Civil Case Cover SheetCal. Super. - 6th Dist.January 27, 2021CM-O1O ATTORNEY OR PARTY W1THOUT ATTORNEY (Name. Stare Bfrnumber. and address): FOR COURT USE ONLY_ Your Legal Name: N166)? FVQwee Your Address: /0fi5 Kg 9%4 “57%- 1 TELEPHONE NOV: FAX N0; ATTORNEY FOR (Name).- S elf-Repl'esented SUPERIOR COURT 0F CALIFORNIA. COUNTY 0F Santa Clara STREETADDRESS:191 North First Street MNLINGADDRESS;191 North First Streaet cmmoznmonasan JOSE, CA 951 emcnme: Civil Courthouse Swngé‘jeuflk ?%f the Court é0 A County of Santa ClaraCASE NAME: l f"WNW K3 W/gflflawif’xx-xom mClVlL CASE (EVER SHEET Complex Case Designation F TsecfizuUnlimited Limited fl 9 8 2 6 (Amount (Amount D Counter D Jolnder “DO I _ V _ u demanded demanded is Filed with first appearance by defendant JU E' exceeds $25,000) $25,000 or less) (Cal. Rules of Court, rute 3.402) DEPT; Items 1-6 below mus! be completed (see instructions on page 2). 1. Check one box below forthe case type that best describes this case: Auto Tort Contract Provisionally Complex Civil Litigation a Auto (22) Breach of contractimrranty (06) oaL Rules of Court, rules 3.4004403)Uninsured motorist (46) Rule 3.740 collections (09) Anlitrust/Trade reguration (03) ~ Other collections (09) Construction defect (10) 32:; Pelianrmofg'gresaifliuggjWipropeny Insurance coverage (1 8) Mass ton (40) 9 9 Other contract (37) Secun'tjes litigation (28) Asbestos (04) EnvironmentallToxic tort (30)Pmdum liability (24) Real Fromm Insurance cov ra e claims afisin from the Medicalmalpractice (45) D Eminenldomainllnverse abovelisted reevgsiona” com leg case OtherPuPDnND (23) condemnation (14) p ' V p Wrongful eviction (33) types (41) Other real property (26) Enforcement of Judgment Enforcement ofjudgmenl (20) Non-PIIPDIWD (Other) Tort Business tom'unfair business practice (07) Civil rights (08) Unlawful Detainer Defamation (13) Commercial (31) Miscellaneous Clvil Complaint Fraud (16) Residential (32) a RICO (27)Intellectual propedy (19) Drugs (38) Other complaint (notspecified above) (42) Prefessmnal nagiigence (25) Judicial Review Miscellaneous Clvll Petition Other non'PllpD/WD ton (35) Asset forfeiture (05) E Pannership and corporate governance (21)Employment Petition re: arbitration award (11) Other petition {not specified above) (43) Wrongfu1 termination (36) Writ ofmandate (02) Olher employment (15) Otherjudicial 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 judiciat management: a. Large number of separately represented parties d. a Large number ofwitnessesb. 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 postjudgmentjudicial supervision 3. Remedies sought (check allthatapply): a. D monetary b.m nonmonetary; dec1aratory orinjunctive relief c. D punitive 4. Number of causes of action s ecify): 5. This case D is fi is nqt a class action suit. 6. Ifthere are any known related cases. file and serve a notice of related case.(You may use fo . -015‘) Date: ’\ I QS ]Q\ 'WPE 0R PRINT NAME) ’ NOTICE \QF/ . Plaintiff must file this cover sheetw'lth the first paper filed in the action or proceeding (excep mall claims cases or cases filed under the Probate Code, Family Code, orWeIfare and Institutions Code). (Cal. Rules of Court, rule 3.220.) Failure to file may result in sanctions. o File this cover sheet in addition to any cover sheet required by local court rule. o Ifthis case is complex under rule 3.400 et seq. of the California Rules of Court, you must serve a copy ofthis cover sheet on all other parties t0 the action or proceeding. o Unless this is a collections case under rule 3.740 or a complex case. this cover sheet win be used for statistical purposes only. Page 1 of 2 F Ad 1 df M d t U C LR | fCo ml 2.30,3.220.3.400-3.403 3,740? 33%algguendloort arl'ngnyoug SB L.) WEL- CIVIL CASE COVER SHEET a Efgzandg$s orejumdalAdn-mislramnhstd.3‘10 CM-010[Rav.July .200] W ESSENTIAL Fume» mvwcoumn Vca gov 19 V C'Hufl/fufi l/M/io}! 