Civil Case Cover SheetCal. Super. - 6th Dist.January 7, 2021LATTORNEY 0R PARTY WITHOUT ATTORNEY (Name, State Bar number, and address) FOR COURT USE ONLY Your Legal Name: k, ‘J r I “.\‘ \v‘. (fl LL l ‘ » /* a ”N YourAddress: qq‘z I \)‘-)\C‘/ bf- ss cs‘ «SB TELEPHONE No. FAX no: ATTORNEY FOR (Name) seIf-Repfesented SUPERIOR COURT 0F CALIFORNIA, couyTY 0F Santa Clara STREETADDRESS 191 North F!|'St Street MAILING ADDRESS 191 North Fll'st Street CITY AND ZIP CODE s_an Jose, CA 95113 amen NAME CIVII Courthouse CASE NAME: -. énL’L (.3. [EU rah -CIVIL CASE (EVER SHEET CoTanex Case Designation CASEmm 2 1 c‘H 00 9 8 0 zFf! Unlimited Limited . ~ (Amount (Amount D Counter D Jomder JUDGE 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 Cont ct Provisionally Complex Civil Litigation Auto (22) Breach of contract/warranty (06) Cal. Rules of Court, rules 34006.403) Uninsured motorist (46) Rule 3.740 collections (09) AntitrustlTrade regulation (03) . Other collections (09) Construction defect (10) Other PIIPDNVD (Personal InjuryIProperty Insurance coverage (18) Mass ton (40) Damage/Wrongful Death) Tort . . . . . Other contract (37) Securmes lmgatlon (28) Asbestos (04) . . ~ . ‘ Envnronmental/Toxuc tort (30) Product Inability (24) Real Property . . . . . . . Insurance coverage claims ansmg from the Medical malpractice (45) D Eminent domaIn/lnverse above listed rovisiona“ com |ex case Other PI/PD/wo (23) condemnation (14) types (41) p y p Non-PI/PD/wo (Other) Tort wmngfu' ev'cm" (33) . . . . Other real property (26) Enforcement of Judgment Busmess tort/unfalr busmess practsce (O7) a Enforcement of .ud men! (20) Civil rights (O8) Unlawful Detalner J g Defamation (13) Commercial (31) Miscellaneous Civil Complaint Fraud (16) Residential (32) RICO (27) Intellectual property (19) Drugs (38) Other complaint (not specified above) (42) 22:25:;zfifllrpegfiveonfoeéigg) Judicial Review Miscellaneous Civil Petition Asset forfeiture (05) - Partnership and corporate governance (21) Employment Petition re: arbitration award (1 1) W Other petition (not specified above) (43) Wrongful termination (36) Writ of mandate (02) Other employment (15) Other judicial review (39) 2. This case D is m is not complex under rule 3.400 of the California Rules of Court. If the 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 allthatapply): a. D monetary b.m nonmonetary; declaratory orinjunctive relief c. D punitive 4. Number of causes of action s ecify): 5. This case D is is not a class action suit. 6. If there are any known related cases. file and serve a notice of related case.(You may use form CM-015.) Date: 0”“, [Ui‘ (TYPEm NAME) ’ NOTICE o Plaintiff must file this cover sheet with the first paper filed in the action or proceeding (except small claifns cases or cases filed under the Probate Code, Family Code, or Welfare and Institutions Code). (Cal. Rules of Coun, 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. o If this case is complex under rule 3.400 et seq. of the California Rules of Court, you must serve a copy of this cover sheet on all other parties to the action or proceeding. o Unless this is a collections case under rule 3.740 or a complex case. this cover sheet will be used for statistical purposes only. Pug. 1 of Adoptedf M d t U . C I. R I OfC r! I 2‘30. 3.220. 1400-1403 3.740; Efiidocmflgf ?aaréfogorgg 3° cog "NM_- CIVIL CASE COVER SHEET a gaeléStanguarfismotejudicial Administration std. 3.10 8V. y . l n BSEIM ['me WWWOO .cavyovMa Ck {-174 CM-010 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 civil case, you must complete and file. along with your first pa er. the Civil Case Cover Sheet contained on statistics about the types and numbers o cases filed. You must complete items 1 throug age 1. This information will be used to compile 6 on the sheet. ln item 1. you must check one box for the case ype that best describes the case. If the case fits both a general and a more specific type of case listed in item 1. Icheck the more spec Ic one. If the case has multiple causes of action, check the box that best indicates the primary cause of action. To assist 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 sheet with the first paper filed in a civil case may subject a pany, its counsel, or both to sanctions under rules 2.30 and 3.220 of the California Rules of Court. To Parties in Rule 3.740 Collections Cases. A "collections case" under rule 3.740 is