divorce)
Guardianship of a Minor (GB)
Intrastate (Title IV-D) (UF)
Guardianship Trust (OG)
Other Support (Non-Title IV-D) (UO)
Visitation (Non-Divorce) (VS)
Estimated Estate Value: ___________
Termination of Parental Rights (TPR)
Juvenile-Related Case Filing Types
State-Initiated TPR Petition (District Attorney filing only) (TS)
Other TPR Petition (Private Request) (TV)
Miscellaneous Juvenile Petition
Adoptions
Emancipation Petition (EM)
Adult (AA)
Minor (AM)
Children involved in this case:
Name:
DOB:
Name:
DOB:
Name:
DOB:
Signature of initiating party or representative
Date
For Clark and Washoe Counties, please use their Family Court Cover Sheet for family-related case filings.
Please see the Family Court Clerk in those counties for copies of their forms.
Nevada AOC - Research Statistics Unit
Form PA 201
Pursuant to NRS 3.275 \ Rev 3.1 \ July 1, 2014
Rev 3.1

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