Free dr disposition form.pdf - Georgia

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Domestic Relations Case Final Disposition Information Form
Superior Court County _____________________ Docket # ____________________ Reporting Party __________________________________
Last First Middle I. Suffix Prefix Maiden

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Date Disposed _____________
MM-DD-YYYY

___________________________
Title

Name of Plaintiff/Petitioner(s)
Last

Name of Defendant/Respondent(s)
Maiden Last

__________________________________
First Middle I. Suffix Prefix

__________________________________
First Middle I. Suffix Prefix

Maiden

Plaintiff/Petitioner's Attorney
Last First

Pro Se

Defendant/Respondent's Attorney
Last First Middle I.

Pro Se

__________________________________
Middle I.

Suffix

__________________________________ Bar # _________________

Suffix

Bar # _________________ Type of Disposition (Check all that apply)
1. Dismissed Without Final Order A. B. Voluntary (by parties) Involuntary (by court)

2. Pre-Trial Settlement 3. Judgment on the Pleadings 4. Summary Judgment 5. Trial A. B. Bench Trial Jury Trial Dismissal after jury selected Settlement during trial Judgment on Verdict Directed Verdict or JNOV

1. 2. 3. 4.

ADR
1. Was mediation utilized?

Yes

No

2. If Yes, was it (check if applicable)



court annexed? court mandated?

3. Binding Arbitration Agreement Yes

No

If Yes, what matters were subject: Child Custody Visitation/Parenting Time Parenting Plan

Relief Granted (Check all that apply) 1. Ex Parte Relief 2. Temporary Relief 3. Final Relief a. Divorce/Annulment/Separate Maintenance b. Child Custody Parenting Plan? Yes No Custodial Arrangement? Yes No If Yes, check one: Joint Custody Joint Legal Custody Joint Physical Custody Sole Custody to:_____________________ 14 year old parental selection? Yes No c. Visitation or Parenting Time Approx. Parenting Time (days per year) Mother_____________Father______________ Parenting Time Contested? Yes No d. Child Support Forms attached? Yes No e. Legitimation/Paternity f. Alimony g. Contempt h. Equitable Division i. Protective Order Person Property Finding of Family Violence? j. Adoption k. Attorneys Fees? If Yes, enter amount:___________ to whom:______________ l. Other (Specify) _______________________ ____________________________________ 4. Dismissed prior to granting of relief.