Ma Civil Cover Sheet Form PDF Details

Are you a Massachusetts lawyer filing an action in the state district or superior court? If so, you’ll need to use the Massachusetts Civil Cover Sheet Form. This form is required for all civil cases, and provides important background information about your lawsuit. It serves as an abbreviated index of your case, and helps make sure that it gets routed through the proper channels within the court system. In this blog post, we'll discuss what needs to be included on the Massachusetts Civil Cover Sheet form, how to fill it out correctly, and give helpful tips on avoiding potential issues when submitting it. No matter if you're just starting a new case or refiling an existing one – take a few minutes to read our detailed overview of this essential legal document!

QuestionAnswer
Form NameMa Civil Cover Sheet Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesmassachusetts civil action cover sheet, civil action cover sheet, civil action cover sheet massachusetts form, civil action cover sheet ma

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CIVIL ACTION COVER SHEET

TRIAL COURT OF MASSACHUSETTS

SUPERIOR COURT DEPARTMENT

COUNTY OF

DOCKET NO. ____________________

PLAINTIFF(S)

DEFENDANT(S)

Plaintiff Atty

Address

City

 

State

 

Zip Code

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tel.

 

 

 

 

 

BBO#

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Type Defendant's Attorney Name

Defendant Atty

Address

 

 

 

 

 

 

Zip Code

 

 

City

 

 

State

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TYPE OF ACTION AND TRACK DESIGNATION (See reverse side)

CODE NO.

TYPE OF ACTION (specify)

TRACK

IS THIS A JURY CASE?

 

 

 

[ ] Yes [ ] No

The following is a full, itemized and detailed statement of the facts on which plaintiff relies to determine money damages. For this form, disregard double or treble damage claims; indicate single damages only.

TORT CLAIMS

(Attach additional sheets as necessary)

A.Documented medical expenses to date:

1.

Total hospital expenses

$_______________

2.

Total doctor expenses

$_______________

3.

Total chiropractic expenses

$_______________

4.

Total physical therapy expenses

$_______________

5.

Total other expenses (describe)

$_______________

 

Subtotal

$_______________

B. Documented lost wages and compensation to date

$_______________

C. Documented property damages to date

$_______________

D. Reasonably anticipated future medical expenses

$_______________

E. Reasonably anticipated lost wages and compensation to date

$_______________

F.Other documented items of damages (describe)

$_______________

G. Brief description of plaintiff=s injury, including nature and extent of injury (describe)

Total $_______________

CONTRACT CLAIMS

(Attach additional sheets as necessary)

Provide a detailed description of claim(s):

TOTAL $...............

PLEASE IDENTIFY, BY CASE NUMBER, NAME AND COUNTY, ANY RELATED ACTION PENDING IN THE SUPERIOR COURT DEPARTMENT

ΑI hereby certify that I have complied with the requirements of Rule 5 of the Supreme Judicial Court Uniform Rules on Dispute Resolution (SJC

Rule 1:18) requiring that I provide my clients with information about court-connected dispute resolution services and discuss with them the advantages and disadvantages of the various methods.≅

Signature of Attorney of Record _________________________________________________

Date:

A.O.S.C. 3-2007

 

CIVIL ACTION COVER SHEET INSTRUCTIONS

SELECT CATEGORY THAT BEST DESCRIBES YOUR CASE

* CONTRACTS

* REAL PROPERTY

MISCELLANEOUS

A01

Services, Labor and Materials F)

 

A02

Goods Sold and Delivered

(F)

A03

Commercial Paper

(F)

A08

Sale or Lease of Real Estate

(F)

A12

Construction Dispute

(A)

A99

Other (Specify)

(F)

E03 Claims against Commonwealth

(A)

 

or Municipality

 

 

*TORT

 

B03

Motor Vehicle Negligence

(F)

 

personal injury/property damage

 

B04

Other Negligence-

(F)

 

personal injury/property damage

 

B05

Products Liability

(A)

B06

Malpractice-MedicaL

(A)

B07

Malpractice-Other (Specify)

(A)

B08

Wrongful Death, G.L. c.229, s.2A (A)

B15

Defamation (Libel-Slander)

(A)

B19

Asbestos

(A)

B20

Personal Injury- slip & fall

(F)

B21

Environmental

(F)

B22

Employment Discrimination

(F)

B99

Other (Specify)

(F)

E03 Claims against Commonwealth

(A)

C01 Land Taking (eminent domain)

C02 Zoning Appeal, G.L. c.40A

C03 Dispute concerning title

C04 Foreclosure of mortgage

C05 Condominium Lien & Charges

C99 Other (Specify)

