Fill and Sign the Oklahoma Domestic Cover Sheet Form

F OR I NTERNAL U SE O NLY THIS SHEET WILL NOT BECOME PART OF THE PUBLIC RECORD, AND WILL BE USED FOR INTERNAL CASE TRACKING PURPOSES. DOMESTIC RELATIONS COVER SHEET IN THE DISTRICT COURT OF ___________________ COUNTY STATE OF OKLAHOMA P LAINTIFF _____________________________________ V . D EFENDANT ____________________________________ [ ] FD [ ] FR [ ] FP [ ] FI [ ] PA P ARTY I NFORMATION T HE INFORMATION BELOW IS REQUIRED OF EACH PARTY IN THE CASE . P ARTY T YPE : [ ] P LAINTIFF [ ] D EFENDANT [ ] O THER _____________________ C OMPANY OR L AST N AME F IRST N AME M IDDLE N AME P REFIX (M R ., ETC .) S UFFIX (S R ., ETC .) S TREET A DDRESS ______________________________________________________ ______________________________________________________ ______________________________________________________ A DDRESS T YPE [ ] H OME [ ] W ORK [ ] O THER _____________ D RIVERS L ICENSE # (F EDERAL T AX ID FOR C ORPORATE OR E NTITY P ARTIES ) C ITY S TATE Z IP T ELEPHONE D ATE OF B IRTH D RIVERS L ICENSE S TATE A TTORNEY I NFORMATION I F LICENSED IN O KLAHOMA , FILL IN ADDRESS INFORMATIONONLY IF IT NEW SINCE THEY WERE REGISTERED WITH THE O KLAHOMA B AR A SSOCIATION . A TTACH ADDITIONAL COVER SHEETS FOR ADDITIONAL ATTORNEYS . A LL ATTORNEYS SHOULD BE LISTED . NOTE: A DDRESS CHANGES ARE EFFECTIVE IN ALL OCIS COUNTIES . C OMPANY OR L AST N AME F IRST N AME M IDDLE N AME P REFIX (M R ., ETC .) S UFFIX (S R ., ETC .) S TREET A DDRESS ______________________________________________________ ______________________________________________________ ______________________________________________________ A DDRESS T YPE [ ] H OME [ ] W ORK [ ] O THER _____________ E MAIL A DDRESS C ITY S TATE Z IP T ELEPHONE B AR N UMBER AND S TATE S UMMONS I NFORMATION N UMBER OF S UMMONS TO BE I SSUED __________ P ETITION TO BE S ERVED BY : [ ] S HERIFF OF ________________C OUNTY [ ] P ROCESS SERVER [ ] P UBLICATION [ ] BY H AND [ ] R EGISTERED M AIL [ ] G IVEN TO THE A TTORNEY OF R ECORD [ ] O THER C LAIMS OF R ELIEF R EQUESTED (C IRCLE PRIMARY RELIEF , CHECK ALL OTHERS ) [ ] DIVORCE [ ] SEPARATE MAINTENANCE [ ] ANNULMENT [ ] CIVIL PATERNITY [ ] APPEAL ON ADMINISTRATIVE ORDER [ ] RECIPROCAL OUTGOING [ ] CHILD CUSTODY [ ] HABEAS CORPUS [ ] PROTECTIVE ORDER [ ] TEMPORARY EMERGENCY PROTECTIVE ORDER [ ] REG OF FOREIGN JUDGEMENT [ ] VISITATION GRANDPARENT(S) [ ] DOMESTIC MISCELLANEOUS [ ] WAS THERE PREMARITAL COUNSELING? [ ] YES [ ] NO (check one) POST JUDGEMENT ACTION (check all that apply): [ ] MODIFICATION OF DECREE [ ] SET ASIDE DECREE/RESCIND FINAL ORDER [ ] APPLICATION FOR CONTEMPT (CHILD SUPPORT OR OTHER) [ ] ENFORCEMENT OF JUDGEMENT INCOME ASSIGNMENT ORIGINAL & POST JUDGMENT ACTIONS RELIEF INVOLVES (check all that apply): [ ] MINOR CHILD(REN) OF THIS RELATIONSHIP [ ] YES [ ] NO (check one) IF YES, HOW MANY _________________ [ ] CUSTODY [ ] CHILD SUPPORT [ ] VISITATION [ ] VISITATION (other than parent) [ ] PROPERTY DIVISION [ ] DEBT DIVISION [ ] ALIMONY [ ] INDIAN CHILD WELFARE ACT [ ] RESTRAINING ORDER PROPERTY [ ] RESTRAINING ORDER PERSON [ ] RESTORATION OF FORMER NAME [ ] O THER ___________________________ [ ] O THER ___________________________ [ ] O THER ___________________________ T HIS COVER SHEET IS REQUIRED TO BE SUBMITTED BY ALL PARTIES WITH THEIR INITIAL FILING . T HIS D OCUMENT IS R EQUIRED BY S UPREME C OURT A DMINISTRATIVE D IRECTIVE SCAD-1999-87. R EVISION 5-16-2000 Promulgated by the Oklahoma Administrative Office of the Courts CASE NO. ______________