IN THE DISTRICT COURT OF COUNTY STATE OF OKLAHOMA CIVIL COVER SHEET TYPE OF CASE (MUST CHECK ONE) & ALL INFORMATION REQUIRED CIVIL CJ _____ (over $10,000) CS _______(under $10,000) CV ______ (Miscellaneous Civil) SC _____(Small Claims-less than $6,000) SC _____(Forcible E &D up to $1,500) FAMILY AND DOMESTIC AI_________(Artificial Insemination) FA ________(Adoption) FD ________(Divorce) FI _________ (Income Assignment) FP _________(Paternity) FR_________ (Reciprocal) FMI_______ (Miscellaneous) PROBATE PB ________ (Probate) PC ________ (Conservatorship) PG ________ (Guardianship) FB ________ (Full Blood) PRINCIPAL CAUSE OF ACTION: _____________________________ AMOUNT ENCLOSED:$___________ Defendant's Initial Pleading-Entry of Appearance/Answer/ 3rd Party Petition (MUST FILL OUT FOLLOWING INFORMATION) Existing Case No.__________ ATTORNEY INFORMATION: Party Representing:________________________ _______________________________________________________ Name: Firm:___________________________________________________ Mailing Address: City: State: Zip Code:_____________________ Phone Number: Fax Number: _____________________________________________ Bar # PLAINTIFF INFORMATION NAME: LAST E-Mail Address_ __________________________________ FIRST MIDDLE PHYSICAL ADDRESS ADDRESS: MAILING ADDRESS CITY: DATE OF BIRTH: D.L. NO. CELL PHONE NO. STATE: ZIP:________________________________________ SOCIAL SECURITY NO./EIN________________ PHONE NO. ______________________________ E-MAIL ADDRESS________________________ DEFENDANT INFORMATION NAME: LAST FIRST MIDDLE PHYSICAL ADDRESS ADDRESS: MAILING ADDRESS CITY: DATE OF BIRTH: D.L. NO. CELL PHONE NO. STATE: ZIP:________________________________________ SOCIAL SECURITY NO./EIN________________ PHONE NO._______________________________ E-MAIL ADDRESS SUMMONS INFORMATION NUMBER OF SUMMONS TO BE ISSUED: ______ SUMMONS TO BE ISSUED BY COURT CLERK ______ PETITION & SUMMONS TO BE SERVED BY: ISSUED TO ATTORNEY NO SUMMON ISSUED PROCESS SERVER: _________ PUBLICATION __________ SHERIFF COUNTY: _________________ REGISTERED /CERTIFIED MAIL__________ 1 American LegalNet, Inc. www.FormsWorkFlow.com