FL/E-ME-811 Family Law Case Demographics Information Sheet for Child Custody/Visitation Court Case Number: ____________________ Family Court Services Number: _____________________ Petitioner's Information First Name Middle Initial Last Name First Name Petitioner's Attorney Information Last Name Mailing Address (Include Apt. or Suite #) Mailing Address (Include Suite #) City State Zip Code City State Zip Code Date of Birth: Month Home Phone: Work Phone: ( ( ) ) Day Year Work Phone: ( ) Respondent's Information First Name Middle Initial Last Name First Name Respondent's Attorney Information Last Name Mailing Address (Include Apt. or Suite #) Mailing Address (Include Suite #) City Date of Birth: Month Home Phone: Work Phone: ( ( ) ) State Zip Code City State Zip Code Day Year Work Phone: ( ) FL/E-ME-811 (Revised 09/29/16) Mandatory Family Law Case Demographics Information Sheet Page 1 of 2 www.saccourt.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com FL/E-ME-811 Court Case Number: ____________________ Family Court Services Number: _____________________ Claimant's (3rd Party's) Information First Name Middle Initial Last Name First Name Claimant's Attorney Information Last Name Mailing Address (Include Apt. or Suite #) Mailing Address (Include Suite #) City Date of Birth: Home Phone: Work Phone: Month ( ( ) ) State Day Zip Code Year City State Zip Code Work Phone: ( ) List all children of the parties: Name Date of Birth Age School Resides with I declare under penalty of perjury that the foregoing information is true and correct. ____/___/_______ DATE SIGNATURE OF DECLARANT FL/E-ME-811 (Revised 09/29/16) Mandatory Family Law Case Demographics Information Sheet Page 2 of 2 www.saccourt.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com