GENERAL CIVIL & DOMESTIC RELATIONS CASE FILING WORKSHEET

(Georgia statewide case filing information form shadow worksheet – v1.1.20)

[// GUIDANCE: Use this to gather data before completing the official statewide form. File the official form with the complaint/petition in Superior or State Court.]

1. CAPTION & COURT SELECTION

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[ ] SUPERIOR COURT [ ] STATE COURT OF [COUNTY], GEORGIA

General Civil and Domestic Relations Case Filing Information – Worksheet

Case No.: [TBD BY CLERK] Date Filed: [DATE]

Plaintiff/Petitioner: [NAME(S)]
Defendant/Respondent: [NAME(S)]

2. PARTY INFORMATION

• Plaintiff/Petitioner(s): [NAME / ADDRESS / PHONE / EMAIL]
• Defendant/Respondent(s): [NAME / ADDRESS / PHONE / EMAIL]
• Additional parties: attach list if needed.

3. ATTORNEY OR SELF-REPRESENTED PARTY

• Name / Bar No.: [ATTORNEY NAME], GA Bar [NUMBER] (or “Pro Se”)
• Firm: [LAW FIRM NAME]
• Address: [STREET, CITY, STATE ZIP]
• Phone/Email: [PHONE] | [EMAIL]
• Attorney for: [PLAINTIFF/DEFENDANT/PETITIONER/RESPONDENT]
• [ ] Self-represented party

4. CASE TYPE (CHECK ONE PRIMARY) – STATEWIDE FORM CATEGORIES

General Civil

• [ ] Automobile Tort
• [ ] Civil Appeal
• [ ] Contempt/Modification/Other Post-Judgment
• [ ] Contract
• [ ] Garnishment
• [ ] General Tort
• [ ] Habeas Corpus
• [ ] Injunction/Mandamus/Other Writ
• [ ] Landlord/Tenant
• [ ] Medical Malpractice Tort
• [ ] Product Liability Tort
• [ ] Real Property
• [ ] Restraining Petition
• [ ] Other General Civil

Domestic Relations

[// GUIDANCE: If checking one of these, ensure you are filing a domestic relations action and using the official statewide form.]
- [ ] Adoption
- [ ] Contempt
- [ ] Non-payment of support
- [ ] Dissolution/Divorce/Separate Maintenance
- [ ] Family Violence Petition
- [ ] Modification
- [ ] Custody/Parenting Time/Visitation
- [ ] Paternity/Legitimation
- [ ] Support – IV-D
- [ ] Support – Private
- [ ] Other Domestic Relations

5. RELATED ACTIONS

• [ ] Yes (list case number(s)/court(s)): [DETAILS]
• [ ] No

6. INTERPRETER & ACCOMMODATIONS

• Interpreter needed: [YES/NO] – Language: [SPECIFY]
• Disability accommodation needed: [YES/NO] – Describe: [SPECIFY]

7. AMOUNT IN CONTROVERSY (OPTIONAL WORKSHEET DETAIL)

• Monetary relief: $[AMOUNT] (exclusive of fees/costs)
• Non-monetary / equitable relief: [DESCRIBE]

8. JURY DEMAND

• [ ] Jury requested
• [ ] Non-jury

9. SERVICE & SPECIAL NOTES

• Service addresses and method (sheriff/process server/certified mail): [DETAILS]
• Out-of-state or special service issues: [DETAILS]

10. CERTIFICATION & SIGNATURE

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I certify that the information provided is accurate and complies with the redaction requirements of OCGA § 9-11-7.1.

Date: [DATE]

____________________________________
[ATTORNEY NAME], GA Bar [NUMBER] / Pro Se
Attorney for [PLAINTIFF/DEFENDANT/PETITIONER/RESPONDENT]
[// GUIDANCE: File the official General Civil and Domestic Relations Case Filing Information Form (v1.1.20) with your pleading in Superior or State Court.]