§ 9-11-133. Civil case filing and disposition forms

Court

____

Superior

County ___________________________

Date filed __________________________________

____

State

mm-dd-yyyy

Docket no. ______________________________

Plaintiff(s) (last, suffix,

Defendant(s) (last, suffix,

first, middle initial,

first, middle initial,

maiden)

maiden)

1. ___________________________________

1. ___________________________________

2. ___________________________________

2. ___________________________________

3. ___________________________________

3. ___________________________________

4. ___________________________________

4. ___________________________________

Plaintiff/petitioner's attorney

___________________________________

___ Pro Se

Bar #

__________

No. of plaintiffs ___________________________________

No. of defendants ___________________________________

CHECK PRIMARY CASE TYPE:

IF TORT IS CASE TYPE:

(Check only ONE)

(Check no more than TWO)

___

Contract/Account

___

Auto Accident

___

Wills/Estate

___

Premises Liability

___

Real Property

___

Medical Malpractice

___

Dispossessory/Distress

___

Other Professional

___

Personal Property

Negligence

___

Equity

___

Product Liability

___

Habeas Corpus

___

Other (specify) ___

___

Appeals, Reviews

_______________________________

___

Postjudgment Garnishment,

Are punitive damages pleaded?

Attachment, or Other Relief

___ Yes ___ No

___

Nondomestic Contempt

___

Tort (If tort, fill in right column)

___

Other General Civil

(specify) _______________________________

_______________________________

DOMESTIC RELATIONS CASE FILING INFORMATION FORM

Court ___ Superior County ______________________________________

Date filed ______________________________________

mm-dd-yyyy

Docket no. _______________

Plaintiff(s)

Defendant(s)

(last, suffix, first, middle initial, maiden)

(last, suffix, first, middle initial, maiden)

1. ______________________________________

1. ______________________________________

2. ______________________________________

2. ______________________________________

Plaintiff/Petitioner's attorney

______________________________________

___ Pro Se

Bar #

_______________

CONTEMPT

___

Contempt--Custody, Visitation, or Parenting Time

CHECK CASE TYPE:

(one or more)

___

Contempt--Child Support and Alimony

___

Divorce (includes annulment)

___

Contempt--Child Support

Contested? ___ Yes ___ No

___

Contempt--Alimony

Child Custody issue? ___ Yes ___ No

___

Other Domestic Contempt

Child Support issue? ___ Yes ___ No

FAMILY VIOLENCE

___

Separate Maintenance

Additional information--Ex Parte Relief

___

Adoption

_______________________________________

___

Paternity (includes legitimation)

Did the initial pleading include a request for relief:

___

Interstate Support Enforcement Action

1.

From alleged family violence? ___ Yes ___ No

___

Domestication of Foreign Custody Decree

2.

Was ex parte relief requested? ___ Yes ___ No

___

Family Violence Act Petition

3.

Was ex parte relief granted? ___ Yes ___ No

MODIFICATION

OTHER

___

Modification--Custody, Visitation, or Parenting Time

Have the parties agreed to binding arbitration? ___ Yes ___ No

Does the modification include a parent selection by a child who is at least 14 years of age? ___ Yes ___ No

Have the parties reached a custodial agreement? ___ Yes ___ No

If yes, is custody:

___

Modification--Child Support and Alimony

___

Joint custody

___

Modification--Child Support

___

Joint legal custody

___

Modification--Alimony

___

Joint physical custody

___

Sole custody to: _______________

Financial affidavit submitted? ___ Yes ___ No

Child support forms submitted? ___ Yes ___ No

Court

___

Superior

County ___________________________

Date disposed: __________________________________

___

State

mm-dd-yyyy

Docket no. ______________________________

Reporting party

_____________________________

_____________________________

(Name)

(Title)

Name of plaintiff/petitioner(s)

___________________________________

Plaintiff/petitioner's attorney

___ Pro Se

___________________________________

Bar #

__________

Name of defendant/respondent(s)

___________________________________

Defendant/respondent's attorney

___ Pro Se

___________________________________

Bar #

__________

TYPE OF DISPOSITION

AWARD

1.

