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CM-010

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY









TELEPHONE NO.: FAX NO.:

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:



BRANCH NAME:

CASE NAME:



CASE NUMBER:

CIVIL CASE COVER SHEET Complex Case Designation

Unlimited Limited

(Amount (Amount Counter Joinder

JUDGE:

demanded demanded is Filed with first appearance by defendant

exceeds $25,000) $25,000 or less) (Cal. Rules of Court, rule 1811) DEPT:



Items 1–5 below must be completed (see instructions on page 2).

1. Check one box below for the case type that best describes this case:

Auto Tort Contract Provisionally Complex Civil Litigation

Auto (22) Breach of contract/warranty (06) (Cal. Rules of Court, rules 1800–1812)

Uninsured motorist (46) Collections (09) Antitrust/Trade regulation (03)

Other PI/PD/WD (Personal Injury/Property Insurance coverage (18) Construction defect (10)

Damage/Wrongful Death) Tort Other contract (37) Mass tort (40)

Asbestos (04) Real Property Securities litigation (28)

Product liability (24) Eminent domain/Inverse Environmental/Toxic tort (30)

Medical malpractice (45) condemnation (14)

Insurance coverage claims arising from the

Other PI/PD/WD (23) Wrongful eviction (33) above listed provisionally complex case

types (41)

Non-PI/PD/WD (Other) Tort Other real property (26)

Enforcement of Judgment

Business tort/unfair business practice (07) Unlawful Detainer

Enforcement of judgment (20)

Civil rights (08) Commercial (31)

Miscellaneous Civil Complaint

Defamation (13) Residential (32)

RICO (27)

Fraud (16) Drugs (38)

Other complaint (not specified above) (42)

Intellectual property (19) Judicial Review

Miscellaneous Civil Petition

Professional negligence (25) Asset forfeiture (05)

Partnership and corporate governance (21)

Other non-PI/PD/WD tort (35) Petition re: arbitration award (11)

Employment Other petition (not specified above) (43)

Writ of mandate (02)

Wrongful termination (36)

Other judicial review (39)

Other employment (15)



2. This case is is not complex under rule 1800 of the California Rules of Court. If the case is complex, mark the

factors requiring exceptional judicial management:

a. Large number of separately represented parties d. Large number of witnesses

b. Extensive motion practice raising difficult or novel e. Coordination with related actions pending in one or more courts

issues that will be time-consuming to resolve in other counties, states, or countries, or in a federal court

c. Substantial amount of documentary evidence f. Substantial postjudgment judicial supervision

3. Type of remedies sought (check all that apply):

a. monetary b. nonmonetary; declaratory or injunctive relief c. punitive

4. Number of causes of action (specify):

5. This case is is not a class action suit.

6. If there are any known related cases, file and serve a notice of related case. (You may use form CM-015.)

Date:



(TYPE OR PRINT NAME) (SIGNATURE OF PARTY OR ATTORNEY FOR PARTY)



NOTICE

• Plaintiff must file this cover sheet with the first paper filed in the action or proceeding (except small claims cases or cases filed

under the Probate Code, Family Code, or Welfare and Institutions Code). (Cal. Rules of Court, rule 201.8.) Failure to file may result

in sanctions.

• File this cover sheet in addition to any cover sheet required by local court rule.

• If this case is complex under rule 1800 et seq. of the California Rules of Court, you must serve a copy of this cover sheet on all

other parties to the action or proceeding.

• Unless this is a complex case, this cover sheet will be used for statistical purposes only. Page 1 of 2

Form Adopted for Mandatory Use Cal. Rules of Court, rules 201.8, 1800–1812;

Judicial Council of California

CIVIL CASE COVER SHEET Standards of Judicial Administration, § 19

CM-010 [Rev. January 1, 2006] www.courtinfo.ca.gov

American LegalNet, Inc.

www.USCourtForms.com

INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET

To Plaintiffs and Others Filing First Papers

If you are filing a first paper (for example, a complaint) in a civil case, you must complete and file, along with your first paper, the Civil

Case Cover Sheet contained on page 1. This information will be used to compile statistics about the types and numbers of cases filed.

You must complete items 1 through 5 on the sheet. In item 1, you must check one box for the case type that best describes the case.

If the case fits both a general and a more specific type of case listed in item 1, check the more specific one. If the case has multiple

causes of action, check the box that best indicates the primary cause of action. To assist you in completing the sheet, examples of

the cases that belong under each case type in item 1 are provided below. A cover sheet must be filed only with your initial paper. You

do not need to submit a cover sheet with amended papers. Failure to file a cover sheet with the first paper filed in a civil case may

subject a party, its counsel, or both to sanctions under rules 201.8(c) and 227 of the California Rules of Court.

