Domestic Intake Worksheet

In the case of wanting to identify to a court of law in the State of Delaware all the parties that are involved in a divorce case, the following form has to be completed and submitted.

Extracted Text for Proper Search

DOMESTIC INTAKE WORKSHEET	
Style of Case:__________________________________________ Case Number:____________________________
Date of Filing: ____________________________
Judge Assigned to Case:____________________
Part A--	
Information About the Parties	
Petitioner/Plaintiff: ________________________________________________________________________\
_____________________
Name(s)
Address: ________________________________________________________________________\
_____________________________
Street Address CountyCityStateZip
Telephone Number: ________________________________________________________________________\
_____________________
Home Work
Date of Birth: ___________________________
Petitioner’s Attorney: ________________________________________________________________________\
_____________________
Name
Attorney’s Address: ________________________________________________________________________\
_____________________
Street Address CityStateZip
Attorney’s Telephone Number: __________________________________________________________
Respondent/Defendant: ________________________________________________________________________\
_____________________
Name(s)
Address: ________________________________________________________________________\
_____________________________
Street Address CountyCityStateZip
Telephone Number: ________________________________________________________________________\
_____________________
Home Work
Date of Birth: ___________________________
Respondent’s Attorney: ________________________________________________________________________\
_____________________
Name
Attorney’s Address: ________________________________________________________________________\
_____________________ 
Street Address CityStateZip
Attorney’s Telephone Number: ________________________________________________

Part B--	Information About the Current Case and Related Cases	
NUMBER OF CHILDREN:                                                     \
  
NAMES OF CHILDREN:	                                                                        \
          	
                                                                        \
                      	                                                                        \
          	
                                                                        \
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                                                                        \
                      	                                                                        \
          	
                                                                        \
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Current Claim(s)/Issue(s)/Allegation(s):
99	Divorce	99	Legitimation	99	Adoption	
99	Child Custody	99	Family Violence	99	Guardianship	
99	Visitation	99	Child Abuse	99	Substance Abuse	
99	Child Support	99	URESA	99	Other Issues:	
99	Paternity	99	DHR____________________________ 
____________________________
Is there currently pending in any other                                 County Court a case or cases involving the petitioner,  
respondent, or anyminor children of the relationship?  	
9
9  Yes 	9
9  No
If yes, please list the Court, Case number, and style of case below. Court	
Case Number	Style of Case	
_______________________________ _______________________ _______________________________ 
_______________________________ _______________________ _______________________________
_______________________________ _______________________ _______________________________
_______________________________ _______________________ _______________________________
_______________________________ _______________________ _______________________________