Civil Case Cover SheetCal. Super. - 6th Dist.January 5, 2021ATI'CRNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY l- Y5§FLeg§PNameflnHM 7W" 61/”me \- Your Address: 26Q7 WAMl“ vag/ 31“] OS; Chasm; TELEPHONE N0; FAX NO: AUORNEY FOR (Name): Self-Represented SUPERIOR COURT 0F CALIFORNIA. COUNTY 0F Santa Clara STREErADDRESS: 191 North First Street MAILINGADnRess; 191 North FIrSt Street cn'YANDZIPcooE;S_ar! Jose, CA 95113 BRANCHNAMECIVII Courthouse CASENAME: wmbp VSMW mCIVIL CASE (EVER SHEET Complex Case Designation Unlimited Limited . (Amount (Amount D Counter D Jomder demanded demanded is Filed with first appearance by defendant exceeds $25,000) $25.000 or less) (Cal. Rules of Court, rule 3.402) DEPT; Items 1-6 below must be completed (see instructions on page 2). 1. Check one box below for the case type that best describes this case: Auto Tort Contract Provisionally Complex Civil Litigation a Auto (22) Breach of contractfwarranly (06) Cal. Rules of Court, rules 3.400-3.403)Uninsured motorist (46) Rule 3.740 collections (09) AntitrusUTrade regulation (03) . Other collections (09) Construction defect (1 0) gzfiggpelxvnrtggnfgrenfsg??:gjrylpmpeny Insurance coverage (1 B) Mass tort (40) Other contract (37) Securities litigation (28) ASbeS‘os (04) Environmentalfl'oxic tort (30) Product liability (24) Real Property V , , Medical malpractice (45) D Eminent domain/lnverse lnbsuran‘ce covera.g.e Claims ansmg from me Other PI/PD/WD (23) condemnation (14) fyp‘jevigjged pr°"'s'°"a”y °°mp'e" case Non-PIIPD/WD (Other) Ton wr°”9f“' ev'dm" (33) Business tort/unfair business practice (07) Other real pmpeny (26) Enforcement Of “d.gment . . . . D Enforcement of ud ment (20)CMI rights (08) Unlawful Detalner J g Defamation (13) Commercial (31) Miscellaneous Civil Complaint Fraud (15) Residential (32) a Rico (27)Intellectual property (1 9) Drugs (38) Other complaint (not specified above) (42) gifigsjfn'lap'lflfgf'figfgfigg) Judicial Review Miscellaneous Civil Petition Asset forfeiture (05) Partnership and corporate governance (21) Employment Petition re: arbitration award (11) a Other petition (nor specified above) (43) Wrongful termination (36) Writ of mandate (02) Other employment (15) Otherjudicial review (39) 2. This case D is m is not complex under rule 3.400 of the California Rules of Court. Ifthe case is complex, mark the factors requiring exceptional judicial management: a. Large number of separately represented parties d. Large number of witnesses b. Extensive motion practice raising difficult or novel e. Coordination with related actions pending in one or more courts issues that will be time-consuming to resolve in other counties, states, or countries, or in a federal court c. D Substantial amount of documentary evidence f. D Substantial postjudgment judicial supervision 3. Remedies sought (check all that apply): a. D monetary b.m nonmonetary; declaratory or injunctive relief c. a puditive 4. Number of causes of action s ecify): 5. This case D is fl is not a class action suit. 6. If there are any known related cases. file and serve a notice of related case.(You m. Datezdnnummi PH’V] [2/011 Aflllu 30%? OUWHIOD '(TYPE OR PRINT NAME) NOTICE Plaintiff must file this cover sheet with the first paper filed in the action or proceeding (except small claims cases or cases filed under the Probate Code, Family Code, or Welfare and Institutions Code). (Cal. Rules of Court, rule 3.220.) Failure to file may result in sanctions. File this cover sheet in addition to any cover sheet required by local court rule. If this case is complex under rule 3.400 et seq. 0fthe California Rules of Coun, you must serve a copy of this cover sheet on all other parties to the action or proceeding. Unless this is a collections case under rule 3.740 0r a complex case, this cover sheet will be used for statistical purposes only. Page 1 o! 2 F Ad l df M d I U l. i 1 .30. 3‘ 0, 400-1403 3.740:Jmal gguencnoéf Caarhgrgg 58 L.)M- CIVIL CASE COVER SHEET ca Rgaelég‘faggggbsruofejuzdidalAzdzminlaslratiovn‘ std. 3.10 \_. ‘ CM<01D [Rem Juiy 1, 2007] M [55“th [UHMSW mvauflnEcZoizj C /Mfl I / a l I n 1 I CM-01O INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET To Plaintiffs and Others Filing First Papers. If you are filing a first paper (for example. a complaint) in a civit case, you must complgte and file, along with your first pa er, the Civil Case Cover Sheet contained on gage 1. This information will be used to compile statistics about the types and numbers o cases filed. You must complete items 1 throug 6 on the sheet. [n item 1, you must check one box for the case type that best describes the case. If the case fits both a general and a more specific type of case listed in item 1, check t_he mor_e specific one. Ifthe case has multiple causes of action, check the box that best indicates the primary cause of action. To ass:st you In completing the sheet. examples of the cases that belong under each case type in item 1 are provided below. A cover sheet must be filed only with your initial paper. Failure to file a cover sheetwith the first paper filed in a civil case may subject a party. its counsel, or both to sanctions under rules 2.30 and 3.220 ofthe California Ruies of Court. To Pa_rties in