FOR INTERNAL USE ONLY THIS SHEET WILL NOT BECOME PART OF THE PUBLIC RECORD, AND WILL BE USED FOR INTERNAL CASE TRACKING PURPOSES. DOMESTIC RELATIONS COVER SHEET IN THE DISTRICT COURT OF ___________________ COUNTY STATE OF OKLAHOMA PLAINTIFF _____________________________________ V. DEFENDANT____________________________________ [ [ [ [ [ ] FD ] FR ] FP ] FI ] PA CASE NO. ______________ PARTY INFORMATION THE INFORMATION BELOW IS REQUIRED OF EACH PARTY IN THE CASE. PARTY TYPE: [ ] PLAINTIFF [ ] DEFENDANT [ ] OTHER _____________________ COMPANY OR LAST NAME FIRST NAME M IDDLE NAME PREFIX (MR., ETC.) SUFFIX (SR., ETC.) STREET ADDRESS ______________________________________________________ ______________________________________________________ ______________________________________________________ ADDRESS TYPE CITY DATE OF BIRTH STATE ZIP TELEPHONE [ ] HOME [ ] WORK [ ] OTHER_____________ DRIVERS LICENSE # (FEDERAL TAX ID FOR CORPORATE OR ENTITY PARTIES) DRIVERS LICENSE STATE ATTORNEY INFORMATION IF LICENSED IN OKLAHOMA, FILL IN ADDRESS INFORMATIONONLY IF IT IS NEW SINCE THEY WERE REGISTERED WITH THE OKLAHOMA BAR ASSOCIATION. ATTACH ADDITIONAL COVER SHEETS FOR ADDITIONAL ATTORNEYS. ALL ATTORNEYS SHOULD BE LISTED. NOTE: ADDRESS CHANGES ARE EFFECTIVE IN ALL OCIS COUNTIES. COMPANY OR LAST NAME FIRST NAME M IDDLE NAME PREFIX (MR., ETC.) SUFFIX (SR., ETC.) STREET ADDRESS ______________________________________________________ ______________________________________________________ ______________________________________________________ ADDRESS TYPE CITY BAR NUMBER AND STATE STATE ZIP TELEPHONE [ ] HOME [ ] WORK [ ] OTHER_____________ EMAIL ADDRESS SUMMONS INFORMATION NUMBER OF SUMMONS TO BE ISSUED__________ PETITION TO BE SERVED BY: [ ] SHERIFF OF ________________COUNTY [ ] PROCESS SERVER [ ] PUBLICATION [ ] BY HAND [ ] REGISTERED MAIL [ ] GIVEN TO THE ATTORNEY OF RECORD [ ] OTHER CLAIMS OF RELIEF REQUESTED (CIRCLE PRIMARY RELIEF, CHECK ALL OTHERS) [ [ [ [ [ [ [ [ [ [ [ [ [ [ ] DIVORCE ] SEPARATE MAINTENANCE ] ANNULMENT ] CIVIL PATERNITY ] APPEAL ON ADMINISTRATIVE ORDER ] RECIPROCAL OUTGOING ] CHILD CUSTODY ] HABEAS CORPUS ] PROTECTIVE ORDER ] TEMPORARY EMERGENCY PROTECTIVE ORDER ] REG OF FOREIGN JUDGEMENT ] VISITATION GRANDPARENT(S) ] DOMESTIC MISCELLANEOUS ] WAS THERE PREMARITAL COUNSELING? [ ] YES [ ] NO (check one) POST JUDGEMENT ACTION (check all that apply): [ ] MODIFICATION OF DECREE [ ] SET ASIDE DECREE/RESCIND FINAL ORDER [ ] APPLICATION FOR CONTEMPT (CHILD SUPPORT OR OTHER) [ ] ENFORCEMENT OF JUDGEMENT INCOME ASSIGNMENT ORIGINAL & POST JUDGMENT ACTIONS RELIEF INVOLVES (check all that apply): [ ] MINOR CHILD(REN) OF THIS RELATIONSHIP [ ] YES [ ] NO (check one) IF YES, HOW MANY _________________ [ ] CUSTODY [ ] CHILD SUPPORT [ ] VISITATION [ ] VISITATION (other than parent) [ ] PROPERTY DIVISION [ ] DEBT DIVISION [ ] ALIMONY [ ] INDIAN CHILD WELFARE ACT [ ] RESTRAINING ORDER PROPERTY [ ] RESTRAINING ORDER PERSON [ ] RESTORATION OF FORMER NAME [ ] OTHER ___________________________ [ ] OTHER ___________________________ [ ] OTHER ___________________________ THIS COVER SHEET IS REQUIRED TO BE SUBMITTED BY ALL PARTIES WITH THEIR INITIAL FILING. THIS DOCUMENT IS REQUIRED BY SUPREME COURT ADMINISTRATIVE DIRECTIVE SCAD-1999-87. REVISION 5-16-2000 Promulgated by the Oklahoma Administrative Office of the Courts 2001 © American LegalNet, Inc.