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Confidential Case Filing Information Sheet Domestic Relations Form. This is a Missouri form and can be use in Circuit Court Statewide.
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Tags: Confidential Case Filing Information Sheet Domestic Relations, FI-10, Missouri Statewide, Circuit Court
CONFIDENTIAL CASE FILING INFORMATION SHEET – DOMESTIC RELATIONS CASES
Required at Case Initiation and with Responsive Filings
INSTRUCTIONS:
Complete this form for all parties known at the time of filing. Provide the most appropriate Case Type and Party
Type codes and descriptions. (Found on the Case Types List and Party Types List at www.courts.mo.gov on the
Court Forms/Filing Information page.)
If additional space is needed, complete additional Confidential Case Filing Information Sheets.
NOTE: The full Social Security Number (SSN) is required pursuant to Section 509.520 RSMo if the party is a
person.
Filing Date:
County/City of St. Louis:
Style of Case:
(i.e. Petitioner v. Respondent)
Case Type Code:
Case Type Description:
Petitioner/Plaintiff Information:
Party Type Code:
Party Type Description:
Name: (Last)
(Middle)
(First)
Address:
City:
DOB/DOD:
State:
Gender:
Male
Female
Zip:
SSN:
Attorney Name (if represented by counsel):
Bar ID:
Party Type Code:
Respondent/Defendant Information:
Party Type Code:
Party Type Description:
Name: (Last)
(First)
(Middle)
Address:
City:
DOB/DOD:
State:
Gender:
Male
Female
Attorney Name (if represented by counsel):
Party Type Code:
Zip:
SSN:
Bar ID:
Party Type Code:
Party Type Description:
Name (if person): (Last)
(Middle)
(First)
Organization (if non-person):
Address:
City:
DOB/DOD:
State:
Gender:
Male
Female
SSN:
Attorney Name (if represented by counsel):
Party Type Code:
Zip:
Bar ID:
Party Type Code:
Party Type Description:
Name (if person): (Last)
(First)
(Middle)
Organization (if non-person):
Address:
City:
DOB/DOD:
State:
Gender:
Attorney Name (if represented by counsel):
Male
Female
Zip:
SSN:
Bar ID:
Party Type Code:
American LegalNet, Inc.
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OSCA (7-09) FI-10
Employer Information
Petitioner/Plaintiff Employer Name:
Employer Address:
City:
State:
Zip:
State:
Zip:
Respondent/Defendant Employer Name:
Employer Address:
City:
The following information regarding the child(ren) is required. Complete this section for any children subject to the
action of this case.
Children:
Name:
SSN:
DOB:
Optional: MACSS Member Number (to be completed by the court):
Name:
SSN:
DOB:
Optional: MACSS Member Number (to be completed by the court):
Name:
SSN:
DOB:
Optional: MACSS Member Number (to be completed by the court):
Name:
SSN:
DOB:
Optional: MACSS Member Number (to be completed by the court):
Name:
SSN:
DOB:
Optional: MACSS Member Number (to be completed by the court):
Name:
SSN:
DOB:
Optional: MACSS Member Number (to be completed by the court):
Name:
SSN:
DOB:
Optional: MACSS Member Number (to be completed by the court):
Name:
SSN:
DOB:
Optional: MACSS Member Number (to be completed by the court):
Name:
SSN:
DOB:
Optional: MACSS Member Number (to be completed by the court):
Name:
SSN:
DOB:
Optional: MACSS Member Number (to be completed by the court):
Check if more than ten children and attach additional sheet
Submitted by:
Bar ID (required if attorney):
Address (if not shown on previous page):
City:
Phone:
State:
Zip:
Email Address:
Instructions to Clerk
Maintain the closed portion(s) of the record in a sealed manila envelope within the file. The file can be
maintained with other open records. If a request is made to review the open portion of the file, the
envelope can be removed from the file. Access to the record must be restricted to avoid access to the
closed portion of the record.
OSCA (7-09) FI-10
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