___

Pretrial Dismissal

1.

If verdict for plaintiff,

(specify which type)

how much was awarded?

A.

___

Involuntary

__________ compensatory

B.

___

Voluntary (without

__________ punitive

prejudice)

2.

If verdict on cross or

C.

___

Voluntary (with

counter claims, how much

prejudice)

was awarded?

2.

___

Pretrial Settlement

$ __________ compensatory

3.

___

Default Judgment

$ __________ punitive

4.

___

Summary Judgment

3.

Did the court modify the

5.

___

Transferred/Consolidated

award?

____ Yes ____ No

6.

___

Bench Trial

4.

Were attorneys fees

7.

___

Jury Trial (specify

awarded?

outcome further)

____ Yes ____ No

A.

___

Dismissal after

__________________________________

jury selected

ADR

B.

___

Settlement during

1.

Was ADR utilized?

trial

____ Yes ____ No

C.

___

Judgment on Verdict

2.

If yes, was it (check

D.

___

Directed Verdict or

if applicable):

JNOV

_____ court annexed?

___________________________

_____ court mandated?

1.

Judgment on verdict.

3.

Did the matter settle after

Was the verdict:

trial for other than

A.

___

For plaintiff(s) (all)

judgment? (If known at

B.

___

For defendant(s) (all)

the time of this

C.

___

Other: (explain) ___________________________

submission)

___________________________

____ Yes ____ No

___________________________

DOMESTIC RELATIONS CASE FILING INFORMATION FORM

Court ___ Superior County ______________________________________

Date ______________________________________

disposed mm-dd-yyyy

Docket no. _______________

Reporting party ______________________________________

______________________________________

(Name)

(Title)

Name of plaintiff/petitioner(s)

______________________________________

Plaintiff/petitioner's attorney

______________________________________

___ Pro Se

Bar #

_______________

Name of defendant/respondent(s)

______________________________________

Defendant/respondent's attorney

______________________________________

___ Pro Se

Bar #

_______________

TYPE OF DISPOSITION

RELIEF GRANTED (Check all that apply)

1.

Dismissed Without Final Order

1.

____

Ex Parte Relief

A.

___

Voluntary (by parties)

2.

___

Temporary Relief

B.

___

Involuntary (by court)

3.

___

Final Relief

2.

___

Pretrial Settlement

A.

____

Divorce/Annulment/ Separate Maintenance

3.

___

Judgment on the Pleadings

B.

____

Child Custody

4.

___

Summary Judgment

(i)

Parenting plan included? ___ Yes ___ No

5.

___

Trial

(ii)

Custodial arrangement:

A.

Bench Trial

___ Joint custody

B.

Jury Trial

___ Joint legal custody

1.

___

Dismissal after jury selected

___ Joint physical custody

2.

___

Settlement during trial

___ Sole custody to: __________

3.

___

Judgment on Verdict

(iii)

Fourteen year old made parental selection? ___ Yes ___ No

4.

___

Directed Verdict or JNOV

C.

Visitation or parenting time Approximate percentage of parenting time per year (or number of days) for: ___ Mother ___ Father

ADR

Parenting time was contested? ___ Yes ___ No

1.

Was mediation utilized? ___ Yes ___ No

D.

____

Child Support

2.

If yes, was it (check if applicable):

(i)

Forms attached? ___ Yes ___ No

___

court annexed?

E.

____

Legitimation/Paternity

___

court mandated?

F.

____

Alimony

3.

Was there an agreement to binding arbitration? ___ Yes ___ No

G.

____

Contempt

If yes, what matters were subject to binding arbitration?

H.

____

Equitable Division

___ Child custody

I.

____

Protective Order

___ Visitation or Parenting Time

___ Parenting Plan

Finding of family violence? ___ Yes ___ No

J.

____

Adoption

K.

____

Attorney's fees? ___ Yes ___ No

If yes, in what amount: $ __________

and to whom: _______________

L.

____

Other (specify) _______________________

___________________________

4.

___

Dismissed prior to granting of relief.

_____________________________________