defined as an action for recovery of money owed in a sum stated to be certain that is not more than $25,000, exclusive of interest and attorney's fees, arising from a transaction in which property, services. or moneg was acquired on credit. A collections case does not include an action seeking the following: (1) tort damages. (2 punitive damages, ( ) recovery of real property, (4) recovery of personal property, or (5) a prejudgment writ of attachment. he identification of a case as a rule 3.740 collections case on this form means that it will be exempt from the eneral time-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 comfi case is complex. If a plaintiff believest Iex cases only. parties must also use the Civil Case Cover Sheet to designate whether the e case is complex under rule 3.400 of the California Rules of Coun, this must be indicated by completing the appropriate boxes in items 1 and 2. If a ?laintiff designates a case as complex. the cover sheet must be sewed with the Icomplaint on all parties to the action. A defendant may Ie 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 Injury/Property DamageNVrongful Death Uninsured Motorist (46) (if the case involves an uninsured moron'st claim subject to arbitration, check this item instead of Auto) Other PI/PDNVD (Personal Injury] Property Damage/Wrongful Death) Tort Asbestos (04) Asbestos Property Damage Asbestos Personal Injury/ Wrongful Death Product Liability (no! asbestos or toxic/environmental) (24) Medical Malpractice (45) Medical Malpractice« Physicians & Surgeons Other Professional Health Care Malpractice Other Pl/PDNVD (23) Premises Liability (e.g., slip and fall) Intentional Bodily Injury/PD/WD (e.g., assault, vandalism) Intentional lnfliction of Emotional Distress Negligent lnfliction of Emotional Distress Other PI/PDNVD Non-PIIPD/WD (Other) Tort Business Tort/Unfair Business Practice (07) Civil Rights (e.g., discrimination, false arrest) (notcivil harassment) (08) Defamation (e.g.. slander, libel) (13) Fraud(16) Intellectual Property (19) Professional Negligence (25) Legal Malpractice Other Professional Malpractice (no! medical or legal) Other Non-Pl/PD/WD Tort (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-Seller Plaintiff (not fraud or negligence) Negligent Breach of Contract] Warranty Other Breach of Contract/Warranty Collections (e.g.. money owed, open book accounts) (09) Collection Case-Seller Plaintiff Other Promissory Note/Collections Case Insurance Coverage (not provisionally complex) (18) Auto Subrogation Other Coverage Other Contract (37) Contractual Fraud Other Contract Dispute Real Property Eminent Domain/lnverse Condemnation (14) Wrongful Eviction (33) Other Real Property (e.g., quiet titte) (26) Writ of Possession of Real Property Mortgage Foreclosure Quiet Title Other Real Property (not eminent domain, landlordflenant, or foreclosure) Unlawful Detainer Commercial (31) Residential (32) Drugs (38) (if the case involves illegal drugs, check this item; otherwise, report as Commercial or Residential) Judicial Review Asset Forfeiture (05) Petition Re: Arbitration Award (1 1) Writ of Mandate (02) Writ-Administrative Mandamus Writ-Mandamus on Limited Court Case Matter Writ-Other Limited Court Case Review Other Judicial Review (39) Review of Health Officer Order Notice of Appeal-Labor Commissioner Appeals Provisionally Complex Civil Litigatlon (Cal. Rules of Court Rules 3.400-3.403) Antitrust/Trade Regulation (03) Construction Defect (10) Claims Involving Mass Tort (40) Securities Litigation (28) Environmentaln‘oxic Ton (30) Insurance Coverage Claims (arising from provisionally complex 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 (no! unpaid taxes) Petition/Certification of Entry of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Miscellaneous Civil Complaim RICO (27) Other Complaint (no! specified above) (42) Declaratory Relief Only lnjunctive Relief Only (non- harassment) Mechanics Lien Other Commercial Complaint Case (non-tort/non-complex) Other Civil Complaint (non-Iori/non-complex) Miscellaneous Civil Petition Partnership and Corporate Governance (21) Other Petition (no! specified above) (43) Civil Harassment Workplace Violence Elder/Dependent Adult Abuse Election Contest Petition for Name Change Petition for Relief from Late Claim Other Civil Petition CM1O [Rev. July 1, 2007) go) ”mm” ‘ w BSEIHM HRH!“ CIVIL CASE COVER SHEET Pag-zon
