Form 1 997 – Fill Out and Use This PDF

FORM 1.997 CIVIL COVER SHEET

The civil cover sheet and the information contained herein neither replace nor supplement the filing and service of pleadings or other papers as required by law. This form is required shall be filed by the plaintiff or petitioner for the use of the Clerk of Court for the purpose of reporting judicial workload data pursuant to Florida Statute 25.075. (See instructions on the reverse of the form).

I.	Case Style
		(Name of Court)___________
Plaintiff __________		Case #:__________
	__________	Judge:___________

vs.

Defendant ________

________

__________________________________________________________________

II.Type of Case (Place an x in one box only. If the case fits more than one type of case, select the most definitive.)

__________________________________________________________________

Domestic Relations	Torts	Other Civil
□ Simplified dissolution	□ Professional	□ Contracts
□ Dissolution	malpractice	□ Condominium
□ Support-IV-D	□ Products liability	□ Real property/ Mort-
□ Support-Non IV-D	□ Auto negligence	gage foreclosure
□ UIFSA-IV-D	□ Other negligence	□ Eminent domain
□ UIFSA-Non IV-D		□ Challenge to proposed
□ Domestic violence		constitutional amendment
□ Other domestic relations		□ Other
Antitrust/Trade regulation	Contract product liability
Business governance	Corporate trusts
Business torts	Eminent domain
Business transactions	Environmental/Toxic tort
Commercial real property/	Forfeiture
Mortgage foreclosure	Insurance claims
	21

Constitution – proposed	Intellectual property
amendment challenge	Libel/Slander
Constitution – statute or	Malpractice – business
ordinance challenge	Malpractice – medical
Condominium	Malpractice –
Construction defect	professional
Contracts	Mass tort
Residential real property/	Securities litigation
Mortgage foreclosure	Shareholder derivative
Negligence – auto	actions
Negligence – other	Third party
Personal injury	indemnification
Products liability	Trade secrets
Other

III.Remedies sought (check all that apply):

monetary;

non-monetary declaratory or injunctive relief;

punitive

IV.	Number of causes of action: [ ]
	(specify)________________________________________________________________

_____________________________________________________________________________

V.Is this case a class action lawsuit?

yes

no

VI.	Has notice of any known related case been filed?
	yes
	no
VII.	Is jury trial demanded in complaint?
	yes

no

__________________________________________________________________

Date:___________________ SIGNATURE OF ATTORNEY FOR PARTY

INITIATING ACTION__________________

I CERTIFY that the information I have provided in this cover sheet is accurate to the best of my knowledge and belief.

22

Signature____________________________		Fla. Bar # ________________
	Attorney or party	(Bar # if attorney)

______________________________________________________________

(type or print name)

Date

FORM 1.997. INSTRUCTIONS FOR ATTORNEYS COMPLETING CIVIL COVER SHEET I. Plaintiff must file this cover sheet with first paperwork filed in the action or proceeding (except small claims cases or other county court cases, probate, or family cases). Failure to file may result in sanctions.

II.I. Case Style. Enter the name of the court, the appropriate case number assigned at the time of filing of the original complaint or petition, the name of the judge assigned (if applicable), and the name (last, first, middle initial)of plaintiff(s) and defendant(s).

III. II. Type of Case. Place an “X” in the appropriate box. If the cause fits more than one type of case, select the most definitive. Definitions of the cases are provided below.

(A) Simplified Dissolution of Marriage- petitions for the termination of marriage pursuant to Fla.Fam.L.R.P.12.105.

(B) Dissolution of Marriage - petitions for the termination of marriage other than simplified dissolution.

(C) Support - IV-D - all matters relating to child or spousal support in which an application for assistance has been filed under Title IV-D, Social Security Act, except for such matters relating to dissolution of marriage petitions (sections 409.2564, 409.2571, and 409.2597, Florida Statutes), paternity, or UIFSA.

(D) Support-- Non IV-D - all matters relating to child or spousal support in which an application for assistance has not been filed under Title IV-D, Social Security Act.

(E) UIFSA- IV-D - all matters relating to Chapter 88, Florida Statutes in which an application for assistance has been filed under Title IV-D, Social Security Act.

(F) UIFSA - Non IV-D - all matters relating to Chapter 88, Florida Statutes, in which an application for assistance has not been filed under Title IV-D, Social Security Act.

(G) Domestic Violence - all matters relating to injunctions for protection against domestic violence pursuant to section 741.30, Florida Statutes.

(H) Domestic Relations - all matters involving adoption, paternity, change of name, child custody, separate maintenance, annulment, or other matters not included in categories (A) through (G).

(I) Auto Negligence - all matters arising out of a partys allegedly negligent operation of a motor vehicle.

(J) Professional Malpractice - all professional malpractice lawsuits.

(K) Products Liability - all matters involving injury to person or property allegedly resulting from the manufacture or sale of a defective product or from a failure to warn.

(L) Other Negligence - all actions sounding in negligence, including statutory claims for relief on account of death or injury, not included in categories (I), (J), and (K).

(M) Condominium - all civil lawsuits pursuant to Chapter 718, Florida Statutes, where a condominium association is a party in the lawsuit.

(N) Eminent Domain - all matters relating to the taking of private property for public use, including inverse condemnation by state agencies, political subdivisions, and public service corporations.

23

(O)Real Property/Mortgage Foreclosure - all matters relating to the possession, title, and boundaries of real property. All matters involving foreclosures and sales, including foreclosures associated with condominium associations and condominium units.

(P)Contract and indebtedness - all contract actions relating to promissory notes and other debts, including those arising from the sale of goods. Excludes contract disputes involving condominium associations.

(Q)Challenge to proposed constitutional amendment - a challenge to a legislatively initiated proposed constitutional amendment. Excludes challenges to citizen-initiated proposed constitutional amendments, because the Florida Supreme Court has direct jurisdiction of such challenges.

(R)Other Civil - all civil matters not included in categories (A) through (Q).

III.Is Jury Trial Demanded In Complaint? Check the appropriate box to indicate whether a jury is being demanded in the complaint.

DATE AND ATTORNEY SIGNATURE. Date and sign the civil cover sheet.

IV. Remedies Sought. Place an “X” in the appropriate box. If more than one remedy is sought in the complaint or petition, check all that apply.

V. Number of Causes of Action. If the complaint or petition alleges more than one cause of action, note the number and the name of the cause of action.

VI. Class Action. Place an “X” in the appropriate box.

VII. Related Cases. Place an “X” in the appropriate box.

VIII. Is Jury Trial Demanded In Complaint? Check the appropriate box to indicate whether a jury trial is being demanded in the complaint

ATTORNEY OR PARTY SIGNATURE. Sign the civil cover sheet. Print legibly the name of the person signing the civil cover sheet. Attorneys must include a Florida Bar number. Insert the date the civil cover sheet is signed. Signature is a certification that filer has provided accurate information on the civil cover sheet.

24