Case Designation Form

THIS FORM (IN DUPLICATE) MUST ACCOMPANY ALL NEW DOMESTIC RELATIONS COMPLAINTS COURT OF COMMON PLEAS CUYAHOGA COUNTY RELATIONS DOMESTIC DIVISION OF DOMESTIC RELATIONS CASE DESIGNATION FORM PLEASE TYPE Case Number_ Judge Pending, closed or previously filed and dismissed Domestic Relations' Case(s) between the parties, list case number and judge. I certify that to the best of my knowledge the within case is not related to any now pending or previously filed, except as noted above. DIVORCE ­ CHILDREN (1810) DIVORCE ­ NO CHILDREN LEGAL (1811) SEPARATION (1820) ANNULMENT (1830) DISSOLUTION ­ CHILDREN (1840) DISSOLUTION ­ NO CHILDREN (1841) DOMESTIC VIOLENCE (1850) DIVORCE WITH CHILDREN & DOMESTIC VIOLENCE (1860) DIVORCE W/O CHILDREN & DOMESTIC VIOLENCE (1861) UNIFORM INTERSTATE FAMILY SUPPORT ACT (1560) FOREIGN DECREE (1890) OTHER (1890) Service: Certified Mail Waiver Cuyahoga County Personal Ohio Publication FedEx Plaintiff's Length of Residence In: PARTY 1 PARTYNAME: FULL 1 ALIAS NAME: DATE OF BIRTH: NUMBER OF THIS MARRIAGE: ADDRESS: CITY: STATE: ZIP: PARTY 2 FULL NAME: ALIAS NAME: DATE OF BIRTH: NUMBER OF THIS MARRIAGE: ADDRESS: CITY: STATE: ZIP: DATE OF MARRIAGE: CHILDREN'S NAMES: PLACE OF MARRIAGE: M F DATE OF BIRTH: AGE Attorney of Record (Print or Type) Address Telephone and Fax Number Witness: Address: (COURT USE ONLY) DM CONTESTED UNCONTESTED OTHER PARENTING DECREE FOR E-mail Address: Signature Ohio Supreme Court Registration Number SET FOR HEARING PARENTING SEMINAR Party 1 _/ Party 2 / PLTF. DEFT. GROUNDS CHILD SUPPORT SPOUSAL SUPPORT ATTORNEY FEES PLTF. DEFT. REALTY DATE OF FINAL JOURNAL ENTRY American LegalNet, Inc. www.FormsWorkFlow.com DR0706138 Case Designation Sheet rev. 8/2015