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Intake Cross Reference Sheet Form. This is a District Of Columbia form and can be use in Superior Court Statewide.
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Tags: Intake Cross Reference Sheet, District Of Columbia Statewide, Superior Court
SUPERIOR COURT OF THE DISTRICT OF COLUMBIA
FAMILY COURT
INTAKE/CROSS REFERENCE SHEET
THE PEOPLE OF THE STATE OF NEW YORK
Branch/Agency
Docket Number:
TO
Please provide the following information concerning the party(s) immediate family and household members in order to assist the court m processing your case.
Natural Father:
Current Address
Natural Mother:
Current Address
Child Name:
Current Address
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
D.O.B.
D.O.B.
D.O.B.
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
If known, provide the following information:
If known, provide the following information:or adjourned date, to testify and give evidence as a witnessIf known, provide the following information:
in this action on the part of the
IV-D UPI
SFN:
IV-D UPI
IV-D UPI
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on Name behalf this subpoena was issued for a Other's Name
maximum penalty of $50 and all damages sustained as a
Other's whose
result of your failure to comply.
Relationship to Child
Relationship to Child
Other's Name
Relationship to Child
Current Address
Current Address
Witness, Honorable
Court in
County,
D.O.B.
If known, provide the following information:
IV-D UPI
SFN:
Current Address
, one of the Justices of the
day of
, 20
D.O.B.
If known, provide the following information:
IV-D UPI
SFN:
D.O.B.
If known, provide the following information:
(Attorney must sign above and type name below)
IV-D UPI
SFN:
.
Please list other court matters involving this family and household members that you are aware of (Child Support, Paternity, Domestic Violence, Custody, Delinquency, Neglect
Attorney(s) for
Divorce, Mental Health, Criminal, and Civil )
PARTY(S) NAME
TYPE OF CASE A ND
DOCKET NUMBER
WHERE WAS THE
CASE FILED?
WHAT WAS THE OU TC OME OF THE
CASE?
IS THE CASE
STILL OPEN?
IF OPEN, NEXT HEARING DATE, IF
KNOWN?
Office and P.O. Address
(Yes) (No)
(Yes) (No)
Telephone No.:
(Yes) (No)
Facsimile No.:
(Yes) (No)
E-Mail Address:
Mobile Tel. No.:
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Defendant(s)
:
......................................................
FOR OFFICE USE ONLY
COMPUTER SEARCH OF SYSTEM FOR RELATED CASES.
SYSTEM
Docket Number(s), Social Files Number, PDID Number
Clerks Name
THE PEOPLE OF THE STATE OF NEW YORK
SEARCHED
Neglect
NEXT HEARING DATE
FOUND HIT: Notice
Forwarded (Date)
TO
Juvenile
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Domestic
Relations
Paternity &
Support
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Adoption
MH & MR
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
Domestic
Violence
(Attorney must sign above and type name below)
Criminal
Attorney(s) for
Civil
Office and P.O. Address
.
Other
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
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