To Parties in Complex Cases

In complex cases only, parties must also use the Civil Case Cover Sheet to designate whether the case is complex. If a plaintiff

believes the case is complex under rule 1800 of the California Rules of Court, this must be indicated by completing the appropriate

boxes in items 1 and 2. If a plaintiff designates a case as complex, the cover sheet must be served with the complaint on all parties to

the action. A defendant may file and serve no later than the time of its first appearance a joinder in the plaintiff's designation, a

counter-designation that the case is not complex, or, if the plaintiff has made no designation, a designation that the case is complex.

CASE TYPES AND EXAMPLES

Auto Tort Contract Provisionally Complex Civil Litigation

Auto (22)–Personal Injury/Property Breach of Contract/Warranty (06) (Cal. Rules of Court Rules 1800–1812)

Damage/Wrongful Death Breach of Rental/Lease

Contract (not unlawful detainer Antitrust/Trade Regulation (03)

Uninsured Motorist (46) (if the or wrongful eviction) Construction Defect (10)

case involves an uninsured Contract/Warranty Breach–Seller Claims Involving Mass Tort (40)

motorist claim subject to Plaintiff (not fraud or negligence) Securities Litigation (28)

arbitration, check this item Negligent Breach of Contract/ Environmental/Toxic Tort (30)

instead of Auto) Warranty Insurance Coverage Claims

Other Breach of Contract/Warranty (arising from provisionally

Other PI/PD/WD (Personal Injury/ Collections (e.g., money owed, open complex case type listed above)

Property Damage/Wrongful Death) book accounts) (09) (41)

Tort Collection Case–Seller Plaintiff

Asbestos (04) Other Promissory Note/Collections Enforcement of Judgment

Asbestos Property Damage Case Enforcement of Judgment (20)

Asbestos Personal Injury/ Insurance Coverage (not provisionally Abstract of Judgment (Out of

Wrongful Death complex) (18) County)

Product Liability (not asbestos or Auto Subrogation Confession of Judgment (non-

toxic/environmental) (24) Other Coverage domestic relations)

Medical Malpractice (45) Other Contract (37) Sister State Judgment

Medical Malpractice– Administrative Agency Award

Physicians & Surgeons Contractual Fraud (not unpaid taxes)

Other Contract Dispute Petition/Certification of Entry of

Other Professional Health Care

Malpractice Real Property Judgment on Unpaid Taxes

Other PI/PD/WD (23) Eminent Domain/Inverse Other Enforcement of Judgment

Premises Liability (e.g., slip Condemnation (14) Case

and fall) Wrongful Eviction (33)

Intentional Bodily Injury/PD/WD Other Real Property (e.g., quiet title) (26) Miscellaneous Civil Complaint

(e.g., assault, vandalism) Writ of Possession of Real Property RICO (27)

Intentional Infliction of Mortgage Foreclosure Other Complaint (not specified

Emotional Distress Quiet Title above) (42)

Negligent Infliction of Other Real Property (not eminent Declaratory Relief Only

Emotional Distress domain, landlord/tenant, or Injunctive Relief Only (non-

Other PI/PD/WD foreclosure) harassment)

Mechanics Lien

Non-PI/PD/WD (Other) Tort Unlawful Detainer Other Commercial Complaint

Business Tort/Unfair Business Commercial (31) Case (non-tort/non-complex)

Practice (07) Residential (32) Other Civil Complaint

Civil Rights (e.g., discrimination, Drugs (38) (if the case involves illegal (non-tort/non-complex)

false arrest) (not civil drugs, check this item; otherwise,

harassment) (08) report as Commercial or Miscellaneous Civil Petition

Defamation (e.g., slander, libel) Residential) Partnership and Corporate

(13) Governance (21)

Fraud (16) Judicial Review Other Petition (not specified above)

Intellectual Property (19) Asset Forfeiture (05) (43)

Professional Negligence (25) Petition Re: Arbitration Award (11) Civil Harassment

Legal Malpractice Writ of Mandate (02) Workplace Violence

Other Professional Malpractice Writ–Administrative Mandamus Elder/Dependent Adult

(not medical or legal) Writ–Mandamus on Limited Court Abuse

Other Non-PI/PD/WD Tort (35) Case Matter Election Contest

Writ–Other Limited Court Case Petition for Name Change

Employment Review Petition for Relief from Late

Wrongful Termination (36) Other Judicial Review (39) Claim

Other Employment (15) Review of Health Officer Order Other Civil Petition

Notice of Appeal–Labor

Commissioner Appeals

CM-010 [Rev. January 1, 2006] Page 2 of 2

CIVIL CASE COVER SHEET



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