Local Rule - State of Indiana

APPENDIX EIN THE PORTER CIRCUIT COURT INTHE PORTER SUPERIOR COURTA P P E A R A N C E F O R M (C I V I L)Initiating Party)(Caption) )) CAUSE NUMBER:1. Name of firstinitiating party (must include date of birth and social security number in DR, PO, AD, GUcases)(Supply names of additional initiating parties on continuation page.)2. Attorney information (as applicable for service of process):Name: Atty. Number:Address:Phone:Fax:Computer Add:(Supply information for additional attorneys on continuation page.)3. Case Type requested: 4. Will accept Fax service Yes No5. For all occupants of the initiating party’s residence as well as any child/ren of either thepetitioner or the respondent, supply the names, dates of birth and social securitynumbers in proceedings involving dissolution of marriage, child custody, childsupport, child visitation, juvenile delinquency, CHINS, paternity, termination ofparental rights, adoptions, guardianship, mental health issues, and protectiveorders.Name: D.O.B. SS#: Name:D.O.B.SS#:Name: D.O.B. SS#: Name:D.O.B.SS#:(SUPPLY ABOVE INFORMATION FOR ADDITIONAL PERSONS ON A CONTINUATION PAGE)29