This form contains 41 fields organized into 13 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Case Information
Plaintiff/Petitioner Name Text
Enter the full name of the Plaintiff or Petitioner for this case.
Civil Action Number Text
Provide the unique Civil Action Number associated with this case.
Defendant/Respondent Name Text
Enter the full name of the Defendant or Respondent for this case.
Divorce with minor children Radiobutton
Check this box if the divorce case involves minor children. Fill only if 'Divorce' is selected.
Depends on: Divorce
Divorce without minor children Radiobutton
Check this box if the divorce case does not involve minor children. Fill only if 'Divorce' is selected.
Depends on: Divorce
Legitimation Radiobutton
Check this box if the case type is Legitimation.
Divorce Options
Visitation Radiobutton
Check this box if the modification being requested relates to visitation. Fill only if 'Modification' is selected.
Depends on: Modification
Alimony Radiobutton
Check this box if the modification being requested relates to alimony. Fill only if 'Modification' is selected.
Depends on: Modification
Domestic Contempt Issues
Motion Hearing Radiobutton
Check this box if you are requesting a hearing for a specific motion related to domestic contempt issues.
Temporary Hearing Radiobutton
Check this box if you are requesting a temporary hearing for domestic contempt actions, which is available only for certain domestic actions.
Final Hearing Radiobutton
Check this box if you are requesting a final hearing to resolve the domestic contempt issues in your case.
Child Support Radiobutton
Check this box if child support is one of the domestic contempt issues that needs to be determined at the temporary or final hearing.
Final Hearing Details
Mediation Date Date
Provide the date the case was mediated. Fill only if 'Case Mediated Status' is 'Yes'.
Depends on: Case Mediated Status
Case Mediated Status Combobox
Indicate whether your case has been mediated (Yes or No).
Yes No
Jury Trial Requested Status Combobox
Indicate whether either party has requested a jury trial (Yes or No).
Yes No
On the next available docket, even if multiple cases are scheduled before your case Radiobutton
Check this box if you prefer your case to be placed on the next available docket, even if it means other cases are scheduled before yours.
On the next docket that your case can be in the first five cases on the docket Radiobutton
Check this box if you prefer your case to be placed on the next docket in one of the first five available slots.
Issues to be Determined
On the next docket that your case can be in the first five cases on the docket Radiobutton
Check this box if you want your case placed on the next docket in which it can be among the first five cases.
Modification Issues
Visitation Radiobutton
Check this box if the domestic contempt case involves issues related to visitation. Fill only if 'Domestic Contempt' is selected.
Depends on: Domestic Contempt
Child custody Radiobutton
Check this box if the domestic contempt case involves issues related to child custody. Fill only if 'Domestic Contempt' is selected.
Depends on: Domestic Contempt
Child support Radiobutton
Check this box if the domestic contempt case involves issues related to child support. Fill only if 'Domestic Contempt' is selected.
Depends on: Domestic Contempt
Alimony Radiobutton
Check this box if the domestic contempt case involves issues related to alimony. Fill only if 'Domestic Contempt' is selected.
Depends on: Domestic Contempt
Motion Hearing Details
Possession of Marital Residence Radiobutton
Check this box if possession of the marital residence is an issue that needs to be determined at the temporary or final hearing.
Motion Description Text
Provide a description or title of the motion being filed. Fill only if 'Motion Hearing' is selected.
Depends on: Motion Hearing
Date Motion Filed Date
Enter the date the motion was filed. Fill only if 'Motion Hearing' is selected.
Depends on: Motion Hearing
Opposing Party Attorney
Opposing Party Attorney Name Text
Please provide the full name of the attorney representing the opposing party.
Child support Radiobutton
Check if you are seeking modification of child support. Fill only if the 'Modification' is 'Yes'. Fill only if 'Modification' is selected.
Depends on: Modification
Other Civil Action Details
Other Civil Action Radiobutton
Check this box if your case is an Other Civil Action and provide details in the 'Please identify' field.
Requesting Party Information
Requesting Party Name Text
Provide the full name of the party requesting the hearing.
Requesting Party Attorney Text
Enter the full name of the attorney representing the requesting party, if applicable.
Other Civil Action Radiobutton
Check this box if your case is an Other Civil Action and you will identify its nature.
Modification Radiobutton
Check this box if your case involves a Modification of a previous order.
Time Estimate Per Side
Estimated Time Per Side Number
Please enter the estimated time, in hours, that each side will take to present their case.
Type of Action
Modification - Child custody Radiobutton
Check this box if the modification action in your case involves child custody. Fill only if 'Modification' is selected.
Depends on: Modification
Divorce Radiobutton
Check this box if your case is a divorce action.
Domestic Contempt Radiobutton
Check this box if your case is a domestic contempt action.
Domestic Contempt - Alimony Radiobutton
Check this box if the domestic contempt action in your case involves alimony.
Domestic Contempt - Other Radiobutton
Check this box if the domestic contempt action in your case involves an issue not specifically listed and write the specific issue on the line provided.
Type of Hearing
Alimony Radiobutton
Check this box if alimony is an issue that needs to be determined at the temporary or final hearing.
Payment of household expenses Radiobutton
Check this box if payment of household expenses is an issue that needs to be determined at the temporary or final hearing.
Attorney Fees Radiobutton
Check this box if attorney fees are an issue that needs to be determined at the temporary or final hearing.