Fill and Sign the Domestic Relations Filing Information Form

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