Domestic Relations Case Final Disposition Information Form
Superior Court County _____________________ Date Disposed _____________
MM-DD-YYYY
Docket # ____________________
Reporting Party __________________________________ ___________________________
Last First Middle I. Suffix Prefix Maiden Title
Name of Plaintiff/Petitioner(s) Name of Defendant/Respondent(s)
__________________________________ __________________________________
Last First Middle I. Suffix Prefix Maiden Last First Middle I. Suffix Prefix Maiden
Plaintiff/Petitioner's Attorney Pro Se Defendant/Respondent's Attorney Pro Se
__________________________________ __________________________________
Last First Middle I. Suffix Last First Middle I. Suffix
Bar # _________________ Bar # _________________
Type of Disposition (Check all that apply)
1. Dismissed Without Final Order
A. Voluntary (by parties)
B. Involuntary (by court)
2.
Pre-Trial Settlement
3.
Judgment on the Pleadings
4.
Summary Judgment
5.
Trial
A.
Bench Trial
B.
Jury Trial
1.
Dismissal after jury selected
2.
Settlement during trial
3.
Judgment on Verdict
4.
Directed Verdict or JNOV
Relief Granted (Check all that apply)
1. Ex Parte Relief
2.
Temporary Relief
3.
Final Relief
a.
Divorce/Annulment/Separate Maintenance
b.
Child Custody
Parenting Plan?
Yes No
Custodial Arrangement? Yes No
If Yes, check one:
Joint Custody
Joint Legal Custody
Joint Physical Custody
Sole Custody to:_____________________
14 year old parental selection?
Yes No
c.
Visitation or Parenting Time
Approx. Parenting Time (days per year)
Mother_____________Father______________
Parenting Time Contested?
Yes No
d. Child Support
Forms attached?
Yes No
e. Legitimation/Paternity
f.
Alimony
g.
Contempt
h.
Equitable Division
i.
Protective Order
Person Property
Finding of Family Violence?
j.
Adoption
k.
Attorneys Fees?
If Yes, enter amount:___________
to whom:______________
l. Other (Specify) _______________________
____________________________________
4.
Dismissed prior to granting of relief.
ADR
1. Was mediation utilized? Yes No
2. If Yes, was it (check if applicable)
court annexed?
court mandated?
3. Binding Arbitration Agreement
Yes No
If Yes, what matters were subject:
Child Custody
Visitation/Parenting Time
Parenting Plan
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