The civil cover sheet and the information contained in it neither replace nor supplement the filing and service of pleadings or other documents as required by law. This form must be filed by the plaintiff or petitioner with the Clerk of Court for the purpose of reporting uniform data pursuant to section 25.075, Florida Statutes. (See instructions for completion.)
_____________________________________________________
I. CASE STYLE
(Name of Court) ___________________.
Plaintiff _____________ Case # _________________
Judge _____________________
vs.
Defendant ____________________
__________________________________________________________
II. AMOUNT OF CLAIM
Please indicate the estimated amount of the claim, rounded to the nearest dollar. The estimated amount of the claim is requested for data collection and clerical processing purposes only. The amount of the claim shall not be used for any other purpose.
_____$8,000 or less
_____$8,001 - $30,000
_____$30,001- $50,000
_____$50,001- $75,000
_____$75,001-$100,000
_____over $100,000.00
III. TYPE OF CASE (If the case fits more than one type of case, select the most definitive category.) If the most descriptive label is a subcategory (is indented under a broader category), place an x on both the main category and subcategory lines.
CIRCUIT CIVIL
_____ Condominium
_____ Contracts and indebtedness
_____ Eminent domain
_____ Auto negligence
_____ Negligence-other
_____ Business governance
_____ Business torts
_____ Environmental/Toxic tort
_____ Third party indemnification
_____ Construction defect
_____ Mass tort
_____ Negligent security
_____ Nursing home negligence
_____ Premises liability-commercial
_____ Premises liability-residential
_____ Products liability
___ Real property/Mortgage foreclosure
_____Commercial foreclosure
_____Homestead residential foreclosure
_____Non-homestead residential foreclosure
_____Other real property actions
_____ Professional malpractice
_____ Malpractice-business
_____ Malpractice-medical
_____ Malpractice-other professional
_____ Other
_____ Antitrust/Trade regulation
_____ Business transactions
_____ Constitutional challenge-statute or ordinance
_____ Constitutional challenge-proposed amendment
_____ Corporate trusts
_____ Discrimination-employment or other
_____ Insurance claims
_____ Intellectual property
_____ Libel/Slander
_____ Shareholder derivative action
_____ Securities litigation
_____ Trade secrets
_____ Trust litigation
COUNTY CIVIL
_____ Civil
_____ Real Property/Mortgage foreclosure
_____ Replevins
_____ Evictions
_____ Residential Evictions
______Non-residential Evictions
_____ Other civil (non-monetary)
IV. REMEDIES SOUGHT (check all that apply):
_____ Monetary;
_____ Nonmonetary declaratory or injunctive relief;
_____ Punitive
V. NUMBER OF CAUSES OF ACTION:[ ]
(Specify)_______________________________
_____________________________________
VI. IS THIS CASE A CLASS ACTION LAWSUIT?
_______yes
________no
VII. HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED?
________no
___ yes If "yes," list all related cases by name, case number, and court.
VIII. IS JURY TRIAL DEMANDED IN COMPLAINT?
_______yes
________no
IX. DOES THIS CASE INVOLVE ALLEGATIONS OF SEXUAL ABUSE?
_______yes
________no
I CERTIFY that the information I have provided in this cover sheet is accurate to the best of my knowledge and belief, and that I have read and will comply with the requirements of Florida Rule of General Practice and Judicial Administration 2.425.
Signature _________________ Fla. Bar #/__________________
Attorney or party (Bar # if attorney)
_____________________________________________________________
(type or print name) Date.
FL. R. Civ. P. Form 1.997