* * v. CIRCUIT COURT * Plaintiff IN THE FOR * Defendant * * * * * * * Civil No.: * * * * * * * SCHEDULING CONFERENCE INFORMATION FORM Instructions: A copy of this form is to be completed by EACH PARTY and brought, completed, to the Scheduling Conference. See attached Notice of Scheduling Conference. 1. Personal Information Name: dob: Home Address: Home Telephone: ( Work No.: ( ) ) – . – . I am / am not (circle one) represented by an attorney. 2. Attorney Information Attorney’s Name: Attorney’s Office Address: Attorney’s Telephone No.: ( ) Attorney’s Fax No.: ( – ) – . . 3. Children Involved in this Court Action Child’s Name: Relationship to child: dob: / / dob: / / dob: / / dob: / / Page 1 of 3 CM 2 - Revised 28 July 2000 2001 © American LegalNet, Inc. 4. Related Cases Have there ever been any actions initiated in this Court, the District Court, or any other court of this State or any other state between you and the opposing party for protection from domestic violence or child abuse? YES / NO. If YES, please complete the following and attach a copy of any court orders issued in the case: State County Court Case No. Date of Order Expiration Date Have you and/or another party ever initiated a court action (including criminal charges) in this or any other county or state regarding any of the issues involved in this action? YES / NO. If YES, please complete the following and attach any court orders currently in effect. State County Court Case No. Page 2 of 3 Date of Order Case Type CM 2 - Revised 28 July 2000 2001 © American LegalNet, Inc. 5. Issues What are you seeking from the Court? \ \ I want an INITIAL ORDER (Check all that apply below) \ Divorce \ A determination of custody of a minor child (check all that apply): I want to MODIFY OR ENFORCE AN EXISTING COURT ORDER (Check all that apply below) \ Modify Child Support \ Modify an Existing Custody Order (check all that apply): LEGAL CUSTODY: (Who should make major decisions for the child?): \ I want sole legal custody (I make all major decisions for the child). \ I want shared legal custody (both parties must agree on major decisions for the child). \ I want legal custody (decision-making authority) to go to: (Name). LEGAL CUSTODY: (Who should make major decisions for the child?): \ I want sole legal custody (I make all major decisions for the child). \ I want shared legal custody (both parties must agree on major decisions for the child). \ I want legal custody (decision-making authority) to go to: (Name). PHYSICAL CUSTODY (Where should the child live?): \ I want primary physical custody(child lives primarily with me or only with me). \ I want shared physical custody (child lives part-time at least 35% of the time with each party). \ I want physical custody to go to someone else: (Name). PHYSICAL CUSTODY (Where should the child live?): \ I want primary physical custody(child lives primarily with me or only with me). \ I want shared physical custody (child lives part-time at least 35% of the time with each party). \ I want physical custody to go to someone else: (Name). \ Visitation with minor children. \ Child Support \ Alimony \ Determination of Value or Ownership of: \ Real property \ Personal property (furniture/automobile...) \ Pension \ Bank accounts / IRAs \ Business \ Monetary Award \ Transfer an interest in retirement/pension. \ Use & Possession of Family Use \ Modify Visitation. \ Modify something else: Find the Other Person in Contempt of Court for: \ Violation of Custody or Visitation Order \ Violation of Support Order \ Attorney’s Fees/Court Costs Home or Personal Property \ Attorney’s Fees/Court Costs \ Other: Page 3 of 3 CM 2 - Revised 28 July 2000 2001 © American LegalNet, Inc.