CIVIL (FAMILY/JUVENILE-RELATED) COVER SHEET 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): D.O.B. Attorney (name/address/phone): D.O.B. Attorney (name/address/phone): Will an Interpreter be required for court hearings? Yes No Will an Interpreter be required for court hearings? Yes No If yes, what language will need to be interpreted?_______________ If yes, what language will need to be interpreted?____________ Contact court clerk for further information about interpreters II. Nature of Controversy (Please check applicable bold category and applicable subcategory, if appropriate) Family-Juvenile Related Cases Domestic Relations Case Filing Types Other Family Related Case Filing Types Marriage Dissolution Case Annulment Divorce - With Children Divorce - Without Children Foreign Decree Joint Petition - With Children Joint Petition - Without Children Separate Maintenance Paternity Custody (Non-Divorce) Support (Non-Divorce) Intrastate (Title IV-D) Other Support (Non-Title IV-D) Visitation (Non-Divorce) Termination of Parental Rights (TPR) State-Initiated TPR Petition (District Attorney filing only) Other TPR Petition (Private Request) Adoptions Adult Minor Children involved in this case: Name: Name: Name: DOB: DOB: DOB: Estimated Estate Value: ___________ Request for Temporary Protective Order Request for Extended Temporary Protective Order Other Domestic Relation Case Filings Name Change Permission to Marry Other Domestic Relation Filings Mental Health Guardianship Case Filing Types Guardianship of an Adult Guardianship of a Minor Guardianship Trust Juvenile-Related Case Filing Types Miscellaneous Juvenile Petition Emancipation Petition Date Signature of initiating party or representative 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 - Research Statistics Unit Pursuant to NRS 3.275 American LegalNet, Inc. www.FormsWorkFlow.com Form PA 201 Rev 3.1