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Cover Sheet Form. This is a Vermont form and can be use in Family Court Statewide.
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Tags: Cover Sheet, 800, Vermont Statewide, Family Court
Form 800
Vermont
COVER
SHEET Family Court
Your Name
Docket Number
County
The Other Party's Name
Street Address
Street Address
Mailing Address
Mailing Address
Town/City
State
Telephone Numbers
Work:
Home:
Zip Code
State
Town/City
Telephone Numbers
Work:
Cell:
Home:
Zip Code
Cell:
Date of Birth
Date of Birth
1. Filing fee
I am enclosing $
as my filing fee.
Because of my financial circumstances, I am asking that the filing fee be waived. IFP attached.
This form is being filed by OCS.
2. Service Fee
I am enclosing $
to pay for service.
Because of my financial circumstances, I am asking that the filing fee be waived. IFP attached.
A service fee is not required.
Complete sections 3 and 4 if you have minor children.
3. Public Assistance (e.g. Reach-Up; Dr. Dynosaur; Medicaid; Post Secondary Education Stipend (PSE))
a. I receive public assistance
no
yes
b. The other party receives public assistance
yes
no
don't know
4. Assistance from Office of Child Support (OCS)
a. I receive assistance from OCS
yes no
b. The other party receives assistance from OCS
yes
no
don't know
The Office of Child Support can help people with child support. If you would like to have OCS help you,
you can call the Toll-Free Help Line: 1-800-786-3214 or TTY Access Number 1-800-253-0191.
5. Other Family/Probate/Juvenile Court Proceedings
There are other court proceedings involving myself, and the other party, and/or cases involving our children.
If so, please provide the following information:
Name of Court (e.g. Probate, Family,
and Juvenile)
County
State
To be filled out by Family Court Staff:
Amount rec'd: $
Check
Cash
Money Order
IFP Filed
Rev. 1/06 SML
Type of MPR filed:
Service Option:
Personal Service
1st Class Mail
Certified Mail
MPR #:
Service Complete
Party/Atty will serve
American LegalNet, Inc.
SEE INSTRUCTIONS ON BACK OF THIS COVER SHEET
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Instructions
Fill in all of the information in the top box (name through date of birth). You must provide information both about
yourself and about the party on the other side of your case.
1. Filing Fee
a) Amount of fee: The amount of the filing fee varies depending on what you are filing. If you don't know
the amount of the fee, ask the clerk or consult the judiciary website at: www.vermontjudiciary.org.
b) Checks: Make checks payable to Vermont Family Court.
c) IFP: If you cannot afford the fee, you may ask the Court to waive the fee by filing an IFP (in forma
pauperis) application. Ask the clerk for the application or consult the judiciary website at:
www.vermontjudiciary.org.
2. Service Fee
Service is a way of documenting that the other party has actually received the paperwork. There are several
methods of service. The clerk can help you choose which method is best for you. You must pay a fee for service
unless the court has found that you are financially unable to pay the filing fee. In that case, the court will pay for
service. If you have questions, ask the clerk or consult the judiciary website at: www.vermontjudiciary.org.
Case with minor children: If you are filing a case involving minor children or seeking relief related to child
support, the court clerk is responsible for serving the summons, complaint, or petition and notice of hearing on
the other party at your expense, unless you qualify for a waiver of the fee.
Cases without minor children: If you are filing a new case which does not involve minor children or if you are
seeking relief not related to child support, you are responsible for serving the other party. Ask the clerk for
information about "service of process."
If you are represented by an attorney, your attorney may choose to serve all paperwork on the other party.
3. Public Assistance
Check the box for Public Assistance if you receive any of the following: Reach-Up; Dr. Dynosaur; Medicaid;
Post Secondary Education Stipend (PSE). Do not check the box if you only receive food stamps and/or fuel
assistance.
4. Office of Child Support
The Office of Child Support Services can help people to choose the best method for collecting child support,
prepare court forms, prepare financial affidavits, locate absent parents, and assist persons at a child support
hearing before a Magistrate. If you would like their assistance and services; please call: 1-800-786-3214.
5. Other Family/Probate/Juvenile
You must list all other court proceedings involving yourself, and the other party or cases involving your children.
Rev. 1/06 SML
American LegalNet, Inc.
www.FormsWorkflow.com