Family Law Case Information Sheet {CAO FL1-1}

Family Law Case Information Sheet Fill out this form to start a Family Law case. The information you give us is private. Case Number (Clerk fills in case #): Exempt from Public Disclosure 1. Describe your case: Divorce Custody Paternity Guardianship Adoption Protective Order Other 2. Information about Petitioner Name: First Middle Last Any other names used: Address: Street City State Zip Mailing Address: Phone numbers: Home Work Cell Employer's name: Social Security Number: Date of Birth: Yes No If no, what language? Is English your first language? Do you speak, read and write English? Yes No Sex: Male Female 3. Information about Respondent Name: First Middle Last Any other names used: Address: Street City State Zip Mailing Address: Phone numbers: Home Work Cell Employer's name: Social Security Number: Date of Birth: Is English your first language? Yes No If no, what language? Do you speak, read and write English? Yes No Sex: Male Female IRCP 3(a)(1) FAMILY LAW CASE INFORMATION SHEET CAO FL 1-1 2/2/2010 PAGE 1 OF 2 American LegalNet, Inc. www.FormsWorkFlow.com 4. Children under 18 in this case (List your children and the children of the person in Child's name 1. 2. 3. 4. Date of birth Social Security No. .) Whose child? Mine Ours Other* Mine Ours Other* Mine Ours Other* Mine Ours Other* * If Other, whose? (If there is more than one other parent, list name and specify relationship): Who do the children live with now? (name and relationship): 5. Other Cases Involving Children Date of Order (or date requested) List any child support, custody, adoption, or guardianship order for any child listed on this form: Case Number 1. 2. 3. 4. County / State For which children? Type of case Support Custody Adoption Guardianship Support Custody Adoption Guardianship Support Custody Adoption Guardianship Support Custody Adoption Guardianship 6. Other Cases Involving Violence or Abuse List any protective order, domestic violence or child abuse cases involving any adult or child listed on this form: Who was the Order against? Who did the Order protect? Date of Order (or date requested) Case Number 1. County / State Type of case Domestic Violence Child Abuse No Contact Order Domestic Violence Child Abuse No Contact Order Domestic Violence Child Abuse No Contact Order Domestic Violence Child Abuse No Contact Order 2. 3. 4. IRCP 3(a)(1) FAMILY LAW CASE INFORMATION SHEET CAO FL 1-1 2/2/2010 PAGE 2 OF 2 American LegalNet, Inc. www.FormsWorkFlow.com