Mothers and Fathers For Equal Rights

Paperwork Information Sheet

Complete this after paying for paperwork through the website, in person, by Zelle, or through an emailed invoice or payment link.

Enter names and case details exactly as they appear on court records.

If you already paid, do not pay again. Website payments are selected automatically after the completed PayPal checkout. In-person, Zelle, and emailed payments are matched to the receipt or confirmation by staff before work begins. Enter only the last three digits of a Social Security number or driver's license where requested. Never enter a full Social Security number, license number, card number, bank number, or password.

Paperwork Payment

Choose the path that matches how your paperwork payment was completed.

How was the paperwork payment completed? * Paperwork requested or staff instructions *

Client Information

Enter the information for the person requesting the paperwork. Use the same legal name shown on court records.

Full Name * Current Address City State Zip Code Phone Cell Email Date of Birth Place of Birth Last 3 of SSN Enter only the last three digits. Last 3 Numbers of Driver's License Enter only the last three numbers. Driver's License Issuing State

Employment Information

Current Employer Employer Address How Long City State Zip Code Phone Email Fax

Opposing Party Information

Provide the opposing party's information when known. Leave an unknown field blank rather than guessing.

Full Name Current Address City State Zip Code Phone Cell Email Date of Birth Place of Birth Last 3 of SSN Enter only the last three digits. Last 3 Numbers of Driver's License Enter only the last three numbers. Driver's License Issuing State

Employment Information

Current Employer Employer Address How Long City State Zip Code Phone Email Fax

Marriage Information

Complete this section if it applies to the requested paperwork.

Date of Marriage Date of Separation City and State of Marriage Are you requesting a change of name?

Children Information

Complete one entry for each child covered by this paperwork. Leave unused entries blank.

Child 1

Full Name Sex Date of Birth Last 3 of SSN Enter exactly three digits, not the full number. Name Change Place of Birth (City, State, and County)

Child 2

Full Name Sex Date of Birth Last 3 of SSN Enter exactly three digits, not the full number. Name Change Place of Birth (City, State, and County)

Child 3

Full Name Sex Date of Birth Last 3 of SSN Enter exactly three digits, not the full number. Name Change Place of Birth (City, State, and County)

Child 4

Full Name Sex Date of Birth Last 3 of SSN Enter exactly three digits, not the full number. Name Change Place of Birth (City, State, and County)

Case Information

If a case has previously been filed, provide the case information exactly as shown on the court record.

Has a case previously been filed? *

Orders and Other Parties

Have any orders been signed in this case? * Has there been any finding of family violence? * Any protective or restraining orders pending? * Is the Attorney General involved in your case? * Any other parties affected by this case? *

Signature

Printed Name * FER Membership No. (if issued) Typed Signature * Type the same name entered as Printed Name. Date *

I certify that this information is true and complete to the best of my knowledge, and I agree that my typed name is my electronic signature. *

Review every entry before submitting.

This information sheet collects details for paperwork that has already been paid for. It does not create or change a membership number.

Paperwork Information Sheet

Paperwork Payment

Paid Online

Already Paid Outside the Website

Client Information

Employment Information

Opposing Party Information

Employment Information

Marriage Information

Children Information

Child 1

Child 2

Child 3

Child 4

Case Information

Orders and Other Parties

Signature

Information Received