Family Court Cover Sheet (With Minor Children)
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Family Court Cover Sheet (With Minor Children) Form. This is a Arizona form and can be use in Mohave Local County.
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Tags: Family Court Cover Sheet (With Minor Children), Arizona Local County, Mohave
For Clerk’s Use Only
SUPERIOR COURT OF ARIZONA
MOHAVE COUNTY
ATLAS Number(s) (if applicable)
_______________________________________
Case No._______________________________
***NOTE***
For Use WITH Minor Children
FAMILY COURT COVER SHEET
(Check only one):
SOCIAL SECURITY NUMBER MUST
BE PROVIDED. IT CAN BE OMITTED
FROM THIS DOCUMENT AS LONG AS
YOU INCLUDE IT ON THE CONFIDENTIAL
SENSITIVE DATA FORM
Dissolution (Divorce)
Legal Separation
Annulment
Order of Protection
Paternity
* Custody/Visitation
* Child Support
Other ___________________________
* Check only if no other category applies
INSTRUCTIONS:
•
You must provide the following information about yourself and the other party.
•
Type or print neatly in black ink.
•
If more room is needed for children or Petitioner/Respondent, please attach a separate page.
Information About the Petitioner:
Information About the Respondent
Name:
Name:
Address:
Address:
City, State, Zip:
City, State, Zip:
Home Phone #:
Work Phone #
Home Phone #:
Work Phone #
Cell Phone/Pager
Date of Birth
Cell Phone/Pager
Date of Birth
Social Security #
E-Mail address:
Social Security #
E-Mail address:
(***SEE NOTE***)
(***SEE NOTE***)
Lawyer’s Name and Bar Number: ______________________________________________________________
(Provide this information only if YOU have an Attorney)
Do you need an Interpreter
Information About the Children:
Name
Revised: 5/18/2010
Yes
No
If yes, what language: ___________________________
Date of Birth
Page 1 of 1
Social Security #
(***SEE NOTE***)
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