Domestic Relations Case Filing Information Form
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1Domestic 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
Additional Information - Ex Parte Relief
Divorce (includes annulment)
Contested?
Yes
No
Did the initial pleading include a request for relief
Child Custody issue?
Yes
No
1. From alleged family violence?
Yes
No
Child Support issue?
Yes
No
2. Was ex parte relief requested?
Yes
No
Separate Maintenance
3. Was ex parte relief granted?
Yes
No
Adoption
Paternity (includes legitimation)
OTHER
Interstate Support Enforcement Action
Domestication of Foreign Custody Decree
Have the parties agreed to binding arbitration?
Family Violence Act Petition
Yes
No
Have the parties reached a custodial
MODIFICATION
agreement?
Yes
No
If yes, is custody:
Modification – Custody, Visitation or
Joint custody
Parenting Time
Joint legal custody
Does the modification include a parent
Joint physical custody
selection by a child who is at least 14
Sole custody to:
years of age?
Yes
No
Financial affidavit submitted?
Yes
No
Modification - Child Support and Alimony
Child support forms submitted?
Yes
No
Modification - Child Support
Modification – Alimony
CONTEMPT
Contempt – Custody, Visitation, or
Parenting Time
Contempt - Child Support and Alimony
Contempt - Child Support
Contempt - Alimony
Other Domestic Contempt
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