FL-172 - Case Information—Family Law

Summary

Case Information—Family Law

Text

Form ID: FL-172
Title: Case Information—Family Law
Effective Date: 2012-01-01
Mandatory Form: no
Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-172
Primary Download URL: https://www.courts.ca.gov/documents/fl172.pdf
Form Detail Page:
Case Information—Family Law
(FL-172)
Used by courts to specify important issues in a family law case.
Get form FL-172
Effective: January 1, 2012
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PDF Text:
FL-172
Page 1 of 2
Form Approved for Optional Use 
Judicial Council of California 
FL-172 [New January 1, 2012]
www.courts.ca.gov
PETITION2. 
The petition for    dissolution legal separation nullity parentage other (specify):
was filed on (date):
BACKGROUND DATA3.
There is a dispute about the length of the marriage or partnership.
Date of marriage/registered domestic partnership:a.
b.
c. 
Date of separation on the petition: on the response (if different):
Length of marriage or partnership:
Name of child or children Birthdate Age
CHILDREN4.
Gender
  Additional children listed on Attachment 4.
RELATED CASES5.
One or both of the parties, or a child or children of the parties, has been involved in other related court cases. (List county or district 
and case number, if known):
Custody or visitation (parenting time) for the children of this case:
Juvenile delinquency:
Juvenile dependency:
Domestic violence/protective order:
Bankruptcy:
Criminal (only if reasonably related to the issues of this case): 
Other:
CASE INFORMATION—FAMILY LAW
a. 
b. 
c. 
d. 
e. 
f. 
g. 
6. JUDGMENT TERMINATING STATUS OF MARRIAGE OR DOMESTIC PARTNERSHIP HAS BEEN ENTERED
a. Date of termination:
Date status judgment entered:b.
(THIS FORM IS FOR COURT USE ONLY)
FOR COURT USE ONLYSUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
CASE NUMBER:
CASE INFORMATION—FAMILY LAW
ASSIGNMENT Case assigned to 1. 
OTHER PARTY:
Judicial Officer (name): Dept. No.
Interpreter needed  
Petitioner's Language:
Respondent's Language:
Other Party's Language:
(1)
(2)
(3)

FL-172
PETITIONER: CASE NUMBER:
RESPONDENT:
Page 2 of 2 FL-172 [New January 1, 2012]
DISCLOSURE8.
Service of declarations of disclosure has been completed by:
Preliminary
Final
Petitioner            Respondent
PROTECTIVE ORDERS9.
The parties have a restraining order that expires on (date):
Protected party (name):
Children are included as protected persons.
DEPARTMENT OF CHILD SUPPORT SERVICES10.
The Department of Child Support Services has a separate case open.
The Department of Child Support Services has intervened in this case.
CUSTODY/PARENTING TIME (VISITATION)11.
The parties have participated in child custody and visitation (parenting time) mediation.
An agreement has been reached.
Counsel has been appointed to represent the minor child or children. 
A child custody evaluation has been ordered report has been filed.
CASE INFORMATION—FAMILY LAW
a.
b. 
a.
b. 
a.
b. 
c.
d. 
Petitioner            Respondent
EXPERTS12.
The following experts have been appointed (include issues):
OTHER13.
SERVICE AND RESPONSE7.
Respondent was served with the petition on (date):                                            , by (method):
personal service substituted service publication or posting notice and acknowledgement
other (specify):
Respondent has not been served with the petition.
Respondent filed a response on (date):         
Respondent has not filed a response with the court.
Default has been entered against respondent.
a.
b.
c.
d.
e.
Final has been waived by Petitioner            Respondent
OTHER PARTY:
Respondent appeared by filing an Appearance, Stipulations, and Waivers (form FL-130).f.
 of receipt
a. 
b. 
c. 
Other (specify):d. Petitioner            Respondent

Retrieval chunks

• #1

  Form ID: FL-172 Title: Case Information—Family Law Effective Date: 2012-01-01 Mandatory Form: no Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-172 Primary Download URL: https://www.courts.ca.gov/documents/fl172.pdf Form Detail Page: Case Information—Family Law (FL-172) Used by courts to specify import…

• #2

  Children are included as protected persons. DEPARTMENT OF CHILD SUPPORT SERVICES10. The Department of Child Support Services has a separate case open. The Department of Child Support Services has intervened in this case. CUSTODY/PARENTING TIME (VISITATION)11. The parties have participated in child custody and vis…