Civil Case Cover SheetCal. Super. - 6th Dist.February 18, 2021CM-O1 0 ATTmN‘EY OR MRTY VWTHOUT ATTORNEY (Name. State Ba! numbel, and address) FOR COURT USE OMY - YourLegalName: Vfllew’a Mav/fi He z YourAddress. aqq N BKINQ RD #l30 q WW M a(I5 5 rELEPHONE Nofl 7Bq-bq 7f FAX No I L EATTORNEY FOR (Name) ef-Repfesented _ Santa Clara s"’2?£2$3§é§‘1°5§"fi"3?tfi°¥$¥€§treat FEB 1 8 202‘ 191 North First Street cTfiLL’LEEiDSZZZ San Jose CA 95113 Clerk ot he Court BRANCH NAME Civil Courthouse CASENAMEz-mmrhnet V9 merh-fiflves CIVIL CASE COVER SHEET Complex Case Designation eAse NUMBER 8 1:‘lAnrggxd D (Eggs; D Counter D Joinder Z 1 C H 00 9 7 demanded demanded is Filed with first appearance by defendant JUDGE exceeds $25,000) $25,000 or less) (Cal. Rules of Court. rule 3.402) oepr. 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 Provlslonally Complex Civil thlgation Auto (22) Breach of contract/warranty (06) Cal. Rules of Court, rules 3400-1403) Uninsured motorist (46) Rule 3‘740 collections (09) Antitrust/Trade regulation (03) Other collections (09) Construction defect (1 0)Other PIIPDIWD (Personal InjuryIProperty Insurance coverage (18) Mass ton (40)Damageerongful Death) Tort . . , . . Other contract (37) Secuntles Iltlgatlon (28)Asbestos (04) . . . . . EnVIronmentallTOXIc ton (30) Product llabIlIty (24) Real Property . . . . ‘ . . Insurance coverage claims ansung from the Medical malpractice (45) I I Eminent domalnllnverse above listed rovisionafly com |ex case Other PI/PDNVD (23) condemnation (14) p p Wrongful eviction (33) types (41) Other real property (26) Enforcement of JudgmentD Enforcement of judgment (20) Non-PllPD/WD (Other) Tort Business tort/unfair business practice (07) Civil rights (08) Unlawful Detainer Defamation (13) Commercial (31) Mlscellanoous Civil Complalnt Fraud (16) Residential (32) a RICO (27)Intellectual property (19) Drugs (38) Other complaint (not specified above) (42) gzzgsjgflapllrpegmgfoerggg) Judicial Review Miscellaneous Civil Petition Asset forfeiture (05) Partnership and corporate governance (21) Employment Petition re: arbitration award (1 1) a 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. a Large number of witnessesb. Extensive motion practice raising difficult or novel 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 Remedies sought (check all that apply). a D monetary b nonmonetary; declaratory or injunctive relief c. D punitive Number of causes of actions ecify). This case D is fl is not a class action suit. If there are any known related cases, file and serve a notice of related case. (You may use form CM-015.) } 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 sanctionsA 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. mw#w Page 1 o! F A f M dat d‘R f 01400-34033.”Jmufimm “mm “5° p meg: __ C'V'L CASE COVER SHEET ° rs?mmmwaufiafifimm ..d a ° CM-O1O Rev July ,20071 HEM.“ "l“su wwwcoumnlbcapov Uf/ZU/tuyc Pr {I 5 bl CM-O1O INSTRUCTIONS ON HOW T0 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 p statistics about the types and numbers o er, the Civil Case Cover Sheet contained on page 1. This information will be used to compile 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 c 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)rpunitive damages, ( attachment. ) recovery of real property, (4) recovery of personal property. or (5) a prejudgment writ of he identification of a case as a rule 3.740 collections case on this form means that it will be exempt from the general time-for-service reqwrements and case management rules. unless a defendant files a responsive pleading. A rule 3.740 co case will be subject to the requirements for service and obtaining a judgment in rule 3.740. lections To Parties in Complex Casean com lex 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 compiex 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 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 InjuryIProperty DamageNVrongful Death Uninsured Motorist (46) (if the case involves an uninsured motorist claim subject lo arbitration, check this item instead of Auto) Other PIIPDIWD (Personal Injury] Property DamagoIWrongful Death) Tort Asbestos (O4) Asbestos Property Damage Asbestos Personal lnjury/ Wrongful Death Product Liability (not asbestos or foxic/envimnmental) (24) Medical Malpractice (45) Medical Malpractice- Physicians & Surgeons Other Professional Health Care Malpractice Other PI/PDNVD (23) Premises Liability (e.g.. slip and fall) Intentional Bodily lnjury/PDIWD (e.g.. assault. vandalism) Intentional Infliction of Emotional Distress Negligent lnfliction of Emotional Distress Other PI/PD/WD Non-PIIPDIWD (Other) Tort Business Ton/Unfair Business Practice (07) Civil Rights (e.g.. discrimination. false arrest) (not civil harassment) (08) Defamation (e‘gn slander. libel) (13) Ftaud (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 (1 5) CASE TYPES AND EXAMPLES Contract Breach of Contractharranty (06) Breach of RentaI/Lease Contract (no! unlawful detainer or wrongful eviction) Contract/Warranty Breach-Seller Plaintifl (no! fraud or negligence) Negligent Breach of Contract! Warranty Other Breach o! ContracWVarranty Collections (e.g., money owed. open book accounts) (09) Collection Case-Seller Plaintifl Other Promissory Note/Collections Case Insurance Coverage (no! provisionally complex) (18) Auto Subrogation Other Coverage Other Contract (37) Contractual Fraud Other Contract Dispute Real Propefly Eminent Domain/Inverse Condemnation (14) Wrongful Eviction (33) Other Real Property (e.g.. quiet tifle) (26) Writ of Possession of Real Property Mortgage Foreciosure Quie! Title Other Real Property (not eminent domain, Iandlorddenant. or foreclosure) Unlawful Detalnor Commercial (31) Residential (32) Drugs (38) (if the case involves illegal drugs, check this item; otherwise. report as Commercial or Residential) Judicltl Review Asset Forfeiture (05) Petition Re: Arbitration Award (1 1) Wn't of Mandate (02) Writ-Administrative Mandamus Wn't-Mandamus on Limited Court Case Matter Wn't-Other Limited Court Case Review Other Judicial Review (39) Review of Health Officer Order Notice 01 AppeaI-Labor Commissioner Appeals Provisionally Complex Civll thigatlon (Cal. Rules of Court Rules 1400-3403) AntitrusllTrade Regulation (03) Construction Defect (10) Claims Involving Mass Tort (40) Secun'ties Litigation (28) Environmental/Toxic 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- domesn'c relations) Sister State Judgment Administrative Agency Award (not unpaid taxes) Petition/Cenification of Entry of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Ilscollaneous Civll Complaint RICO (27) Other Complaint (no! specified above) (42) Declaratory Rene! Only Injunctive Relief Only (non- harassment) Mechanics Lien Other Commercial Complaint Case (non-ton/non-complex) Other Civil Complaint (non-ton/non-complex) Miscellaneous Clvll Petition Partnership and Corporate Governance (21) Other Petition (not specified above) (43) Civil Harassment Workplace Violence EIder/Dependent Adult Abuse Election Contest Petition f0! Name Change Petition for Relief from Late Claim Other Civil Petition cM-molnev July 1, 2007] go) mmmmx [mm mus- CIVIL CASE COVER SHEET Pug. z o1 1
