Fill and Sign the Confidential Case Filing Information Sheet Missouri Courts

Case Number (For Court Use Only) ___________________________ OSCA (05-13) FI-15 C ONFIDENTIAL CASE FILING INFORMATION SHEET D OMESTIC RELATIONS CASES – A DULT ABUSE /STALKING Required at Case Initiation NOTICE TO LAW ENFORCEMENT: This is a confidential form and shall be used only to validate the electronic transfer of the case into the Missouri Uniform Law Enforcement System (MULES). DO NOT SERVE THIS FO RM TO THE RESPONDENT. I NSTRUCTIONS :  Complete this form for all parties known at the time of filing. Provide the most appropriate Case Type and Party Type codes and descriptions. (Found on the Ca se Types List and Party Types List at www.courts.mo.gov on the Court Forms/Filing Information page.)  If additional space is needed, complete additional Confidential Case Filing Information Sheets. NOTE: The full Social Security Number (SSN) is required pursuant to Court Operating Rule 4.07 if the party is a person and is reasonably available. This is a confi dential document. This information is needed to open a case in the court’s case management system. While cases deemed public under Missouri statutes can be accessed through Case.net, the day a nd month of birth, SSN, and confidential addresses are NOT provided to the public through Case.net. Filing Date: County/City of St. Louis: Style of Case: (i.e. Petitioner v. Respondent) Case Type Code: Case Type Description: Petitioner/Protected Person Information: Party Type Code: Party Type Description: Name: (Last) (First) (Middle) Address: City: State: Zip: Contact Telephone Number: DOB: Age: Gender: Male Female SSN: Height: Weight: Hair Color: Race: Eye Color: Attorney Name (if represented by counsel): Bar ID: Party Type Code: Respondent Information: Party Type Code: Party Type Description: Name: (Last) (First) (Middle) Address: City: State: Zip: Contact Telephone Number: DOB: Age: Gender: Male Female SSN: Height: Weight: Hair Color: Race: Eye Color: Attorney Name (if represented by counsel): Bar ID: Party Type Code: Employer Information Petitioner/Protected Pers on Employer Name: Employer Address: City: State: Zip: Contact Telephone Number: Respondent Employer Name: Employer Address: City: State: Zip: Contact Telephone Number: Case Number (For Court Use Only) ___________________________ OSCA (05-13) FI-15 The following information regarding children is required. Complete this section for any child subject to the action of this case. *MACSS – Missouri Automated Child Support System Children: Name: SSN: DOB: Gender: Male Female Optional: MACSS Member Number (to be completed by the court): Name: SSN: DOB: Gender: Male Female Optional: MACSS Member Number (to be completed by the court): Name: SSN: DOB: Gender: Male Female Optional: MACSS Member Number (to be completed by the court): Name: SSN: DOB: Gender: Male Female Optional: MACSS Member Number (to be completed by the court): Name: SSN: DOB: Gender: Male Female Optional: MACSS Member Number (to be completed by the court): Check if more than five children and attach additional sheet Submitted by: Bar ID (required if attorney): Address (if not shown on previous page): City: State: Zip: Phone: Email Address: *IMPORTANT: It is the parties’ responsibility to keep the co urt informed of any change of address or employment.* Instructions to Clerk This copy of this form shall be sent to law enforcement to validate the electronic transfer of the case into MULES. Maintain the closed portion(s) of the record in a sealed manila envelope within the file. The file can be maintained with other open records. If a request is made to review the open portion of the file, the envelope can be removed from the file. Access to the record must be restricted to avoid access to the closed portion of the record.