Petition Cover Sheet for Civil Law, Domestic Relations, and Other Equity Cases Filed in Iowa District Court*

The Civil Petition Cover Sheet is a form that has to be submitted by the person who is filing for a divorce along with the divorce petition. The mentioned form has to be submitted to the county court clerk’s office along with the required filing fee.

Extracted Text for Proper Search

470-3806 (07/2001)
Petition Cover Sheet for Civil Law, Domestic Relations, and Other Equity Cases Filed in Iowa District Court*
NAME & ADDRESS of Attorney	(or Petitioner / Plaintiff – if not represented by attorney):	
_____________________________________
_____________________________________
_____________________________________
_____________________________________
Attorney P.I.N.: _______________________ Telephone No.: ________________________	
FOR COURT USE ONLY
Case Number:
County Where Case Filed:	
CASE NAME(Petitioner/Plaintiff vs. Respondent/Defendant):
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
_____________________________________
vs.
_____________________________________
_____________________________________
NATURE OF THE CASE:CHECK	the BOX to the LEFT	of the ONE	case category that most accurately describes your	
PRIMARY CASE. If you are making more than one type of claim	, check the one that involves the largest amount of damages	
or the one you consider most important.
!
!! !LAW: Contract/	Commercial	Claim	!
!! !	DOMESTIC RELATIONS	!
!! !	EQUITY	
Debt collection (LA-C1) Dissolution - children involved (CD-DC) Mortgage foreclosure (EQ-EM)
Employment-related claim (LA-C3) Dissolution - no children (CD-DN) Other real property claim (EQ-ER)
Other contract or commercial claim (LA-C9) Modification - children involved (CD-MC) Other equity (EQ-EO)	
Modification - no children (CD-MN)	
!	LAW: Tort-Personal Injury (P.I.)	§236-Domestic abuse (DA-DA)!	OTHER CIVIL ACTIONS	
Motor vehicle accident (LA-T2) §234-Foster care (DR-D1) Administrative appeal to dist. Court (CV-V1)
Premises liability / slip & fall (LA-T3) §252A – Support action (DR-D2) Changes of name (CN-CN)
Malpractice: medical or dental (LA-T1) §252A.18 – Foreign support (DR-D3) Distress warrant (CV-V2)
Products liability (toxic chem./subst.)(LA-T8) §252B.11 – Cost recovery (DR-D4) Foreign judgement entry (CV-V3)
Products liability (non toxic substance)(LA-
T4)§252C – Administrative Order (DR-D5) Lien (LN-IE, IH, IM or IO)
Wrongful death (LA-T7) §252D – Income withholding (DR-D6) Post conviction relief (PC-PC)
Other negligent/intentional P.I. (LA-T9) §252E – Medical support (DR-D7) Seized property / forfeiture (SP-SP)	
§252F / § 600B – Paternity (DR-D8) Transcript of judgement (TJ-TJ)	
!	LAW: Tort-Other damages (no
P.I.)	§252K – UIFSA (DR-R1) Other civil action (CV-V9)	
Professional malpractice-no P.I. (LA-T5) §598B – Out of state custody (DR-R2)
Fraud/business tort (LA-C2) §600 – Adoption (AT-AT)
Other tort-property / financial damages (LA-
T6)Other domestic relations action (DR-D9)FOR COURT USE ONLY	
*NOTES TO PETITIONER / PLAINTIFF:
!Pursuanttorule 48of theIowa Rules of Civil Procedure,a cover sheetMUSTaccompany each civil petition EXCEPT: small claims,
probate, or commitment actions.
!DO NOT SERVE THIS COVER SHEET ON THE RESPONDENT(S) / DEFENDANT(S).
! A cover sheet is not required when filing a counterclaim or crossclaim.
! This cover sheet is for statistical purposes only. It shall have no legal effect in the case. Updated: 1-20-2000