Civil Case Cover SheetCal. Super. - 6th Dist.February 9, 2021DOCUSign Envelope ID: 88773A53-129A-4F28-BC9C-553A90A946FA CM-01 0 __A1icia Frances Oropeza ATTORNEY OR PARTY WITHOUT ATTORNEY (Name. Slate Bar number, and address): FOR COURT USE ONLY SELF-REPRESENTED 65 E. Gish Rd. #7 San Jose, CA 95112 TELEPHONE NO FAX NO: ATTORNEY Fon (Name): I I ESUPERIOR coum' 0F cAuFonNIA, COUNTY 0F Santa C1ara County STREETADDREss'ZOl N. First St. MAILINGADDRESS 191 N. First St. FEB " 9 2021 cnvmozwcooESan Jose, CA 95112 r((BRANCH NAME: Clerk t e Cou mawuyEN CASE NAME: OrOpe Z a V . Ramos superior Coun o I unty oi SanDEPUTY BY... CIVIL CASE COVER SHEET Complex Case Deslgnaflon cAse NUM n H 00 9 8 5 7D Unllmlted m lelted 2 1 C (Amount (Amount D Counter D Jolnder I demanded demanded is Filed with first appearance by defendant JUDGE exceeds $25,000) $25,000 or less) (Cal. Rules of Court. rule 3.402) DEPT.- ltems 1-6 below must be completed (see instructions on page 2). . Check one box beIow for the case type that best describes this case: Auto Ton Contract Provlslonally Complex Clvll thlgatlon a Auto (22) Breach of contract/warranty (06) Cal. Rules of Court, rules 3.4006403)Uninsured motorist (46) Rule 3.740 collections (09) Antitrust/Trade regulation (03) Other Pl/PDIWD (pgnonal Inlurylpropeny Other coilections (09) Construction defect (10) DamageIWrongful Death) Tort Insurance coverage (18) Mass F9” (4.9) . Other contract (37) Securities ImgatIon (28)Asbestos (04) EnvironmentaI/Toxic tort (30)PmdUCt “ability (24) Real Pmperty Insurance covera e claims arisin from the Medicalmalpractice(45) D Eminentdomain/Inverse above'isted rovigiona” com leg caseoverPVPDA~D(23) condemnauon(14) p V p Wrongful eviction (33) types (41) Other real property (26) Enforcement o! JudgmentD Enforcement of judgment (20) Non-Pl/PD/WD (Other) Tort Business ton/unfair business practice (07) Civil rights (08) Unlawful Dotalner Defamation (1 3) Commercial (31) Mlscellaneous Clvll Complalnt Fraud (16) Residential (32) RICO (27) Intellectual property (19) Drugs (38) Other complaint (not specified above) (42) Professional negligence (25) Judlclal Revlew Mlscellaneous Civil Petltlon Other non'PVPD/WD ton (35) Asset forfeiture (05) a Partnership and corporate governance (21)Employment Petition re: arbitration award (11) 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. a Large number of witnessesb. 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 coun c. D Substantial amount of documentary evidence f. Substantial postjudgment judicial supeNision 3. Remedies sought (check all that 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.) 2/8/2021 DocuSIgmd by: Date' A1 1' c1' a Oropeza ’ “(10AWM (TYPE OR PRINT NAME) 'D‘TEI’GNATURE OF PARTY OR ATTORNEY FOR PARTY) NOTICE o 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. o 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 o! 2 |_ R I I rt I . . .220.3.400-3.403 3.740. Exam?” 0ndcf|°r Mcaal 3:36 U“ CEB.m CIVIL CASE COVER SHEET ca (gents lagod:dsr%?3u2dlac?al3Adminimranon. std. 3.10 ‘0 Rev. Juy 1.2007] ‘ n www.coumnlo.ca.gov Oropeza, Alicia Frances DocuSign Envelope ID: 88773A53-129A-4F28-BC9C-553AQDA946FA CM-01 0 INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET To Plaintiffs and Others Filing First Papers. If you are filing a first aper (for example, a complaint) in a civil case. you must complete and file. along with your first paper. the Civil Case Cover heet contained on statistics about the types and numbers of cases filed. You must complete items 1 throug age 1. This information will be used to compile 6 on the sheet. In item 1. you must check one box for the caset pe that best describes the case. If the case fits both a general and a more specific type oi 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 Partles In Rule 3.740 Collectlons 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) ton damages, (qfiunitive damages. ( attachment. ) recovery of real property, (4) recovery of personal property, or (5? a prejudgment writ of e identification of a case as a rule 3.740 collections case on this form means that it wi | 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.|n com lex cases only. parties must also use the Civil Case Cover Sheet to designate whether the case is complex. If a plaintiff believes! 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 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 plaintiff's 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/Propeny Damage/Wrongful Death Uninsured Motorist (46) (if the case involves an uninsured motorist claim subject to arbitration, check this item instead of Auto) Other PI/PD/WD (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 8. Surgeons Other Professional Health Care Malpractice Other PI/PD/WD (23) Premises Liability (e.g., slip and tall) Intentional Bodily Injury/PD/WD (e.g., assault, vandalism) Intentional Infliction of Emotional Distress Negligent Infliction of Emotional Distress Other PI/PD/WD Non-PI/PD/WD (Oiher) Tort Business Tort/Unfair Business Practice (07) Civil Rights (e.g., discrimination. fa|se arrest) (no! civil harassment) (08) Defamation (e.g., slander. libel) Fraud (1 6) Intellectual Property (19) Professional Negligence (25) Legal Malpractice Other Professional Malpractice (nor medical or legal) Other Non-Pl/PD/WD Tort (35) Employment Wrongful Termination (36) Other Employment (1 5) CASE TYPES AND EXAMPLES Contract Breach of Contract/Warranty (06) Breach of RentaI/Lease Contract (not unlawful datainer 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/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 (no! eminent domain, Iandlord/tenant, or foreclosure) Unlawful Detalner Commercial (31) Residential (32) Drugs (38) (i! Ihe case involves illegal drugs, check this item; otherwise, report as Commercial or Residential) Judlclal Rovlew Asset Forfeiture (05) Petition Re: Arbitration Award (1 1) Writ of Mandate (02) Writ-Administrative Mandamus Writ-Mandamus on Limited Coun Case Matter Writ-Other Limited Court Case Review Other Judicial Review (39) Review of Health Officer Order Notice of AppeaI-Labor Commissioner Appeals Provlslonally Complex Clvll thlgatlon (Cal. Rules of Court Rules 3.400-3.403) Antitrust/Trade Regulation (03) Construction Defect (10) Claims Involving Mass Ton (40) Securities Litigation (26) Environmentalfl'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 (axes) Petition/Cenification of Entry of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Mlscellanoous Clvll Complalnt RICO (27) Other Complaint (not specified above) (42) Declaratory Relief Only Injunctive Relief Only (non- harassment) Mechanics Lien Other Commercial Complaint Case (non-ton/non-complex) Other Civil Complaint (non-tort/non-comp/ex) Mlocellaneous Clvll Petltlon Partnership and Corporate Governance (21) Other Petition (no! specified above) (43) Civil Harassment Workplace Violence EIder/Dependent Adult Abuse Election Contest Petition for Name Change Petition tor Relief from Late Claim Other Civil Petition CM-O10 [Rev. July 1. 2007] CB.Mm EmmldEFormr CIVIL CASE COVER SHEET PIgoZofz Orooeza, Alicia Frances
