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Cross Reference Intake Form - District Of Columbia

Cross Reference Intake Form Form. This is a District Of Columbia form and can be used in Family Superior Court Statewide .
 Fillable pdf Last Modified 2/16/2011
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Superior Court of the District of Columbia Family Court Cross Reference Intake Form Party Plaintiff/Petitioner 4 Co-Plaintiff/Co-Petitioner Defendant/Respondent 5 Co-Defendant/Co-Respondent Child Child Child Child Household Members Household Members 1. What type of case are you filing today? ______________________________________ 2. Do you have any other court cases in this court ? ______ If yes, please list the name, type and case number: _______________________________________________________________________________________ 3. Do you have any other court cases in another court? _________ If yes, please list the name of the court, case, type and number: _________________________________________________________________________ 4. Are you pro se (representing yourself)? __________ If yes, please visit the Family Court Self-Help Center in Room JM-570. Name Address DOB 1 SSN 2 DLN 3 1 2 Acronym for Date of Birth Acronym for Social Security Number 3 Acronym Driver License Number 4 The person that is filing the case is the plaintiff/petitioner 5 The person that the case is filed against is the defendant/respondent Disclaimer: This form will not be kept in the official court jacket. After your information has been entered into the system, this form will be destroyed. Revised February 15, 2005 American LegalNet, Inc. www.FormsWorkFlow.com
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