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 Sheer 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 0n the sheet. ln item 1, you must check one box for the caset pe that best describes the case. Ifthe case fits both a general and a more specific type of case listed in item 1. check the more spec] Jc one. lfthe case has multiple causes of action, check the box that best indicates the primary cause of action. To assistyou 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 civit 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 ofmoney 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 1n which property, services, or money was acquired on credit. A collections case does not include an action seeking the following: (1) tort damages, (2) unitive damages. (3) recovery ofreal propefiy, (4) recovery ofpersonal property. or (5) a prejudgmentwrit of attachment. T e identification 0f a case as a rule 3.740 collections case on this form means that it will b9 exempt from the geneyal time-for-service requirements and case management rules, unless a defendant files a responswe pleading. A rule 3.740 collections case will be subject to the requirements for service and obtaining a judgment in rule 3.740. Iex cases only. parties must also use the Civil Case Cover Sheet to designate whether theTo Parties in Complex Cases.|n corn fie case is complex under rule 3.400 ofthe California Rules of Court. this must be indicated bycase is complex. If a plaintiff believest 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 al! 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 InjuryIProperty Damage/Wrongful Death Uninsured Molon‘st (46) (if the case invofves an uninsured motorist claim subject to arbitration, check {his item instead of Auto) Other PIIPDIWD (Personal Injury] Property DamageIWrongful Death) Tor! Asbestos (04) Asbestos Property Damage Asbestos Personal lnjury/ Wrongfu1 Death Product Liability (not asbestos or toxic/environmenta!) (24) Medical Malpractice (45) Medical Malpractic& Physicians & Surgeons Other Professional Health Care Malpractice Other Pl/PDNVD (23) Premises Liability (8.9.. slip and fall) Intentional Bodily Injury/PDIWD (6.9., assaull. vandalism) Intentional lnfliction of Emotionai Distress Negtigent lnfliction of Emotional Distress Other PI/PDIWD Non-PIIPDIWD (Other) Tort Business TorUUnfaI'r Business Practice (07) Civil Rights (e.g., discrimination, false arrest) (no! civil harassment) (08) Defamation (e.g.. slander, libel) (13) Fraud (16) Intellectual Property (1 9) Professiona1 Negligence (25) Legal Malpractice Other Professional Ma1praciice (not medical or legal) Other Non-Pl/PDIWD Tori (35) Employment Wrongful Termination (35) Other Employment (1 5) CASE TYPES AND EXAMPLES Contract Breach 0f Contractharranty (06) Breach of RentaULease Contract (not unlawful detainer or wrongful eviction) ContracUWarranty Breach-Seller Plaintiff (nor fraud ornegligence) Negligent Breach of Contract! Warranty Other Breach of ConlracUWarranty Collections (e,g., money owed, open book accounts) (09) Collection Case-Seller Plaintiff Other Promissory NoteICollchons Case Insurance Coverage (not provisionally complex) (18) Auto Subrogation Other Coverage Other Contract (37) Contractuzfl Fraud Olher Contract Dispute Real Property Eminent Domainllnverse Condemnation (14) Wrongful Eviction (33) Other Real Property (e.g., quiet title) (26) Writ of Possession of Real Property Mortgage Foreclosure Quiet Title Other Reat Propeny (not eminent domain, Iandlord/ienant, or foreclosure) Unlawful Detalner 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 (O5) Petition Re: Arbitration Award (1 1) Writ of Mandate (02) Writ-Administrative Mandamus Writ-Mandamus on Limited Court Case Mailer Writ-Other Limited Court Case Review Other Judicial Review (39) Review 0f Health Officer Order Notice of AppeaI-Labor Commissioner Appeals Provisionally Complex Civil Litigation (Cal. Rules of Court Rules 3.4006403) AntitrusUTrade Regulation (03) Construction Defect (10) Claims Involving Mass Tort (40) Securities Litigation (28) Environmental/Toxic Tort (30) Insurance Coverage Claims (an‘sing from provisionally compfex case type listed above) (41) Enforcement of Judgment Enforcement ofJudgment (20) ~Abslract of Judgment (Out of County) Confession of Judgment (non- domestic relatfons) Sister Stale Judgment Administrative Agency Award (not unpaid taxes) PetitionlCertification of Entry of Judgment 0n Unpaid Taxes Olher Enforcement of Judgment Case Miscellaneous Civil Complaint RICO (27) Other Complaint (not specified above) (42) Declaratory Relief Only Injunctive Relief Oniy (non- harassment) Mechanics Lien Other Commercia1 Complaint Case (non-tort/norrcompfex) Other Civil Complaint (non-rort/non-complex) Miscellaneous Civil Petition Partnership and Corporate Governance (21) Olher Petition (not specified above) (43) Civil Harassment Workplace Violence ElderlDependent Adult Abuse Election Contest Petition for Name Change Petition for Relief from Late Claim Other Civil Petition CM.010 [Rem Juxy 1, 20071 fi _ ManL‘IDcu'x , {SSEHUM FHRMS'" CIVIL CASE COVER SHEET Page 20f2