Beav. Cnty. Pa. 205.2(b)
In addition to the state required cover sheet, a complaint or initial pleading shall be accompanied by a Beaver County cover sheet. The cover sheet shall be in the form set forth below:
Court of Common Pleas of Beaver County
Civil Division
Civil Cover Sheet
For Prothonotary Use Only (Docket Number)
DEFENDANT'S NAME
PLAINTIFF'S NAME
PLAINTIFF'S ADDRESS DEFENDANT'S ADDRESS
DEFENDANT'S NAME
DEFENDANT'S ADDRESS
TOTAL NO. OF PLAINTIFF AMOUNT IN CONTROVERSY | TOTAL NO. OF DEFENDANTS | COMMENCEMENT OF ACTION | |
[ ] [$35,000 or less | [ ] Complaint | [ ] Notice of Appeal | |
[ ] Over $35,000 | [ ] Writ of Summons Other Jurisdictions | [ ] Transfer from | |
ARBITRATION CASE | CASE TYPE | |
[ ] Yes | ||
[ ] No | ||
[ ] Motor Vehicle | [ ] Mortgage Foreclosure | [ ] Partition |
[ ] Medical Malpractice | [ ] Ejectment | [ ] Declaratory Judgment |
[ ] Other Professional Liability | [ ] Statutory Appeals | [ ] Replevin |
[ ] Product Liability | [ ] Quiet Title | [ ] Asbestos |
[ ] Other: ______ | [ ] Domestic Relations | |
[ ] Divorce | ||
[ ] Custody | ||
TO THE PROTHONOTARY:
NAME OF ADDRESS (SEE INSTRUCTIONS) PLAINTIFF'S/PETITIONER/APPELLANT'S
ATTORNEY (OR PRO SE LITIGANT):
PHONE NUMBER
FAX NUMBER EMAIL ADDRESS
SUPREME COURT
SIGNATURE IDENTIFICATION NO DATE
The cover sheet shall also be published on the Court website, www.beavercountypa.gov.
All subsequent pleadings shall be accompanied by a cover sheet in the form as published on the Court website, www.beavercountypa.gov.
Beav. Cnty. Pa. 205.2(b)