Case Number (For Court Use Only) ___________________________ CONFIDENTIAL CASE FILING INFORMATION SHEET DOMESTIC RELATIONS CASES – ADULT ABUSE/STALKING Required at Case Initiation NOTICE TO LAW ENFORCEMENT: This is a confidential form and shall be used only to validate the electronic transfer of the case into the Missouri Uniform Law Enforcement System (MULES). DO NOT SERVE THIS FORM TO THE RESPONDENT. 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. Filing Date: County/City of St. Louis: Style of Case: (i.e. Petitioner v. Respondent) Case Type Code: Case Type Description: Petitioner/Protected Person Information: Party Type Code: Party Type Description: Name: (Last) (First) (Middle) Address: City: State: DOB: Height: Zip: Age: Weight: Contact Telephone Number: Gender: Hair Color: Male Female SSN: Race: Attorney Name (if represented by counsel): Eye Color: Bar ID: Party Type Code: Respondent Information: Party Type Code: Party Type Description: Name: (Last) (First) (Middle) Address: City: State: DOB: Height: Zip: Age: Weight: Gender: Hair Color: Contact Telephone Number: Male Female Race: SSN: Eye Color: Employer Information Petitioner/Protected Person Employer Name: Employer Address: City: State: Zip: State: Zip: Contact Telephone Number: Respondent Employer Name: Employer Address: City: Contact Telephone Number: OSCA (10-10) FI-15 American LegalNet, Inc. www.FormsWorkFlow.com Case Number (For Court Use Only) ___________________________ The following information regarding children is required. Complete this section for any child subject to the action of this case. *MACSS – Missouri Automated Child Support System Children: SSN: Name: Gender: Male Female Optional: MACSS Member Number (to be completed by the court): Name: Gender: SSN: Male Female SSN: Male Female SSN: Male Female DOB: Optional: MACSS Member Number (to be completed by the court): Name: Gender: DOB: Optional: MACSS Member Number (to be completed by the court): Name: Gender: DOB: Optional: MACSS Member Number (to be completed by the court): Name: Gender: DOB: SSN: Male Female DOB: Optional: MACSS Member Number (to be completed by the court): Check if more than five 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: *IMPORTANT: It is the parties’ responsibility to keep the court informed of any change of address or employment.* Instructions to Clerk This copy of this form shall be sent to law enforcement to validate the electronic transfer of the case into MULES. 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 (10-10) FI-15 American LegalNet, Inc. www.FormsWorkFlow.com