NEW CASE DESIGNATION FORM

Summit County Court of Common Pleas
Domestic Relations Division
Print Form
NEW CASE DESIGNATION FORM
For Official Use Only:
Case No.:
SETS No.:
Instructions: Pursuant to Summit County Court of Common Pleas - Domestic Relations order filed March 1st, 2007, this form must be
completed and submitted with any new cause of action filed with the Summit County Clerk of Courts.
Case Type:
(e.g., dissolution, dissolution with children, divorce, divorce with children, parentage, visitation rights, etc)
Plaintiff Information:
Defendant Information:
First
Name:
Middle
Initial
First
Name:
Middle
Initial
Last
Name:
Suffix
Last
Name:
Suffix
Address
Address
City
State
SSN:
DoB:
Telephone:
Zip
(if unrepresented)
Plaintiff Attorney Information:
Pro Se
Attorney Name:
Ohio Sup Ct #
City
State
SSN:
DoB:
Telephone:
(if unrepresented)
Defendant Attorney Information: (if known)
Attorney Name:
Telephone:
Ohio Sup Ct #
Firm Name:
Firm Name:
Address
Address
City
Zip
State
Zip
City
Telephone:
State
Zip
State
Zip
State
Zip
State
Zip
Child Information:
1st Child Name:
Address
DoB:
City
2nd Child Name:
Address
DoB:
City
3rd Child Name:
Address
DoB:
City
Check if additional space is needed to list children related to these proceedings. Complete and submit form DR002: Additional Children.
Attorney for Plaintiff (or pro se litigant)
DR Form 001
Rev 1.0 2/28/2007