E03 Claims against Commonwealth or Municipality

EQUITABLE REMEDIES

D01 Specific Performance of Contract

D02 Reach and Apply

D06 Contribution or Indemnification

D07 Imposition of a Trust

D08 Minority Stockholder's Suit

D10 Accounting

D12 Dissolution of Partnership

D13 Declaratory Judgment G.L. c. 231A

D99 Other (Specify)

(F)

E02

Appeal from Administrative

 

(F)

 

Agency G.L. c. 30A

(X)

(F)

E03

Claims against Commonwealth

 

(X)

 

or Municipality

(A)

(X)

 

E05

Confirmation of Arbitration Awards

(X)

(F)

E07

G.L. c.112, s.12S (Mary Moe)

(X)

(A)

E08

Appointment of Receiver

(X)

 

E09

General Contractor bond,

 

 

 

G.L. c. 149, ss. 29, 29a

(A)

(A)

E11

Worker=s Compensation

(X)

(F)

E12

G.L.c.123A, s.12 (SDP Commitment)

(X)

(F)

E14

G.L. c. 123A, s. 9 (SDP Petition)

 

(A)

E15

Abuse Petition, G. L. c. 209A

(X)

(A)

E16

Auto Surcharge Appeal

(X)

(A)

E17

Civil Rights Act, G.L. c.12, s. 11H

(A)

(F)

E18

Foreign Discovery Proceeding

(X)

(A)

(F)

E19

Sex Offender Registry G.L. c. 178M,

 

 

 

s. 6

(X)

 

E21

Protection from Harassment c 258E

(X)

 

E25

Plural Registry (Asbestos cases)

 

 

E95

**Forfeiture G.L. c. 94C, s. 47

(F)

 

E96

Prisoner Cases

(F)

 

E97

Prisoner Habeas Corpus

(X)

 

E99

Other (Specify)

(X)

 

 

 

 

*Claims against the Commonwealth or a municipality are type E03, Average Track, cases. **Claims filed by the Commonwealth pursuant to G L c 94C, s 47 Forfeiture cases are type

E95, Fast track.

TRANSFER YOUR SELECTION TO THE FACE SHEET.

EXAMPLE:

CODE NO.

TYPE OF ACTION (SPECIFY)

TRACK

IS THIS A JURY CASE?

B03

Motor Vehicle Negligence-Personal Injury

(F)

[ X ] Yes

[ ]

SUPERIOR COURT RULE 29

DUTY OF THE PLAINTIFF. The plaintiff or his/her counsel shall set forth, on the face sheet (or attach additional sheets as necessary), a statement specifying in full and itemized detail the facts upon which the plaintiff then relies as constituting money damages. A copy of such civil action cover sheet, including the statement as to the damages, shall be served on the defendant together with the complaint. If a statement of money

damages, where appropriate is not filed, the Clerk-Magistrate shall transfer the action as provided in Rule 29(5)(C).

DUTY OF THE DEFENDANT. Should the defendant believe the statement of damages filed by the plaintiff in any respect inadequate, he or his counsel may file with the answer a statement specifying in reasonable detail the potential damages which may result should the plaintiff

prevail. Such statement, if any, shall be served with the answer.

A CIVIL ACTION COVER SHEET MUST BE FILED WITH EACH COMPLAINT.

FAILURE TO COMPLETE THIS COVER SHEET THOROUGHLY AND ACCURATELY

MAY RESULT IN DISMISSAL OF THIS ACTION.

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As a way to complete this form, make sure you enter the necessary details in each and every field:

1. Start completing the civil action cover sheet massachusetts form with a selection of essential fields. Get all the required information and make sure there's nothing omitted!

How to fill in mass superior court civil action cover sheet part 1

2. Once your current task is complete, take the next step – fill out all of these fields - Attach additional sheets as, A Documented medical expenses to, B Documented lost wages and, Subtotal, Total, Provide a detailed description of, CONTRACT CLAIMS, Attach additional sheets as, and TOTAL with their corresponding information. Make sure to double check that everything has been entered correctly before continuing!

TOTAL, Attach additional sheets as, and Subtotal in mass superior court civil action cover sheet

3. The following step is usually relatively uncomplicated, PLEASE IDENTIFY BY CASE NUMBER, A I hereby certify that I have, and Date - every one of these form fields is required to be completed here.

Writing section 3 in mass superior court civil action cover sheet

People often make errors while filling in A I hereby certify that I have in this section. Don't forget to review whatever you type in right here.

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