Fill and Sign the Georgia Domestic Form

DOMESTIC INTAKE WORKSHEET Style of Case:       Case Number:       Date of Filing:       Judge Assigned to Case:       Part A-- Information About the Parties Petitioner/Plaintif:       Name(s) Address:                               Street Address County City State Zip Telephone Number:             Home Work Date of Birth:       Petitioner’s Attorney:       Name Attorney’s Address:                               Street Address County City State Zip Attorney’s Telephone Number:       Respondent/Defendant:       Name(s) Address:                               Street Address County City State Zip Telephone Number:             Home Work Date of Birth:       Respondent’s Attorney:       Name Attorney’s Address:                               Street Address County City State Zip Attorney’s Telephone Number:       Page 1 of 2 Part B-- Information About the Current Case and Related Cases NUMBER OF CHILDREN: NAMES OF CHILDREN:                                                       Current Claim(s)/Issue(s)/Allegation(s): Divorce Legitimation Adoption Child Custody Family Violence Guardianship Visitation Child Abuse Substance Abuse Child Support URESA Other Issues: Paternity DHR             Is there currently pending in any other Fulton County Court a case or cases involving the petitioner, respondent, or any minor children of the relationship? Yes No If yes, please list the Court, Case number, and style of case below. Court Case Number Style of Case                                                                                           Page 2 of 2