CIVIL - DOMESTIC CASE INFORMATION REPORT Circuit Court for Is this case appropriate for referral to an ADR process under Md Rule 17-101? (Check all
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CIVIL - DOMESTIC CASE INFORMATION REPORT IN THE CIRCUIT COURT FOR (City or County) Plaintiff: This Information Report must be completed and
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CASE NAME: vs CIVIL - NON-DOMESTIC CASE INFORMATION REPORT IN THE CIRCUIT COURT FOR (City or County) Plaintiff Defendant (Clerk to insert)
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spouse has filed for an absolute divorce and you wish to ask the court for relief Civil Domestic Case Information Report (CC-DCM-001): Required for all
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ALL these requirements must be met, per the MD Code: The other side also fills out a Civil-Domestic Case Information Report and an Answer to Complaint 3
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American LegalNet, Inc.
www.FormsWorkFlow.com CIVIL - DOMESTIC CASE INFORMATION REPORTCircuit Court for
City or CountyDIRECTIONS:
Plaintiff:
This information Report must be completed and attached to the complaint filed with the Clerk of Court unless your case is exempted from the requirement by the ChiefJudge of the Court of Appeals pursuant to
Rule 2-111.
A copy must be included for each defendant to be served.Defendant:
You must file an Information Report as required by Rule 2-323(h).THIS INFORMATION REPORT CANNOT BE ACCEPTED AS AN ANSWER OR RESPONSEFORM FILED BY: PLAINTIFF DEFENDANT CASE NUMBE
RCASE NAME:
vs.PARTY'S NAME:
PHONE:
ADDRESS:
PARTY'S ATTORNEY'S NAME:
PHONE:
ATTORNEY'S ADDRESS:
I am not represented by an attorney
RELATED CASE PENDING? Yes No If yes, Court and case #(s) if known:PlaintiffDefendant
Day Time PhoneClerk to insertSpecial Requirements? Interpreter/communication impairment Which language(Attach Form 1-332 if Accommodation or Interpreter Needed) Which dialect ADA accommodation:ALTERNATIVE DISPUTE RESOLUTION INFORMA
TION Is this case appropriate for referral to an ADR process under Md. Rule 17-101? (Check all that apply)
A. Mediation Yes No
C. Settlement Conference Yes No
B. Arbitration Yes No
D. Neutral Evaluation Yes NoIS THIS CASE CONTESTED? Yes No If yes, which issues app
ear to be contested? Ground for divorce Child Custody Visitation Child Support Alimony Permanent
Rehabilitative Use and possession of family home and property Marital property issues involving: Valuation of business Pensions
Bank accounts/IRA's Real Property Other: Paternity Adoption/termination of parental rights Other:
Request is made for: Initial order Modification Co ntempt Absolute Divorce Limited Divorce For non-custody/visitation issues, do you intend to request: