Civil Case Information Sheet Form – Fill Out and Use This PDF

CIVIL CASE INFORMATION SHEET

CAUSE NUMBER (FOR CLERK USE ONLY): _______________________________ COURT (FOR CLERK USE ONLY): ______________________

STYLED ___________________________________________________________________________________________________

(e.g., John Smith v. All American Insurance Co; In re Mary Ann Jones; In the Matter of the Estate of George Jackson)

A civil case information sheet must be completed and submitted when an original petition or application is filed to initiate a new civil, family law, probate, or mental health case or when a post-judgment petition for modification or motion for enforcement is filed in a family law case. The information should be the best available at the time of filing.

1. Contact information for person completing case information sheet:

Names of parties in case:

Person or entity completing sheet is:

Attorney for Plaintiff/Petitioner

Name:

Email:

Plaintiff(s)/Petitioner(s):

Pro Se Plaintiff/Petitioner

Title IV-D Agency

_____________________________

____________________________

_________________________________

Other: _________________________

Address:

Telephone:

_________________________________

Additional Parties in Child Support Case:

_____________________________

____________________________

Defendant(s)/Respondent(s):

Custodial Parent:

City/State/Zip:

Fax:

_________________________________

_________________________________

_____________________________

____________________________

Non-Custodial Parent:

_________________________________

_________________________________

Signature:

State Bar No:

_________________________________

Presumed Father:

_____________________________

____________________________

_________________________________

[Attach additional page as necessary to list all parties]

2. Indicate case type, or identify the most important issue in the case (select only 1):

Civil

Family Law

Post-judgment Actions

Contract

Injury or Damage

Real Property

Marriage Relationship

(non-Title IV-D)

Debt/Contract

Assault/Battery

Eminent Domain/

Annulment

Enforcement

Consumer/DTPA

Construction

Condemnation

Declare Marriage Void

Modification—Custody

Debt/Contract

Defamation

Partition

Divorce

Modification—Other

Fraud/Misrepresentation

Malpractice

Quiet Title

With Children

Title IV-D

Other Debt/Contract:

Accounting

Trespass to Try Title

No Children

Enforcement/Modification

____________________

Legal

Other Property:

Paternity

Foreclosure

Medical

____________________

Reciprocals (UIFSA)

Home Equity—Expedited

Other Professional

Support Order

Other Foreclosure

Liability:

Franchise

_______________

Related to Criminal

Insurance

Motor Vehicle Accident

Matters

Other Family Law

Parent-Child Relationship

Landlord/Tenant

Premises

Expunction

Enforce Foreign

Adoption/Adoption with

Non-Competition

Product Liability

Judgment Nisi

Judgment

Termination

Partnership

Asbestos/Silica

Non-Disclosure

Habeas Corpus

Child Protection

Other Contract:

Other Product Liability

Seizure/Forfeiture

Name Change

Child Support

______________________

List Product:

Writ of Habeas Corpus—

Protective Order

Custody or Visitation

_________________

Pre-indictment

Removal of Disabilities

Gestational Parenting

Other Injury or Damage:

Other: _______________

of Minority

Grandparent Access

_________________

Other:

Parentage/Paternity

__________________

Termination of Parental

Employment

Other Civil

Rights

Other Parent-Child:

Discrimination

Administrative Appeal

Lawyer Discipline

_____________________

Retaliation

Antitrust/Unfair

Perpetuate Testimony

Termination

Competition

Securities/Stock

Workers’ Compensation

Code Violations

Tortious Interference

Other Employment:

Foreign Judgment

Other: _______________

______________________

Intellectual Property

Tax

Probate & Mental Health

Tax Appraisal

Probate/Wills/Intestate Administration

Guardianship—Adult

Tax Delinquency

Dependent Administration

Guardianship—Minor

Other Tax

Independent Administration

Mental Health

Other Estate Proceedings

Other: ____________________

3. Indicate procedure or remedy, if applicable (may select more than 1):

Appeal from Municipal or Justice Court

Declaratory Judgment

Prejudgment Remedy

Arbitration-related

Garnishment

Protective Order

Attachment

Interpleader

Receiver

Bill of Review

License

Sequestration

Certiorari

Mandamus

Temporary Restraining Order/Injunction

Class Action

Post-judgment

Turnover

4. Indicate damages sought (do not select if it is a family law case):

Less than $100,000, including damages of any kind, penalties, costs, expenses, pre-judgment interest, and attorney fees

Less than $100,000 and non-monetary relief

Over $100, 000 but not more than $200,000

Over $200,000 but not more than $1,000,000

Over $1,000,000

Rev 2/13

Instructions for Completing the Texas Civil Case Information Sheet

A civil case information sheet must be completed and submitted when an original petition or application is filed to initiate a new civil, family law, probate, or mental health case or when a post-judgment petition for modification or motion for enforcement is filed in a family law case. The information should be the best available at the time of filing. If the original petition, application or post- judgment petition or motion is e-filed, the case information sheet must not be the lead document.

This sheet, required by Rule 78a of the Texas Rules of Civil Procedure, is intended to collect information that will be used for statistical and administrative purposes only. It neither replaces nor supplements the filings or service of pleading or other documents as required by law or rule. The sheet does not constitute a discovery request, response, or supplementation, and it is not admissible at trial.

The attorney or self-represented (pro se) plaintiff/petitioner filing the case or post-judgment petition or motion should complete the sheet as follows:

1.Contact information

a)Contact information for person completing case information sheet. Enter the following information:

∙name;

∙address;

∙city, state, and zip code;

∙email address;

∙telephone number;

∙fax number, if available;

∙State Bar number, if the person is an attorney; and

∙signature. (NOTE: When a case information sheet is submitted electronically, the signature may be a scanned image or “/s/” and the name of the person completing the case information sheet typed in the space where the signature would otherwise appear.)

b)Names of parties in the case. Enter the name(s) of the:

(NOTE: If the name of a party to a case is confidential, enter the party’s initials rather than the party’s name.)

∙plaintiff(s) or petitioner(s);

∙defendant(s) or respondent(s); and

∙in child support cases, additional parties in the case, including the: O custodial parent;

O non-custodial parent; and O presumed father.

Attach an additional page as necessary to list all parties.

c)Person or entity completing sheet is. Indicate whether the person completing the sheet, or the entity for which the sheet is being completed, is:

∙an attorney for the plaintiff or petitioner;

∙a pro se (self-represented) plaintiff or petitioner;

∙the Title IV-D agency; or

∙other (provide name of person or entity).

2.Case type.

Select the case category that best reflects the most important issue in the case. You must select only one.

3. Procedure or remedy.

If applicable, select any of the available procedures or remedies being sought in the case. You may select more than one.

4. Damages sought.

Select the damages being sought in the case:

(NOTE: If the claim is governed by the Family Code, do not indicate the damages sought.)

∙only monetary relief of $100,000 or less, including damages of any kind, penalties, costs, expenses, pre-judgment interest and attorney fees;

∙monetary relief over $100,000 or less and non-monetary relief;

∙monetary relief over $100,000 but nor more than $200,000;

∙monetary relief over $200,000 but less than $1,000,000; or

∙monetary relief over $1,000,000.