To submit this form, ensure all required fields are filled out accurately. Submit the form by mailing it to the respective court's address provided on their official website. You may also fax the form if a fax number is provided, or utilize the court’s online submission portal if available. Ensure to retain a copy of the completed form for your records. Consult with your attorney for specific submission guidelines relevant to your case.

This form was adopted on July 28, 2004, and amended on June 15, 2007, effective from September 1, 2007.

The purpose of the Confidential Litigant Information Sheet is to collect comprehensive and accurate data regarding the litigants in a legal case. This ensures that court records are up-to-date, relevant, and correct. Personal information, case details, and information about children involved in child-related cases are collected through this form.

• 1. Docket #: Unique identifier for the case.
• 2. Name: Plaintiff's or defendant's full name.
• 3. Role: Whether the person filling the form is a plaintiff or defendant.
• 4. Social Security Number: Litigant's social security number.
• 5. Date of Birth: Litigant's birth date.
• 6. Place of Birth: Litigant's place of birth.
• 7. Driver's License Number: Driver's license number and state of issuance.
• 8. Active Domestic Violence Order: Indicates if there is an active domestic violence order.
• 9. Address: Current residential address of the litigant.
• 10. Telephone Number: Litigant's contact number.
• 11. Employer Information: Employer name, address, and contact information.
• 12. Professional Licenses: Details of professional, occupational, or recreational licenses held.
• 13. Attorney Information: Attorney's name and contact details.
• 14. Health Coverage for Children: Medical insurance details for any children involved.
• 15. Children Information: Details like name, date of birth, race, sex, social security number of children involved.
• 16. Physical Attributes: Information on physical attributes such as height, weight, eye and hair color.
• 17. Auto License Plate #: Auto license plate number and state of issuance.
• 18. Car Details: Details about the car including make, model, and year.
• 19. Mother's Maiden Name: Mother's maiden name and address.
• 20. Certification: Statement certifying that the information provided is true.
• 21. Signature: Signature of the person filling out the form.

Failure to submit this form may result in inaccurate court records and potential legal repercussions.

• Inaccurate Records: The court may have outdated or incorrect information.
• Legal Penalties: There may be penalties for not providing required information.
• Delayed Proceedings: Court proceedings may be delayed due to missing information.

• 1. Divorce Cases: Used to provide information in divorce proceedings.
• 2. Custody Cases: Used to provide child details in custody cases.
• 3. Domestic Violence Cases: Used to update details in domestic violence orders.
• 4. Child Support Cases: Used to provide information needed for child support actions.
• 5. Employment Verification: Used to verify employment details in legal proceedings.