What is the Domestic Relations Initiation Form for?

It collects party, attorney, and case details for the West Georgia Judicial Circuit ADR Mediation Program, along with information about requested relief and mediation considerations.

Do I need a notary for the Domestic Relations Initiation Form?

No. The form has a signature and date line but no notary block. It does not identify any attached or related step as requiring notarization or a sworn signature.

How do I submit the Domestic Relations Initiation Form?

Email it to adrmediation@carrollcountyga.gov. The form says to include all parties on email correspondence and to include any preferred mediation date, time, or location.

What does the form say about parenting education?

If the parties have children, the form says all parties must complete a court-approved Parenting Education Seminar within 30 days of filing. Mediation may not proceed until the requirement is met or waived by the Court.

Carroll County, GA · Carroll County

No notary required

Domestic Relations Initiation Form

Parties in a domestic relations case use this form to provide case information and initiate mediation through the West Georgia Judicial Circuit ADR Mediation Program.

At a glance

Issued by: City of Carroll County · Carroll County, Carroll County, Georgia
Notarization: Not required: file this form without a notary.
Official source: carrollcountyga.gov
Blank form: Download the PDF
Catalogued: Oct 5, 2026
Machine-readable: JSON record · about the forms index

What this form is

This form gathers information about the parties, attorneys, case type, requested relief, financial affidavits, and circumstances relevant to mediation. It asks about children and completion or scheduling of a parenting education seminar, and includes questions about mediation concerns and special circumstances. The form states that all parties must meet the seminar requirement or obtain a court waiver before mediation may proceed.

Who needs it

Parties initiating mediation for a domestic relations case, including their attorneys, provide the requested case and scheduling information on this form.

How to submit it

Email the completed form to [email protected]. Include all parties on email correspondence and note any preferred mediation date, time, or location.

About notarization

This document is signed and dated without a notary; it does not identify any attached or related step as requiring notarization or a sworn signature.

How to submit this form

1
Download the Form
Download the Domestic Relations Initiation Form PDF.
2
Complete the Form
Fill in party, attorney, case, requested relief, seminar, and mediation-related information.
3
Sign and Date
Add the requested signature, date, and printed name and title.
4
Email the Form
Email it to [email protected], including all parties in the correspondence.

Frequently asked questions

What is the Domestic Relations Initiation Form for?: It collects party, attorney, and case details for the West Georgia Judicial Circuit ADR Mediation Program, along with information about requested relief and mediation considerations.
Do I need a notary for the Domestic Relations Initiation Form?: No. The form has a signature and date line but no notary block. It does not identify any attached or related step as requiring notarization or a sworn signature.
How do I submit the Domestic Relations Initiation Form?: Email it to [email protected]. The form says to include all parties on email correspondence and to include any preferred mediation date, time, or location.
What does the form say about parenting education?: If the parties have children, the form says all parties must complete a court-approved Parenting Education Seminar within 30 days of filing. Mediation may not proceed until the requirement is met or waived by the Court.

Need something notarized?

This Domestic Relations Initiation Form doesn’t need a notary, but if you have another Carroll County form that does, a commissioned online notary can help.