KING COUNTY SUPERIOR COURT CASE ASSIGNMENT AREA DESIGNATION and CASE INFORMATION COVER SHEET (CICS) Pursuant to King County Code 4A.630.060, a faulty document fee of $15 may be assessed to new case filings missing this sheet. CASE NUMBER: (Provided by the Clerk) CASE CAPTION: (New case: Print name of person starting case vs. name of person or agency you are filing against.) (When filing into an existing family law case, the case caption remains the same as the original filing.) Please mark one of the boxes below: Seattle Area, defined as: All of King County north of Interstate 90 and including all of the Interstate 90 right-of-way; all the cities of Seattle, Mercer Island, Bellevue, Issaquah and North Bend; and all of Vashon and Maury Islands. Kent Area, defined as: All of King County south of Interstate 90 except those areas included in the Seattle Case Assignment Area. I certify that this case meets the case assignment criteria, described in King County LCR 82(e). Signature of Attorney WSBA Number Date or Signature of person who is starting case Date Address, City, State, Zip Code of person who is starting case if not represented by attorney American LegalNet, Inc. www.FormsWorkFlow.com Family Law CICS 1/2019 KING COUNTY SUPERIOR COURT CASE ASSIGNMENT AREA DESIGNATION and CASE INFORMATION COVER SHEET Definitions: Divorce/Dissolution -- married couples Paternity/Parentage --unmarried parents Dependent Children 226 generally under 18 years of age FAMILY LAW Please check the category that best describes this case. Adoption (ADP 5) ( Petition to establish a new, permanent relationship of parent and child not having that relationship.) Annulment/Invalidity of Marriage with dependent children ( IN C 3)* without children (INV 3) * wife pregnant ( IN C 3)* ( Petition claiming an illegal or invalid marriage.) Annulment/Invalidity of Domestic Partnership with dependent children (IND 3)* without children (INP 3) * a partner is pregnant ( IN D 3)* ( Petition to invalidate a domestic partnership.) Challenge to Acknowledgment of Parentage (PAT 5)* ( Petition must be filed more than 60 days but less than two years after the Acknowledgment of Paternity was filed with the Washington State Registrar of Vital Statistics.) Committed Intimate Relationship No Children (CIR 3)* ( Petition for distribution of property from a marital-like relationship where both parties cohabit with knowledge that a lawful marriage between them does not exist.) Confidential Intermediary (CFI 5) ( Petition to appoint a confidential intermediary to contact the adopted person(s), birth parent(s), or other relative(s).) Divorce with dependent children (DIC 3)* without children (DIN 3) * wife pregnant (DIC 3)* ( Petition to terminate a marriage other than annulment. Check an option below.) Divorce - Domestic Partnership with dependent children (DPC 3)* without children (DPN 3) * a partner is pregnant (D P C 3)* ( Petition to terminate a domestic partnership, other than annulment. Must have a Certificate number issued by the State where registered.) American LegalNet, Inc. www.FormsWorkFlow.com Family Law CICS 1/2019 Enforcement/Show Cause-Out of County (MSC 3) Enforcement of Open Adoption Agreement ( OAA 5)* Establish Parenting Plan-includes CIR with Children (PPS 3)* ( Petition for establishing Residential Schedule/Parenting Plan/Child Support in circumstances set forth in RCW 26.26.375.) Establish Parenting Plan (MSC 5)* ( For existing K ing County Paternity case only.) Establish Support Only (PPS 3)* ( Ther e is no support order and paternity is not an issue.) Initial Pre-Placement Report (PPR 5) ( An initial pre - placement report filed on a child by the DSHS prior to the filing of adoption papers.) Legal Separation (SEP 3)* with dependent children ( SE C 3)* without children (SEP 3) * wife pregnant (SEC 3)* (Petition to live separate and apart, but still married. ) Legal Separation of Domestic Partnership with dependent children ( S DC 3)* without children (SPD 3) * a partner is pregnant (SDC 3)* (Petition to live separate and apart, in a domestic partnership.) Mandatory Wage Assignment (MWA 3) ( A legal procedure that requires the employer to transfer parts of future wage payments to pay a debt.) Modification-Parenting Plan (may also include support) Existing Divorce case(MOD 3)* Existing Paternity case (MOD 5 ) * (Petition to seeking changes of Custody Decree, Parenting Plan/Residential Schedule of a previous order or decree.) Modification-Support Only Existing Divorce case (MDS 3)* Existing Paternity case (MDS 5) * (Petition seeking changes of a previous order or decree regarding support.) Non-parental Custody (CUS 3)* (Petition asking for custody of a child from someone other than the parent.) Out-of-State Custody Order Registration (OSC 3) (Recording custody established out - of - state.) Out-of-state Support Court Order Registration (FJU 3) (Recording support or maintenance established out-of-state.) Parentage, Disestablish (DIP 5)* ( D isestablish parentage when there is no adjudicated father or acknowledgment of paternity filed with the Washington State Registrar of Vital Statistics.) Parentage/UIFSA (PUR 5)* (Petition to determine the legal status of a parent which is filed in conjunction with the reciprocal report entered under the URESA or UIFSA acts.) American LegalNet, Inc. www.FormsWorkFlow.com Family Law CICS 1/2019 Paternity-Parental Determination (PAT 5)* ( Petition to establish or determine the existence of parental relationship with the child.) Petition for de Facto Parentage (PAD 5)* Petition to Decide Parentage 226 Genetic Surrogacy Agreement (P AG 5)* Petition to Decide Parentage 226 Gestational Surrogacy or Assisted Reproduction (P AS 5)* Relative Child Visitation (RCV 3)* (Petition to allow grandparents and other relatives the ability to seek an order regarding visits with a child) Relinquishment (REL 5) (Petition to relinquish a child to DSHS, an agency, or a prospective adoptive parent.) Relocation, Objection (ROB 3) Existing Divorce case(ROB 3)* Existing Paternity case (ROB 5)* (Petition objecting to the intended relocation of the child or the relocating parent's proposed revised residential schedule.) Termination of Parent-Child Relationship (TER 5) ( Petition to terminate a parent - child relationship when parent has not executed a written consent.) The filing party will be given an appropriate case schedule at time of filing. American LegalNet, Inc. www.FormsWorkFlow.com