Washington Domestic Civil Cover Sheet Form

This form must accompany any divorce papers filed within the State of Washington. Through this cover sheet, the court will immediately identify the type of civil case filed by the applicant.Download

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DOMESTIC COVER SHEET (CASE TYPES 3 - 6) 
___________________________  COUNTY SUPERIOR COURT  
CASE INFORMATION COVER SHEET 
Case Number  ___________________  Case Title  _______________________________________  
Attorney Name  ____________________________  Bar Membership Number _________________  P
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.
 
   
DOMESTIC RELATIONS
 
___  Annulment/Invalidity  (INV 3)  
___  Child Custody  (CUS 3)  
___  Dissolution with Children  (DIC 3)  
___  Dissolution with no Children  (DIN 3)  
___  Foreign Judgment  (FJU 3)  
___  Legal Separation  (SEP 3)  
___  Mandatory Wage Assignment   (MWA 3) 
___  Modification  (MOD 3)  
___  Modification: Support Only  (MDS 3)  
___  Out -of -State Custody  (OSC 3)  
___  Parenting Plan/Child Support  (PPS 3)  
___  Reciprocal, Respondent in County  (RIC 3)  
___  Reciprocal, Respondent Out of County  (ROC 3)  
DOMESTIC  VIOLENCE/ANTIHARASSMENT  
___  Confidential Name Change  (CHN 5)  
MENTAL ILLNESS  
___  Alcohol/Drug Treatment  (ALT 6)  
___  Mental Illness --Adult  (MI 6)  
___  Mental Illness --Juvenile  (MIJ 6)  
 
 
 
ADOPTION/PATERNITY   ___
 Adoption  (ADP 5)  
___  Confidential Intermedi ary  (MSC 5) 
___  Initial Pre -Placement Report  (PPR 5)  
___  Modification  (MOD 5)  
___  Paternity  (PAT 5)  
___  Paternity/URESA/UIFSA  (PUR 5)  
___  Relinquishment  (REL 5)  
___  (Title 26)Termination of Parent -Child 
Relationship  (TER 5)  
PROBATE/GUARDIANSHIP  
___  Absentee  (ABS 4)  
___  Disclaimer  (DSC 4)  
___  Estate  (EST 4)  
___  Foreign Will  (FNW 4)  
___  Guardianship  (GDN 4)  
___  Guardianship/Estate  (G/E 4)  
___  Limited Guardianship  (LGD 4)  
___  Minor Settlement (With guardianship)  (MST 4)  
___  Non -Probate Notice to  Creditors  (NNC 4)  
___  Will Only  (WLL 4)

Case Types 3 - 6 Last Revised April 2003  DOMESTIC RELATIONS 
Annulment--Invalidity--Petition 
claiming an illegal or invalid 
marriage. 
Child Custody--Petition involving the 
immediate charge and control of a 
child. 
Dissolution with Children--Petition 
to terminate a marriage other than 
annulment, with children of that 
marriage. 
Dissolution with no Children--
Petition to terminate a marriage 
other than annulment, with no 
children of that marriage. 
Foreign Judgment--A judgment, 
decree, or order of a court of the 
United States, or any state or 
territory, which is entitled to full faith 
and credit in this state. 
Legal Separation--Petition to live 
separate and apart. 
Mandatory Wage Assignment--
Petition for wage assignment. 
Modification--Petition seeking 
amendment of a previous order or 
decree. 
Modification: Support Only--Petition 
seeking amendment of a previous 
order or decree regarding support. 
Out-of-State Custody--Recording 
custody established out-of-state. 
Parenting Plan/Child Support—
Petition for Residential 
Schedule/Parenting Plan/Child 
Support in circumstances set forth 
in RCW 26.26.375. 
Reciprocal, Respondent-in-County-
Petition to enforce orders between 
states under URESA for 
respondents in the county. 
Reciprocal, Respondent-Out-of-
County--Petition to enforce orders 
between states under URESA for 
respondents out of the county. 
 
 
 
 
DOMESTIC VIOLENCE/ ANTIHARASSMENT 
Confidential Name Change--Petition 
for name change, when domestic 
violence/antiharassment issues 
require confidentiality. 
MENTAL ILLNESS 
Alcohol/Drug Treatment--Petition 
for involuntary treatment for one who 
is incapacitated by alcohol or drugs. 
Mental Illness--Adult--Petition for 
involuntary treatment for an adult 
who is incapacitated by mental 
illness. 
Mental Illness--Juvenile--Petition for 
involuntary treatment for a juvenile 
who is incapacitated by mental 
illness. 
ADOPTION/PATERNITY 
Adoption--Petition to establish a 
new, permanent relationship of 
parent and child not having that 
relationship. 
Confidential Intermediary--Petition 
to appoint a confidential 
intermediary to contact the adopted 
person(s), birth parent(s), or other 
relative(s). 
Initial Pre-Placement --An initial 
pre-placement report filed on a child 
by the DSHS prior to the filing of 
adoption papers. 
Modification--Petition seeking 
amendment of a previous order or 
decree. 
Paternity --Petition to determine the 
legal status of an alleged biological 
father. 
Paternity/URESA/UIFSA --Petition to 
determine the legal status of an 
alleged biological father which is 
filed in conjunction with the 
reciprocal report entered under the 
URESA or UIFSA acts. 
Relinquishment--Petition to 
relinquish a child to DSHS, an 
agency, or a prospective adoptive 
parent. 
(Title 26) Termination of 
Parent-Child Relationship--Petition 
to terminate a parent-child 
relationship when parent has not 
executed a written consent.  
PROBATE/GUARDIANSHIP 
Absentee--Petition to determine 
the location of absent owner of 
real or personal property. 
Disclaimer--Recording a written 
instrument disclaiming an interest 
by beneficiaries. 
Estate--Petition seeking court 
settlement of a deceased person's 
property. 
Foreign Will--Filing of a will for 
probate that has been proved in 
another state, territory, or foreign 
country. 
Guardianship--Petition to appoint 
a guardian to manage the affairs 
of an incompetent or non-resident 
person. 
Guardianship/Estate--Petition 
seeking court settlement for the 
property of a deceased person 
who was the ward of a guardian. 
Limited Guardianship--Petition to 
appoint a limited guardian with 
only partial responsibility for the 
ward's person and/or property, 
where the ward is not fully 
incompetent. 
Minor Settlements--Petition for a 
court decision that an award to a 
minor is appropriate when letters 
of guardianship are required (e.g., 
net settlement value is greater 
than $25,000). 
Non-Probate Notice to Creditors--
The filing of a non-probate notice 
to creditors in a case in which no 
probate action is expected (e.g., an 
estate with a living trust which 
does not require probate, 
providing the heirs with an 
opportunity to start the time period 
for creditor filing of claims). 
Will Only--Filing a will when no 
further action shall be taken.