DV - LC 116.1 Page 1 of 1 ( 05 / 1 6 ) LETTER TO THE CIRCUIT CLERK ( FILING FORMS TO START A NEW CASE ) Instructions to User 1. Complete this letter. 2. With this letter, i nclude the Summons and Certificate of Dissolution , and the original and one copy of the Petition for Dissolution of Marriage/Civil Union . Also include payment for filing fees or the original and one copy of the Application for Waiver of Court Fees , and a self - addressed and stamped envelope for the Circuit Clerk to mail the file stamped cop ies to you. You may need to file your Application for Waiver of Court Fees in person. Call the Circuit Clerk and ask if that is necessary. 3. Send your letter and the documents listed above to the Circuit Clerk in the county where you are filing your case . Date: Circuit Clerk of County Address of Circuit Clerk Dear Clerk : Re: v. Case Number: Plaintiff/Petitioner Defendant/Respondent I am enclosing the Summons and Certificate of Dissolution, and the original and one copy of the Petition for Dissolution of Marriage/Civil Union to be filed. Check the box that appl ies : I have enclosed an Application for Waiver of Court Fees and an Order for Waiver of Court Fees . Please present these to a Judge ; OR I have enclosed the cost of filing these documents $ . Please issue the Summons and file the documents and return the Summons and file - stamped copies to me in the enclosed self - addressed and stamped envelope. Thank you for your attention to this matter. Sincerely, Signature Printed Name Street Address , Apt # City State Zip Phone American LegalNet, Inc. www.FormsWorkFlow.com