Domestic Relations Cover Sheet

ADVERTISEMENT

4A-101. Domestic relations cover sheet.
1
DOMESTIC RELATIONS COVER SHEET
Type or print responses. Required in all domestic relations cases.
(Do not use in domestic violence cases.)
_________________________________________________________________________
2
THIS SECTION FOR OFFICIAL USE ONLY
Case number: __________ Assigned judge: ____________ Free process: Y N
________________________________________________________________________
Information for court clerk’s use.
A.
Parties’ names and petitioner’s attorney information.
Petitioner’s information
Petitioner’s name: ______________________________________________
Attorney’s name: _______________________________________________
Attorney address: _______________________________________________
City: _________________________________________________________
State: ________________________________________________________
Zip code: _____________________________________________________
Telephone: ____________________________________________________
Respondent’s name: ____________________________________________
3
B. Case tracking (select codes from page 3)
Primary case type (Insert three letter code) ______________.
Primary claim for relief (cause of action) (Insert three letter code) _______________.
4
Other claims for relief (cause of action) (Insert three letter codes)
: ________________.
C. Type of pleading (mark only one)
___ FIRST PLEADING for this party (petition)
___ RE-OPENED (Post judgment decree, motions, petitions for enforcement or
modification)
Information for judge’s use (mark all that apply)
Has mediation or settlement facilitation been attempted? ___Yes ___No.
Are there any pending or closed cases, including any domestic violence or children’s court cases,
involving the same parties or children? ___Yes ___ No.
5
END OF COVER SHEET. GO TO INFORMATION SHEET.
6
NOTE TO CLERK: PLACE THE COVER SHEET IN THE COURT FILE.

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Business
Go
Page of 7