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Appearance By Self-Represented Person In Civil Case Form. This is a Indiana form and can be use in Family Law (Pro-Se) Statewide.
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Tags: Appearance By Self-Represented Person In Civil Case, Indiana Statewide, Family Law (Pro-Se)
STATE OF INDIANA
COUNTY OF
IN RE THE NAME CHANGE OF:
Petitioner.
)
IN THE
) SS:
)
CASE NO.
CIRCUIT COURT
)
)
)
)
)
APPEARANCE BY SELF-REPRESENTED PERSON IN CIVIL CASE
This Appearance Form must be filed on behalf of every party in a civil case.
1. My Name is: ___________________________________ and I am
Initiating (filing)
X ;
Responding (answering or defending)_____; or
Intervening ____;
in this case and am representing myself.
2. Contact information for receiving legal service of documents and case information is required by
Court Rules: (NOTE: If you are the Initiating party and this case, or a related case, involves a
protection from abuse order, a workplace violence restraining order, or a no-contact order, you must
provide an address for the purpose of legal service of documents but that address should not be one that
exposes the whereabouts of a petitioner)
Address: _____________________________________
_____________________________________________
Email Address: ________________________________
Phone: _______________________________________
FAX: ________________________________________
OR, if in the related case, you have used the Attorney General Confidential address, you may check the
box below:
____ Attorney General confidential address (contact the Attorney General at 1-800-321-1907 or
e-mail address is confidential@atg.state.in.us).
3. This is a __________ case type as defined in administrative Rule 8(B)(3).
(Clerk will supply this information.)
4. I will accept service by FAX at the following number _________________________
Page 1 of 2
Form TCM-TR3.1-2
Revised by State Court Administration 10/10
American LegalNet, Inc.
www.FormsWorkFlow.com
5. This case is a domestic relations matter, involves reciprocal enforcement of child support,
paternity, delinquency, Child in Need of Services (CHINS), guardianship, or any other proceedings in
which support may be an issue, and social security numbers of all family members are supplied on a
separately attached document (Form TCM-TR3.1-4) filed as confidential information on light green
paper.
______ Yes
X
No
6. There are related cases: Yes____ No X
(If yes, please indicate below.)
Caption and case number of related cases:
Caption:____________________________ Case Number: ________________________
Caption:____________________________ Case Number: ________________________
Caption:____________________________ Case Number: ________________________
Caption:____________________________ Case Number: ________________________
Caption:____________________________ Case Number: ________________________
Caption:____________________________ Case Number: ________________________
7. Additional information required by local rule:
_________________________________________________________________________
____________________________________
Self-Represented Party
Page 2 of 2
Form TCM-TR3.1-2
Revised by State Court Administration 10/10
American LegalNet, Inc.
www.FormsWorkFlow.com
