Efiling Supplemental Confidential Case Filing Information Sheet Domestic Relations {FI-20}

eFILING SUPPLEMENTAL CONFIDENTIAL CASE FILING INFORMATION SHEET DOMESTIC RELATIONS CASES Required at Case Initiation INSTRUCTIONS: Complete this form at the time of filing to provide the Employer and Children information as an attachment during the eFiling process. NOTE: The full Social Security Number (SSN) is required pursuant to Section 509.520 RSMo if the party is a person. Filing Date: Style of Case: (i.e. Petitioner v. Respondent) County/City of St. Louis: Case Type Code: Case Type Description: Employer Information Petitioner/Plaintiff Employer Name: Employer Address: City: State: Zip: Contact Telephone Number: Respondent/Defendant Employer Name: Employer Address: City: State: Zip: Contact Telephone Number: The following information regarding children is required. Complete this section for any child subject to the action of this case. *MACSS ­ Missouri Automated Child Support System Children: Name: Gender: Male Female SSN: SSN: Male Female DOB: DOB: DOB: DOB: DOB: DOB: Optional: MACSS Member Number (to be completed by the court): Name: Gender: Optional: MACSS Member Number (to be completed by the court): Name: Gender: Male Female SSN: SSN: Male Female Optional: MACSS Member Number (to be completed by the court): Name: Gender: Optional: MACSS Member Number (to be completed by the court): Name: Gender: Male Female SSN: SSN: Male Female Optional: MACSS Member Number (to be completed by the court): Name: Gender: Optional: MACSS Member Number (to be completed by the court): Check if more than six children and attach additional sheet Submitted by: Address: City: Phone: Bar ID (required if attorney): State: Email Address: Zip: *IMPORTANT: It is the parties' responsibility to keep the court informed of any change of address or employment.* OSCA (07-11) FI-20 www.FormsWorkflow.com