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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If you cannot determine the appropriate category, please describe th e cause of action below. ________________________________________________________________________\ ____________ ________________________________________________________________________\ ____________ DOMESTIC COVER SHEET (CASE TYPES 3 - 6) ___________________________ COUNTY SUPERIOR COURT CASE INFORMATION COVER SHEET Case Number ___________________ Case Title _______________________________________ Attorney Name ____________________________ Bar Membership Number _________________ P P l l e e a a s s e e c c h h e e c c k k o o n n e e c c a a t t e e g g o o r r y y t t h h a a t t b b e e s s t t d d e e s s c c r r i i b b e e s s t t h h i i s s c c a a s s e e f f o o r r i i n n d d e e x x i i n n g g p p u u r r p p o o s s e e s s . . A A c c c c u u r r a a t t e e c c a a s s e e i i n n d d e e x x i i n n g g n n o o t t o o n n l l y y s s a a v v e e s s t t i i m m e e i i n n d d o o c c k k e e t t i i n n g g n n e e w w c c a a s s e e s s , , b b u u t t h h e e l l p p s s i i n n f f o o r r e e c c a a s s t t i i n n g g n n e e e e d d e e d d j j u u d d i i c c i i a a l l r r e e s s o o u u r r c c e e s s . . C C a a u u s s e e o o f f a a c c t t i i o o n n d d e e f f i i n n i i t t i i o o n n s s a a r r e e l l i i s s t t e e d d o o n n t t h h e e b b a a c c k k o o f f t t h h i i s s f f o o r r m m . . T T h h a a n n k k y y o o u u f f o o r r y y o o u u r r c c o o o o p p e e r r a a t t i i o o n n . . 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.