General Civil Case Filing Information Form (Non-Domestic)
Court Superior State County _____________________ Docket # ____________________ Defendant(s) __________________________________
Last First Middle I. Suffix Prefix Maiden
Date Filed _____________
MM-DD-YYYY
Plaintiff(s) __________________________________
Last First Middle I. Suffix Prefix Maiden
__________________________________
Last First Middle I. Suffix Prefix Maiden
__________________________________
Last First Middle I. Suffix Prefix Maiden
__________________________________
Last First Middle I. Suffix Prefix Maiden
__________________________________
Last First Middle I. Suffix Prefix Maiden
__________________________________
Last First Middle I. Suffix Prefix Maiden
__________________________________
Last First Middle I. Suffix Prefix Maiden
No. of Plaintiffs _______ Plaintiff/Petitioner's Attorney
Last First Middle I.
No. of Defendants _______ Pro Se
Suffix
__________________________________ Bar # _________________ Check Primary Type (Check only ONE)
Contract/Account Auto Accident Wills/Estate Premises Liability Real Property Medical Malpractice Dispossessory/Distress Other Professional Negligence Personal Property Product Liability Equity Other Specify ___________________________ Habeas Corpus ________________________________________ Appeals, Reviews Post Judgment Garnishment, Attachment, or Other Relief Non-Domestic Contempt Tort (If tort, fill in right column) Other General Civil Specify _________________ ________________________________________
If Tort is Case Type: (Check no more than TWO)
Are Punitive Damages Pleaded?
Yes
No