Domestic Relations Cover Sheet - State Of Oklahoma District Court
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1F
I
U
O
OR
NTERNAL
SE
NLY
THIS SHEET WILL NOT BECOME PART OF THE PUBLIC RECORD, AND WILL BE USED FOR INTERNAL CASE TRACKING
PURPOSES.
DOMESTIC RELATIONS COVER SHEET
IN THE DISTRICT COURT OF ___________________ COUNTY
STATE OF OKLAHOMA
P
_____________________________________
FD
LAINTIFF
[ ]
.
FR
V
[ ]
CASE NO. ______________
D
____________________________________
FP
EFENDANT
[ ]
FI
[ ]
PA
[ ]
P
I
ARTY
NFORMATION
T
.
HE INFORMATION BELOW IS REQUIRED OF EACH PARTY IN THE CASE
P
T
:
P
D
O
_____________________
ARTY
YPE
[ ]
LAINTIFF
[ ]
EFENDANT
[ ]
THER
C
L
N
F
N
M
N
P
(M
.,
.)
S
(S
.,
.)
OMPANY OR
AST
AME
IRST
AME
IDDLE
AME
REFIX
R
ETC
UFFIX
R
ETC
S
A
TREET
DDRESS
______________________________________________________
A
T
H
W
O
_____________
DDRESS
YPE [ ]
OME [ ]
ORK [ ]
THER
______________________________________________________
D
L
# (F
T
ID
C
E
P
)
RIVERS
ICENSE
EDERAL
AX
FOR
ORPORATE OR
NTITY
ARTIES
______________________________________________________
C
S
Z
T
D
B
D
L
S
ITY
TATE
IP
ELEPHONE
ATE OF
IRTH
RIVERS
ICENSE
TATE
A
I
TTORNEY
NFORMATION
I
O
,
O
B
A
. A
F LICENSED IN
KLAHOMA
FILL IN ADDRESS INFORMATIONONLY IF IT IS NEW SINCE THEY WERE REGISTERED WITH THE
KLAHOMA
AR
SSOCIATION
TTACH
. A
. NOTE: A
OCIS
.
ADDITIONAL COVER SHEETS FOR ADDITIONAL ATTORNEYS
LL ATTORNEYS SHOULD BE LISTED
DDRESS CHANGES ARE EFFECTIVE IN ALL
COUNTIES
C
L
N
F
N
M
N
P
(M
.,
.)
S
(S
.,
.)
OMPANY OR
AST
AME
IRST
AME
IDDLE
AME
REFIX
R
ETC
UFFIX
R
ETC
S
A
TREET
DDRESS
______________________________________________________
A
T
H
W
O
_____________
DDRESS
YPE [ ]
OME [ ]
ORK [ ]
THER
______________________________________________________
E
A
MAIL
DDRESS
______________________________________________________
C
S
Z
T
B
N
S
ITY
TATE
IP
ELEPHONE
AR
UMBER AND
TATE
S
I
UMMONS
NFORMATION
P
S
:
S
________________C
ETITION TO BE
ERVED BY
[ ]
HERIFF OF
OUNTY
P
P
H
N
S
I
__________
UMBER OF
UMMONS TO BE
SSUED
[ ]
ROCESS SERVER
[ ]
UBLICATION
[ ] BY
AND
R
M
G
A
R
O
[ ]
EGISTERED
AIL
[ ]
IVEN TO THE
TTORNEY OF
ECORD
[ ]
THER
C
R
R
(C
,
)
LAIMS OF
ELIEF
EQUESTED
IRCLE PRIMARY RELIEF
CHECK ALL OTHERS
[ ] DIVORCE
INCOME ASSIGNMENT
[ ] SEPARATE MAINTENANCE
[ ] ANNULMENT
ORIGINAL & POST JUDGMENT ACTIONS
[ ] CIVIL PATERNITY
RELIEF INVOLVES (check all that apply):
[ ] APPEAL ON ADMINISTRATIVE ORDER
[ ] MINOR CHILD(REN) OF THIS RELATIONSHIP
[ ] RECIPROCAL OUTGOING
[ ] YES [ ] NO (check one)
[ ] CHILD CUSTODY
IF YES, HOW MANY _________________
[ ] HABEAS CORPUS
[ ] CUSTODY
[ ] PROTECTIVE ORDER
[ ] CHILD SUPPORT
[ ] TEMPORARY EMERGENCY PROTECTIVE ORDER
[ ] VISITATION
[ ] REG OF FOREIGN JUDGEMENT
[ ] VISITATION (other than parent)
[ ] VISITATION GRANDPARENT(S)
[ ] PROPERTY DIVISION
[ ] DOMESTIC MISCELLANEOUS
[ ] DEBT DIVISION
[ ] WAS THERE PREMARITAL COUNSELING?
[ ] ALIMONY
[ ] YES [ ] NO (check one)
[ ] INDIAN CHILD WELFARE ACT
[ ] RESTRAINING ORDER PROPERTY
[ ] RESTRAINING ORDER PERSON
POST JUDGEMENT ACTION (check all that apply):
[ ] MODIFICATION OF DECREE
[ ] RESTORATION OF FORMER NAME
[ ] SET ASIDE DECREE/RESCIND FINAL ORDER
[ ] O
___________________________
THER
[ ] APPLICATION FOR CONTEMPT (CHILD SUPPORT OR OTHER)
[ ] O
___________________________
THER
[ ] ENFORCEMENT OF JUDGEMENT
[ ] O
___________________________
THER
T
REQUIRED
. T
HIS COVER SHEET IS
TO BE SUBMITTED BY ALL PARTIES WITH THEIR INITIAL FILING
HIS
D
R
S
C
A
D
SCAD-1999-87.
OCUMENT IS
EQUIRED BY
UPREME
OURT
DMINISTRATIVE
IRECTIVE
R
5-16-2000
EVISION
Promulgated by the Oklahoma Administrative Office of the Courts
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