Civil Case Cover Sheet

Cal. Super. - 6th Dist.January 25, 2021

CM-010 AjFrORNEV fir?“ WITHOUT ATTORNEY (Name, 52mg,numaamss) FOR COURT USE ONLY '66!- Your Legal Mammfl/fnadg/(w Yoggddress; QZEQCLLSQQ AveW \k (H TELEP ENo. \ fl - , . ATTORNEY FOR(~ame) SBlf-Represented DsUPERIOR coum 0F CALIFORNIA, COUNTY 0F Santa Clara ,1 STREETADDRess 191 North First Street JAN 2 5 20d MAILING ADDRESS 191 North Fll'st Street CITYANDZIPCODE san Jose, CA 951 1 3 BRANCH NAME CIVII courthouse CASE NAME:C0\5\\\0\5 \ro. (modlm mCIVIL CASE C&VER SHEET Complex Case Designation cAse NUMBER: 1 H 8 2 2Unlimited Limited (Amount (Amount D Counter D Joinder JUDGE 2 c 00 9 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 contract/warranty (06) Cal. Rules of Court, rules 3400-3403)Uninsured motorist (46) Rule 3.740 collections (09) Antitrust/Trade regulation (03) Other collections (09) Constmction defect (10) Other PIIPDIWD (Personal InjuryIPropeny DamageIWrongful Death) Tort Asbestos (04) Insurance coverage (18) Mass tort (40) Other contract (37) Securities litigation (28) Environmentalfroxic tort (30) PrOdUCt “ability (24) Real Pmpeny Insurance covera e claims an‘sin from the Medical malpractice (45) D Eminentdomainllnverse above listed rovgionaw com leg case Other PI/PD/wo (23) condemnation (14) p p Wrongful eviction (33) types ‘41) Other real propeny (26) Enforcement of Judgment Enforcement of judgment (20) Non-PI/PDNVD (Other) Tort Business tort/unfair business practice (07) Civil rights (08) Unlawful Detalnor Defamation (13) Commercial (31) Mlscellaneous Civil Complaint Fraud (16) Residential (32) a Rico (27)Intellectual property (19) Drugs (38) Other complaint (not specified above) (42) meessmna' negligence (25) Judicial Revlew Miscellaneous Clvil Petltlon Other non'PIIPD/WD ‘0” (35) Asset forfeiture (05) E Partnership and corporate governance (21)Employment Petition re: arbitration award (1 1) Other petition (not specified above) (43) Wrongful termination (36) Writ of mandate (02) Other employment (1 5) 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. Substantial postjudgment judicial supervision 3. Remedies sought (check a/I (hat apply): a. D monetary b. nonmonetary; declaratory or injunctive relief c. D punitive 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 may use form CM-015.) Date: WW > JiXXQUOJM 22 ‘202\ o Plaintiff must file this cover sheet with the first paper filed in the action or proceeding (except small claims cases or cases filed o File this cover sheet in addition to any cover sheet required by local court rule. NOTICE 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. 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. Page 1 o! 2 gfifiwfim U“ g6)mm CIVIL CASE COVER SHEET Ra's?3mm:g:3u%.3:é.m:sszaz%ésa371:91 ev. J y . 20°69] fl BSE'Mmm» wwwcounmfo cagov {LGHC/Mfl, (0-9/le1 CM-O10 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 page 1. This information will be used to compile statistics about the types and numbers o cases filed. You must complete items 1 through 6 on the sheet. In item 1, you must check one box for the case ?pe that best describes the case. If the case fits both a general and a more specific type of case listed in item 1, check the more speci 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 party, 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 Casean comfilex cases only, parties must also use the Civil Case Cover Sheet to designate whether the case is complex. If a plaintiff believes t e case is complex under rule 3.400 of the 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 served 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 Ton Auto (22)-Personal lnjury/Propeny DamageNVrongful Death Uninsured Motorist (46) (if the case involves an uninsured moton's! claim subject to arbitration, check this item instead of Auto) Other PI/PDIWD (Personal Injury] Property Damage/Wrongful Death) Tort Asbestos (04) Asbestos Property Damage Asbestos Personal Injury/ Wrongful Death Product Liability (no! asbestos or loxic/environmental) (24) Medical Malpractice (45) Medical Malpractice- Physicians 8. Surgeons Other Professional Health Care Malpractice Other PI/PDNVD (23) Premises Liability (e.g.. slip and fall) Intentional Bodily InjuryIPDNVD (e.g.. assault, vandalism) Intentional Infliction of Emotional Distress Negligent Infliclion of Emotional Distress Other PI/PDNVD Non-PIIPDIWD (Other) Tort Business Ton/Unfair Business Practice (07) Civil Rights (e.g‘, discrimination. false arrest) (no! civil 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) Othet Non-PI/PDNVD Tort (35) Employment Wrongful Termination (36) Other Employment (15) CASE TYPES AND EXAMPLES Contract Breach of Contract/Warranty (06) Breach of Rental/Lease Contract (nor unlawful derainer or wrongful eviction) Contract/Warranty Breach-Seller Plaintifl (not fraud or negligence) Negligent Breach of Contract! Warranty Other Breach of ConlracWVan'anty 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 liue) (26) Writ of Possession of Real Property Mortgage Foreclosure Quiet Title Other Real Property (not eminent domain, IandIOId/tenant. or foreclosure) Unlawful Detalner Commercial (31) Residential (32) Drugs (38) (if the case involves illegal drugs, check (his item; otherwise, report as Commercial or Residential) Judicial Revlew Asset Forfeiture (05) Petition Re: Arbitration Award (1 1) Wn‘t of Mandate (02) Writ-Administrative Mandamus Writ-Mandamus on Limited Court Case Matter Writ-Other Limiled Court Case Review Other Judicial Review (39) Review of Health Officer Order Notice of AppeaI-Labor Commissioner Appeals Provisionally Complex Clvll Lnlgatlon (Cal. Rules of Court Rules 1400-1403) Antitrust/Trade Regulation (03) Construction Defect (10) Claims Involving Mass Tort (40) Securities Litigation (28) Environmental/Toxic Tort (30) Insurance Coverage Claims (an’sing 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 (not unpaid taxes) Petition/Cenification of Entry of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Miscellaneous Clvll Complalnt RICO (27) Other Complaint (nor specified above) (42) Declaratory Relie! Only lnjunctive Relief Only (non. harassment) Mechanics Lien Other Commercial Complaint Case (non-(ort/non-complex) Other Civil Complaint (non-Iort/non-complex) Miscellaneous Clvll Peutlon Partnership and Corporate Governance (21) Other Petition (no! specified above) (43) Civil Harassment Workplace Violence Elder/Dependenl Adult Abuse Election Contest Petition for Name Change Petition for Relief from Late Claim Other Civil Petition CM-o1a [Ru July 1, 2007] _ tummy[WHM" CIVIL CASE COVER SHEET Pug. 2 o! 2