Print Form Clear Form Domestic Relations Case Filing Information Form Superior Court County _____________________ Date Filed _____________ MM-DD-YYYY Docket # ____________________ Defendant(s) Plaintiff(s) __________________________________ __________________________________ Last Last First Middle I. Suffix Prefix Maiden First Middle I. Suffix Prefix Maiden __________________________________ __________________________________ Last Last First Middle I. Suffix Prefix Maiden Plaintiff/Petitioner's Attorney First Middle I. Middle I. Suffix Prefix Maiden Pro Se __________________________________ Last First Bar # _________________ Suffix Check Case Type (one or more) FAMILY VIOLENCE Divorce (includes annulment) Separate Maintenance Adoption Paternity (includes legitimation) Interstate Support Enforcement Action Domestication of Foreign Custody Decree Additional Information - Ex Parte Relief Did the initial pleading include a request for relief 1. From alleged family violence? Yes No 2. Was ex parte relief requested? Yes No 3. Was ex parte relief granted? Yes No Family Violence Act Petition MODIFICATION Modification - Custody and/or Visitation Modification - Child Support and Alimony Modification - Child Support Modification - Alimony CONTEMPT Contempt - Custody and/or Visitation Contempt - Child Support and Alimony Contempt - Child Support Contempt - Alimony Other Domestic Contempt Other Domestic Relations Specify __________ ________________________________ ________________________________ American LegalNet, Inc. www.USCourtForms.com