CIVIL (FAMILY-RELATED) COVER SHEET Washoe County, Nevada Case No. __________________________________ (Assigned by Clerk’s Office) I. Party Information (provide both home and mailing addresses if different) Plaintiff/Petitioner (name/address/phone): Defendant/Respondent/Co-Petitioner (name/address/phone): Date of Birth (DOB): ________________________________ Attorney (name/address/phone): Date of Birth (DOB): ____________________________________ Attorney (name/address/phone): II. Nature of Controversy (Place X in applicable bold category and another in applicable subcategory, if available) Family-Related Cases Domestic Relations Marriage Dissolution Case Annulment - AN Divorce – With children - DC Divorce – Without children - DO Foreign Decree - FD Joint Petition – With children - JC Joint Petition – Without children - JN Separate Maintenance – LS Support/Custody/Visitation – CU UIFSA Case (formerly URESA) – UF Guardianship Guardianship of an Adult - GA Guardianship of a Minor - GB Guardianship Trust - OG Other Family-Related Case Filing Types Mental Health – IC Request for Temporary Protective Order Children - TC No Children - TP Adoptions Adult - AA Minor – AM Miscellaneous Juvenile Emancipation - EM Paternity - PY Termination of Parental Rights State - TS Private – TV Miscellaneous Domestic Relations Name Change - NC Permission to Marry - MM Other Family – OF Children involved in this case: Name: ___________________________________ Date of Birth (DOB): ______________________________ Name: ___________________________________ Date of Birth (DOB): ______________________________ Name: ___________________________________ Date of Birth (DOB): ______________________________ Date Signature of Preparer For Clark and Washoe Counties, please use their family court cover sheet for family-related case filings. Please see the Family Court Clerk in those counties for copies of their forms. Nevada AOC – Planning and Analysis Division 2JDC 01/2007 Form PA 201 Rev. 2.4E American LegalNet, Inc. www.FormsWorkflow.com