Domestic Relations Case Final Disposition Information Form
Superior Court County _____________________ Docket # ____________________ Reporting Party __________________________________
Last First Middle I. Suffix Prefix Maiden
Date Disposed _____________
MM-DD-YYYY
___________________________
Title
Name of Plaintiff/Petitioner(s) __________________________________
Last First Middle I. Suffix Prefix Maiden
Name of Defendant/Respondent(s) __________________________________
Last First Middle I. Suffix Prefix Maiden
Plaintiff/Petitioner's Attorney
Last First Middle I.
Pro Se
Suffix
Defendant/Respondent's Attorney
Last First Middle I.
Pro Se
Suffix
__________________________________ Bar # _________________ Type of Disposition (Check all that apply)
1. A. B. 2. 3. 4. 5. A. B. 1. 2. 3. 4. Dismissed Without Final Order Voluntary (by parties) Involuntary (by court) Pre-Trial Settlement Judgment on the Pleadings Summary Judgment Trial Bench Trial Jury Trial Dismissal after jury selected Settlement during trial Judgment on Verdict Directed Verdict or JNOV
__________________________________ Bar # _________________ Relief Granted (Check all that apply)
1. 2. 3. Ex Parte Relief Temporary Relief Final Relief a. b. c. d. e. f. g. h. i. Divorce/Annulment/Separate Maintenance Child Custody Visitation Child Support Legitimation/Paternity Alimony Contempt Equitable Division Restraining Order Person j. Adoption Other (Specify) ____________________ _________________________________ Property
ADR
k. 1. Was mediation utilized? 2. Yes No 4. Dismissed prior to granting of relief.
If yes, was it (check if applicable) court annexed? court mandated?