Free drfilform.PDF - Georgia

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

County _____________________

Date Filed _____________
MM-DD-YYYY

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

Check Case Type (one or more) FAMILY VIOLENCE
Divorce (includes annulment) Separate Maintenance Adoption Paternity (includes legitimation) Interstate Support Enforcement Action Domestication of Foreign Custody Decree Family Violence Act Petition

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? Yes Yes Yes No No No

MODIFICATION
Modification - Custody and/or Visitation Modification - Child Support and Alimony Modification - Child Support Modification - Alimony

CONTEMPT
Contempt - Custody and/or Visitation Contempt - Child Support and Alimony Contempt - Child Support Contempt - Alimony Other Domestic Contempt Other Domestic Relations Specify __________

________________________________ ________________________________