APPEARANCE FORM (CIVIL) Initiating Party Cause Number: ______________________________ (To be supplied by Clerk at the time of filing) / / Check if Pro. Se. (File Stamp) Note: This form is not required for pro se protective orders. 1. _____________________________________ Name of first initiating party 2. _____________________________________ Telephone of pro se initiating party 3. Attorney information (as applicable for service of process): Name: ______________________________ Atty. Number: _____________________________ Address: ____________________________ Telephone: ________________________________ ____________________________________ FAX: ____________________________________ ____________________________________ 4. Case Type requested: _______________________ [See Administrative Rule 8 (b) (3)] 5. Will accept FAX service: Yes____ No ____ 6. Social Security numbers of all family members in proceedings involving support issues. Name: __________________________________ Name: __________________________________ Name: __________________________________ Name: __________________________________ S.S.# _____________________________________ S.S.# _____________________________________ S.S.# _____________________________________ S.S.# _____________________________________ 7. Are there related cases? Yes _____ No_____ If yes, list case information below: Caption: ____________________________ Caption: ____________________________ Cause Number: ____________________________ Cause Number: ____________________________ 8. Additional information required by state or local rule: _________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ American LegalNet, Inc. www.FormsWorkflow.com