Fillable Confidential Initial Case Management Conference Data Sheet (Minnesota Supreme Court)

Fill Online, Printable, Fillable, Blank Confidential Initial Case Management Conference Data Sheet (Minnesota Supreme Court) Form

Use Fill to complete blank online MINNESOTA SUPREME COURT (MN) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Confidential Initial Case Management Conference Data Sheet (Minnesota Supreme Court)

On average this form takes 23 minutes to complete

The Confidential Initial Case Management Conference Data Sheet (Minnesota Supreme Court) form is 5 pages long and contains:

  • 0 signatures
  • 6 check-boxes
  • 88 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Minnesota Supreme Court

BROWSE MINNESOTA SUPREME COURT (MN) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Confidential Initial Case Management Conference Data Sheet
STATE OF MINNESOTA
COUNTY OF:
IN DISTRICT COURT
JUDICIAL DISTRICT
File No.
Confidential
Initial Case Management
Conference Data Sheet
Respondent
Petitioner
vs.
THIS FORM MUST BE COMPLETED WITH THE BEST INFORMATION AVAILABLE AT THE TIME OF
COMPLETION AND SUBMITTED TO THE COURT AT LEAST TWO BUSINESS DAYS BEFORE THE
INITIAL CASE MANAGEMENT CONFERENCE.
1. Is an interpreter needed for the ICMC?
2. The following information is provided by the .
3. a. Has either party been the subject of a harassment restraining order?
b. Has either party been the subject of a domestic abuse order for protection?
c. Has domestic abuse occurred in this relationship?
INFORMATION REGARDING CHILDREN:
1. List the names, birthdays, and ages of the minor children in this relationship.
2. List the names, birthdays, and ages of other minor children of the parties.
3. Have any of the children been the subject of a child protection case? If yes, when ,
where .
4. Is there an agreement regarding legal custody of the children?
5. Is there an agreement regarding physical custody of the children?
6. Is there an agreement regarding parenting time?
7. Give a statement of what the agreement is for each issue that is resolved: (attach additional pages as
required.)
INFORMATION REGARDING ALTERNATIVE DISPUTE RESOLUTION OPTIONS: (Check One)
Mediation
Parties agree to retain the services of and will pay all costs.
Early Neutral Evaluation
Parties agree to participate in court annexed ENE program for a set fee.
Parties agree to participate in a private ENE program and pay all costs.
Other (please indicate)
INFORMATION REGARDING FINANCES
1. Names and Addresses
2. Petitioner's gross monthly income:
Respondent's gross monthly income:
Petitioner's Employer and Address: Respondent's Employer and Address:
3. Summary of monthly budget expenses (for the party preparing this form):
Expenses Amount
Mortgage
Rent
Food
Telephone
Heat
Sewer/Water/Garbage
Electricity
Cable TV/Internet
Medical Expenses
Health/Life Insurance
Home Insurance
Car Insurance
Car Payment
Car Repair/Fuel
Daycare
School Expenses
Donations
Loans Amount
Credit Card Bills (itemize) Amount
Other (itemize) Amount
4. Homestead Address
Homestead Expenses Amount
Approximate Household Value
Mortgage on Homestead
Date of Purchase
Bank Name
Balance (Checking/Savings)
List balances separately
5. Checking Accounts and Balances:
6. Pensions and Profit Sharing Plans (specify account name, approximate value, how it is owned and
by whom):
7. Automobiles (make, model, year, approximate mileage, and approximate value):
8. Recreational equipment (boats, guns, ATV, motorcycles, etc.) (Include make, mode, year,
approximate value):
9. Other Assets of Value (Do not include normal household goods and furnishings). List each with an
approximate value:
10. Are there non-marital claims? If yes, please itemize:
ATTACH THE FOLLOWING DOCUMENTS TO THIS DATA SHEET:
1. Pay stubs for the last three months of employment
2. Please attach your most recent Federal Tax Return with all attachments, including W-2s and 1099's as
applicable.
3. Please attach any unemployment compensation statements or worker's compensation statements and all
other income received during the last three months, including any public financial assistance in money or
in-kind services (grants, heating assistance, medical assistance, etc.)
THIS FORM WAS PREPARED BY:
Address/Telephone Number/Date:
Print
Signature
Submit by E-mail
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Confidential Initial Case Management Conference Data Sheet (Minnesota Supreme Court)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 22 March 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document