Civil - Domestic Case Information Report
Download a blank fillable Civil - Domestic Case Information Report in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Civil - Domestic Case Information Report with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Circuit Court for
City or County
CIVIL - DOMESTIC CASE INFORMATION REPORT
DIRECTIONS:
Plaintiff: This information Report must be completed and attached to the complaint filed with the Clerk
of Court unless your case is exempted from the requirement by the Chief Judge of the Court of Appeals pursuant to
Rule 2-111. A copy must be included for each defendant to be served.
Defendant: You must file an Information Report as required by Rule 2-323(h).
THIS INFORMATION REPORT CANNOT BE ACCEPTED AS AN ANSWER OR RESPONSE
FORM FILED BY:
PLAINTIFF
DEFENDANT
CASE NUMBER
Clerk to insert
CASE NAME:
vs.
Plaintiff
Defendant
(
)
-
PARTY'S NAME:
PHONE:
Day Time Phone
ADDRESS:
(
)
-
PARTY'S ATTORNEY'S NAME:
PHONE:
ATTORNEY'S ADDRESS:
I am not represented by an attorney
RELATED CASE PENDING?
Yes
No If yes, Court and case #(s) if known:
Special Requirements?
Interpreter (Please attach Form CC-DC 41)
ADA accommodation (Please attach Form CC-DC 49)
ALTERNATIVE DISPUTE RESOLUTION INFORMATION
Is this case appropriate for referral to an ADR process under Md. Rule 17-101? (Check all that apply)
A. Mediation
Yes
No
C. Settlement Conference
Yes
No
B. Arbitration
Yes
No
D. Neutral Evaluation
Yes
No
IS THIS CASE CONTESTED?
Yes
No
If yes, which issues appear to be contested?
Ground for divorce
Child Custody
Visitation
Child Support
Alimony
Permanent
Rehabilitative
Use and possession of family home and property
Marital property issues involving:
Valuation of business
Pensions
Bank accounts/IRA's
Real Property
Other:
Paternity
Adoption/termination of parental rights
Other:
Request is made for:
Initial order
Modification
Contempt
Absolute Divorce
Limited Divorce
For non-custody/visitation issues, do you intend to request:
Court-appointed expert (name field)
Mediation by a Court-sponsored settlement program
Initial conference with the court
Other:
For custody/visitation issues, do you intend to request:
Mediation by a private mediator
Appointment of counsel to represent child (not just to
Evaluation by mental health professional
waive psychiatric privilege)
Other Evaluation
A conference with the Court
Is there an allegation of physical or sexual abuse of party or child?
Yes
No
CC/DCM 001 (Rev. 2/2010)
Page 1 of 2
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business