Fill and Sign the Nevada Family Court Form

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 IN THE FAMILY DIVISION OF THE ________ JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA IN AND FOR THE COUNTY OF _________       , Plaintiff/Petitioner, FAMILY COURT INFORMATION SHEET vs. Case No.             , Dept. No.       Defendant/Respondent. Name:       Name:       Social Security #:       Social Security #:       IF THIS CASE INVOLVES CHILDREN, PLEASE COMPLETE THE FOLLOWING: Residential Address:       Residential Address:                   Mailing Address:       Mailing Address:                   City:       State:       ZIP:       City:       State:       ZIP:       Telephone #: (       ) Telephone #: (       ) Are you Employed? Yes No Are you Employed? Yes No Name of Employer:       Name of Employer:                   Business Address:       Business Address:                   City:       State:       ZIP:       City:       State:       ZIP:       Telephone #: (       ) Telephone #: (       ) Driver’s License #       State:       Driver’s License #       State:       Date of Birth:       /       /       Date of Birth:       /       /       Ethnicity: White (Not Hispanic) Ethnicity: White (Not Hispanic) African-American Hispanic African-American Hispanic Asian of Pacific Islander Asian of Pacific Islander Native American/Alaskan Native Native American/Alaskan Native Other Other CHILDREN INVOLVED IN THIS CASE Name:       SSN:       /       /       DOB:       /       /       Name:       SSN:       /       /       DOB:       /       /       Name:       SSN:       /       /       DOB:       /       /       Name:       SSN:       /       /       DOB:       /       /       Name:       SSN:       /       /       DOB:       /       /       If more than five children list their names on a separate sheet of paper and attach. Does this case involve family violence? Yes No Are you requesting Child Support Enforcement Services from the District Attorney’s Office (IV-D) Services? Yes No Court Personnel Only: Custodial Parent Non-Custodial Parent