NAME, ADDRESS, AND TELEPHONE NUMBER OF ATTORNEY OR PARTY WITHOUT ATTORNEY:
STATE BAR NUMBER
Reserved for Clerk’s File Stamp
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES
COURTHOUSE ADDRESS:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
CASE NUMBER:
FAMILY LAW CASE COVER SHEET
CERTIFICATE OF GROUNDS FOR ASSIGNMENT TO DISTRICT
Case Filing Instructions
This cover sheet is required so that the court can assign your case to the correct court district for filing and hearing. It
satisfies the requirement for a certificate authorizing filing in the district, as set forth in Los Angeles Superior Court
Rules 2(d) and 5.2. It must be completed and submitted to the court along with the original Complaint or Petition in
ALL Family cases filed in any district of the Los Angeles County Superior Court. This form is not required in
Abandonment & Emancipation cases, which are to be filed at Children’s Court.
Fill in the requested information.
I.
a) Enter address of Petitioner
ADDRESS:
CITY:
STATE
ZIP CODE
b) Enter address of Respondent. DO NOT COMPLETE THIS ITEM IF THIS IS A MINOR’S CONTRACT CASE
ADDRESS:
CITY:
STATE
ZIP CODE
□
□
MINOR CHILDREN INVOLVED?
YES
HOW MANY? _____________
NO
Select the correct district:
II.
a.
Under Column 1 below, check the one type of action which best describes the nature of this case.
In Column 2 below, circle the reason for your choice of district that applies to the type of action you have checked.
b.
Applicable Reason for Choosing District (See Column 2 below)
1. May be filed in Central District.
3. Child resides within the district.
2. District where one or more of the parties reside.
4. District where Petitioner resides.
1
TYPE OF ACTION
2
APPLICABLE REASONS
(Check only one) (Continued)
(See above)
A5520 Dissolution of Marriage
1. 2
A5525 Summary Dissolution of Marriage
1. 2
A5521 Dissolution of Domestic Partnership
1. 2
A5530 Nullity of Void or Voidable Marriage
1. 2
A5531 Nullity of Void or Voidable Domestic
1. 2
Partnership
FAM 020
FAMILY LAW CASE COVER SHEET
Page 1 of 2
(Rev 11/11)
CERTIFICATE OF GROUNDS FOR ASSIGNMENT TO DISTRICT
LASC RULE 5.2