SUPERIOR COURT OF ARIZONA - GILA COUNTY
COVER SHEET – DOMESTIC RELATIONS
Case No. DO -
Petitioner Respondent
Name: Name:
Mailing Address: Mailing Address:
City and State: City and State:
Telephone: Telephone:
Employer: Employer:
Mailing Address: Mailing Address:
Telephone: Telephone:
Attorney(s) for Petitioner Attorney(s) for Respondent
Address: Address:
City, State, Zip: City, State, Zip:
Telephone: Telephone:
State Bar No. State Bar No.
Minor Children
Name Current Residence
This Case Does Have A Related IV-D Case
This Case Does Not Have A Related IV-D Case
There Is Currently A Wage Assignment In Effect
There Is Not Currently A Wage Assignment In Effect
(Please Check Appropriate Categories for type of Domestic Relations case)
DO - Domestic Relations
DO1 Dissolution with Children D16 Foreign Judgment Other than Support
DO2 Dissolution without Children D17 URESA (from other jurisdiction)
D11 Legal Separation D23 URESA (initiating from our jurisdiction
D12 Paternity/Maternity D18 Out of County Judgment
D13 Annulment D19 Establish Support
D14 Custody D20 Habeas Corpus (custody)
D15 Order Of Protection D21 Visitation
D40 Emergency Order of Protection D30 Other Domestic Relations
Superior Court of Arizona, Gila County
Form 101 (Rev. 02-11)