Free dr filing form - Georgia

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Domestic Relations Case Filing Information Form
Superior Court Plaintiff(s)
Last First

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County _____________________

Date Filed _____________
MM-DD-YYYY

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Docket # ____________________ Defendant(s)
Middle I. Suffix Prefix Maiden Last First

__________________________________

__________________________________
Middle I. Suffix Prefix

Maiden

__________________________________
Last First Middle I. Suffix Prefix

Maiden

__________________________________
Last First Middle I. Suffix Prefix

Maiden

Plaintiff/Petitioner's Attorney
Last First Middle I.

Pro Se
Suffix

__________________________________

Bar # _________________

Check Case Type (one or more)

Divorce (includes annulment)

FAMILY VIOLENCE
Additional Information - Ex Parte Relief
Did the initial pleading include a request for relief? 1. From alleged family violence? 2. Was ex parte relief requested? 3. Was ex parte relief granted?

Contested? Child Custody Issue? Child Support Issue?
Separate Maintenance Adoption

Yes Yes Yes

No No No

Yes Yes Yes

No No No

Paternity (includes legitimation) Interstate Support Enforcement Action Domestication of Foreign Custody Decree Family Violence Act Petition

OTHER
Have the parties agreed to binding arbitration? Yes No Have the parties reached a custodial agreement? Yes No If yes, check one:

MODIFICATION
Modification - Custody, Visitation, or Parenting Time

Does the modification include a parent selection by a child who is at least 14 years old? Yes
Modification - Child Support and Alimony Modification - Child Support Modification - Alimony

No

Joint Custody Joint Legal Custody Joint Physical Custody Sole Custody to: ______________________
Financial Affidavit submitted? Child Support Forms submitted?

CONTEMPT
Contempt - Custody, Visitation, or Parenting Time Contempt - Child Support and Alimony Contempt - Child Support Contempt - Alimony Other Domestic Contempt Other Domestic Relations Specify_______________________ ___________________________________________________ ___________________________________________________

Yes No Yes No