Civil Case Cover SheetCal. Super. - 6th Dist.March 4, 2021. CM-010 PWORNEY OR PARTYWTW‘TORNEY (Name, Sate Ba! number, and address) FOR COURT USE ONLY YourLegalName: «Jasmwwe Eon} Ho“ Hfrncxndcz Your Address: LOH 606+ 7+“ kS‘h’féT Apf ' 51 TELEPHONE NO. FAX NO‘ monusv FOR mm) Self-Represented SUPERIOR count 0F CALIFORNIA, couyTY 0F Santa Clara STREETADDRESS 191 North F!rst Street MAR _ 4 2021 MAILING ADDRESS 191 North First Stre36t CT CODE San Jose, CA 9511' VQJDNE'ZWE Civil Courthouse mfle A e Court*Y 0' Santa Clara CASE NAME: Eon, n C, vs L e,“ 3y DEPUTY Hfrnandel R rg\\0\ CIVIL CASE COVER SHEET Complex Case Designation cAsE NUMBER K ”GU ‘ E‘m awxxd D (51:13:; D Counter a Jolnder 2 1 C H DD 99 fl 9 demanded demanded is Filed with first appearance by defendant JUDGE exceeds $25.000) $25,000 or less) (Cal. Rules of Court, rule 3.402) Den 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 Provlsionally Complex Clvll Litigation Auto (22) Breach of contract/warranty (06) Cal. Rules of Court, rules 3.4m.403) Uninsured motorist (46) Rule 3.740 collections (09) AntitrustlTrade regulation (03) Other collections (09) Construction defect (10) 33:; ?xvexofélpeotao‘gggrmpmpem Insurance coverage (18) Mass tort (40) fishestos (904) Other contract (37) Securities litigation (28) . . . EnvironmentalfToxic tort (30) Product Inability (24) Real Property . . . . . . . Insurance coverage claims ansnng from the Medical malpractice (45) D Eminent domaIn/lnverse above “S‘ed rovisionafly com Iex case Other PI/PD/wo (23) condemnation (14) p p Wrongful eviction (33) types (41) Other real property (26) Enforcement of JudgmentD Enforcement of judgment (20) Non-PIIPDIWD (Other) Tort Business ton/unfair business practice (07) Civil rights (08) Unlawful Dotalner Defamation (13) Commercial (31) Miscellaneous Civil Complalnt Fraud (16) Residential (32) a RICO (27)Intellectual property (19) Drugs (38) Other complaint (not specified above) (42) 222:5:;%73P|lrpeg:€veof1f:rfz(§)5) Judiclal Review! Miscellaneou; Civil Petltlon Asset forfeiture (05) Pannershlp 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 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 postjudgmentjudicial supervision 3. Remedies sought (check allthatapply): a. Dmonetary b. nonmonetary; declaratory orinjunctive relief c. D punitive 4. Numberof causes ofaction 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.) 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. Page 1 of FonnA tear M dt u LR «Co n ruI 2,3o.3.220.3.4oo-3.403 3.740; uggffiggnfizgtiaifii 3° aw CIVIL CASE COVER SHEET ca 8's? tandgrds ofiudadamdnmsgoaugiggtcda. 3.10v‘ y . n wwwv u V vu ESSEIflAl IIMS 5 (4’24 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 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 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 fqrvrecovery of money. . owed in a sum stated to be certain that is not more than $25,000. exclusxve of interest and attorney's fees, ansmg 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 ene_ra| time-for-service requirements and case management rules, unless a defendant files a responsive pleading. A rule 3.740 co lectxons case will be subject to the requirements for service and obtaining a judgment in rule 3.740. 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 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 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 Ton Auto (22)-Personal lnjury/Propeny DamageNVrongful Death Uninsured Motorist (46) (if the case involves an uninsured motorist claim subjec! to arbitration, check this item instead of Auto) Other PIIPDIWD (Personal Injury! Property DamageNVrongful Death) Tort Asbestos (04) Asbestos Property Damage Asbestos Personal Injury/ Wrongful Death Product Liability (not asbestos or toxic/environmental) (24) Medical Malpractice (45) Medical Malpractice- Physicians & Surgeons Other Professional Health Care Malpractice Other PIIPDIWD (23) Premises Liability (e.g.. slip and fall) Intentional Bodily Injury/PDIWD (e.g.. assault. vandalism) Intentional lnfliction of Emotional Distress Negligent lnfliction of Emotional Distress Other PIIPDNVD Non-PIIPDIWD (Other) Tort Business Ton/Unfair Business Practice (O7) Civil Rights (e.g., discrimination, false arrest) (not civil harassment) (08) Defamation (e.g.. slander, libel) (13) Fraud (16) Intellectual Property (1 9) Professional Negligence (25) Legal Malpractice Other Professional Malpractice (no! medical or legal) Other Non-Pl/PDNVD Tort (35) Employment Wrongful Termination (36) Other Employment (1 5) CM-o1o (Rev. Ju'y 1‘ 20071 go) mummy p. [mm HIM" . »“)’ CASE TYPES AND EXAMPLES Contract Breach of Contract/Warranty (06) Breach of RentaI/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) (1 8) 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 (not eminent domain, landlord/tenanr, 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 (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 CIVIL CASE COVER SHEET Provlslonally Complex Clvll thlgatlon (Cal. Rules of Court Rules 3100-3403) Antitrust/Trade Regulation (03) Construction Defect (10) Claims Involving Mass Tort (40) Securities Litigation (28) Environmental/Toxic Tort (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 (not unpaid taxes) Petition/Cenification of Entry of Judgment on Unpaid Taxes Other Enforcement of Judgment Case Mlscellaneous Clvll Complaint 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-rort/non-comp/ex) 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 for Name Change Petition for Relief from Late Claim Other Civil Petition Pug. 2 M 2
