* * * * * * * * EACH PARTY MUST COMPLETE AS MUCH IDENTIFYING INFORMATION AS POSSIBLE FOR ALL OTHER PARTIES TO THE ACTION * * * * * * * * AMADOR SUPERIOR COURT CASE INTAKE SHEET Upon filing of a civil or family law action, each party is to complete ALL information regarding every party to the action on the form. Amador Rule of Court 11.20 Please print legibly THIS FORM IS CONFIDENTIAL AND WILL BE DESTROYED Date: _______________________ Case #: _______________________ Indicate other Amador Superior Court cases in this Court, i.e.: Family Law, Guardianship, Juvenile, Criminal relative to these parties: Case no.: ______________ Title of Case: ___________________________________________ Case no.: ______________ Title of Case: ___________________________________________ Case no.: ______________ Title of Case: ___________________________________________ * * * * * * * * EACH PARTY MUST COMPLETE AS MUCH IDENTIFYING INFORMATION AS POSSIBLE FOR ALL OTHER PARTIES TO THE ACTION * * * * * * * * _________________________________________ Plaintiff/Petitioner (Party completing this form) Aka's (other names used) _________________________________________ _________________________________________ Mailing Address _________________________________________ City, State, Zip Code _________________________________________ Telephone Number / Message Number _________________________________________ Social Security Number _________________ _____________________ Date of Birth Driver's License # _________________________________________ (Party completing this form) Plaintiff/Petitioner Aka's (other names used) _________________________________________ _________________________________________ Mailing Address _________________________________________ City, State, Zip Code _________________________________________ Telephone Number / Message Number _________________________________________ Social Security Number _________________ _____________________ Date of Birth Driver's License # vs. ________________________________________________ Defendant/Respondent (Party completing this form) Aka's (other names used) ________________________________________________ ________________________________________________ Mailing Address ________________________________________________ City, State, Zip Code ________________________________________________ Telephone Number / Message Number ________________________________________________ Social Security Number _______________________ ______________________ Date of Birth Driver's License # vs. ________________________________________________ Defendant/Respondent (Party completing this form) Aka's (other names used) ________________________________________________ ________________________________________________ Mailing Address ________________________________________________ City, State, Zip Code ________________________________________________ Telephone Number / Message Number ________________________________________________ Social Security Number _______________________ ______________________ Date of Birth Driver's License # List other parties on an attached piece of paper, completing the same information as above EACH PARTY MUST COMPLETE AS MUCH IDENTIFYING INFORMATION AS POSSIBLE FOR ALL OTHER PARTIES TO THE ACTION APPROVED FOR MANDATORY USE AMADOR SUPERIOR COURT American LegalNet, Inc. www.FormsWorkFlow.com CASE INTAKE SHEET (REV. 11/29/16) - MISC-049