Rule 3.740 Collecyions Cases. A "collections case" under rule 3.740 is defined as an action for recovery of money owed In a sum stated to be cedaln that Is not more than $25,000. exclusive of interest and attorney‘s fees, arising from a transaction in which property, services, or money was acquired on credit. A collections case does not include an action seeking the following: (1) tort damages. (2 punitive damages. (3) recoveryof real propefiy. (4) recovery of persona! property, or (5? a prejudgment writ of a_ttachment. he identification of a case as a rule 3.740 collections case on this form means that it wi | be exempt from the eneral trme-for-service requirements and case management rules, unless a defendant files a responsive pleading. A rule 3.740 co lections case will be subject to the requirements for service and obtaining a judgment in rule 3.740. To Parties in Complex Cases. ln-com Iex cases only. parties must also use the Civil Case Cover Sheet to designate whether the case :s complex. Ifa plaintiff believest e case is complex under rule 3.400 ofthe California Rules of Court, this must be indicated by completing the appropriate boxes in items 1 and 2. If a plaintiff designates a case as complex, the cover sheet must be sewed with the complaint on all parties to the action. A defendant may file and serve no later than the time of its first appearance a joinder in the plaintiffs designation. a counter-designation that the case is not complex, or, if the plaintiff has made no designation, a designation that the case is complex. Auto Tort Auto (22)-Personal InjurylProperty DamageIWrongfuI Death Uninsured Motorist (46) (if the case involves an uninsured motorist claim subject f0 arbitration. check this item instead ofAuro) Other PIIPDIWD (Personal Injury] Property DamagefWrongful Death) Tort Asbestos (O4) Asbestos Property Damage Asbestos Personal Injury] Wrongful Death Product Liability (nor asbestos or (oxic/environmental) (24) Medical Malpractice (45) Medical Malpractice- Physicians & Surgeons Other Professional Health Care Malpractice Other PIIPD/WD (23) Premises Liability (e.g., slip and fall) Intentional Bodily InjurylPD/WD (e.g.. assault, vandalism) Intentional lnfliction of Emotional Distress Negligent Infliction of Emotional Distress Other PllPD/WD Non-PIIPDIWD (Other) Tort Business TorUUnfair Business Practice (07) Civil Rights (e.g., discrimination, false arrest) {not civil harassment) (08) Defamation (e.g., stander. libel) 13 Fraud (16) Intellectual Property (19) Professional Negiigence (25) Legal Malpractice Other Professional Malpractice (not medical or legal) Other Non-Pl/PDNVD Ton (35) Employment Wrongful Termination (36) Other Employment (15) CASE TYPES AND EXAMPLES Contract Breach of Contract/Warranty (06) Breach of Rental/Lease Contract (not unlawful detainer or wrongful eviction) Contract/Warranty Breach-Selier Plaintiff (not fraud or negligence) Negligent Breach of Contract/ Warranty Other Breach of ContracUWarranty Collections (e.g., money oWed, open book accounts) (09) Collection Case-Seller Plaintiff Other Promissory Note/Collections Case Insurance Coverage (nor provisionally complex) (1 8) Auto Subrogation Other Coverage Other Contract (37) Contractual Fraud Other Contract Dispute Real Property Eminent Domain/Inverse Condemnation (14) Wrongful Eviction (33) Other Real Property (e.g.. quiet title) (26) Writ of Possession of Real Property Mortgage Foreclosure Quiet Title Other Real Property (not eminent domain, landlordflenant, or forecfosure) Unlawful Detainer Commercial (31) Residential (32) Drugs (38) (if the case invofves mega! drugs, check this Hem; otherwise, report as Commercial or Residential) Judicial Review Asset Forfeiture (05) Petition Re: Arbitration Award (11) Writ of Mandate (02) Writ-Adminl’strative Mandamus Writ-Mandamus on Limited Court Case Matter Writ-Other Limited Court Case Review Other Judicial Review (39) Review of Health Officer Order Notice oprpeal-Labor Commissioner Appeals Provisionally Complex Civil Litigation (Cal. Rules of Court Rules 3.400-3.403) Antitrust/Trade Regulation (03) Construction Defect (10) Claims Involving Mass Tort (40) Securities Litigation (28) Environmentalf'l'oxic Tort (30) Insurance Coverage Claims (arising from provisionally comprex case type listed above) (41) Enforcement of Judgment Enforcement of Judgment (20) Abstract of Judgment (Out of County) Confession of Judgment (non- domestic relations) Sister State Judgment Administrative Agency Award (not unpaid taxes) PetitionlCertificalion of Entry of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Miscellaneous Civil Complaint RICO (27) Other Complaint (not specified above) (42) Declaratory Relief Only Injunctive Reiief Only (non- harassment) Mechanics Lien Other Commercial Complaint Case (non-rorf/non-complex) Other Civit Complaint (non-tort/non-compfex) Miscellaneous Civil Petition Pannership and Corporate Governance (21) Other Petition (nor specified above) (43) Civil Harassment Workplace Violence EIder/Dependent Adult “4 Abuse Election Contest . Petition for Name Change Petition for Relief from Late Claim Other Civil Petition CMmo [Rem July 1, 2007] g6) mmflpmg ‘ M ESSENTIAL FURMS" CIVIL CASE COVER SHEET Page 2 of 2