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.
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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
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