In the Superior Court of the State of Arizona In and For the County of Coconino Case Number _____________________________ CIVIL COVER SHEET NEW FILING ONLY (Please Type or Print) Plaintiff's Attorney __________________________ Attorney Bar Number ________________________ Plaintiff's Name(s): (List all) ______________________________________ ______________________________________ ______________________________________ Plaintiff's Address: _____________________________________________ _____________________________________________ _____________________________________________ (List additional plaintiffs on page two and/or attach a separate sheet). Defendant's Name(s): (List All) _____________________________________ __________________________________________________________ __________________________________________________________ (List additional defendants on page two and/or attach a separate sheet) Temporary Restraining Order Provisional Remedy OSC EMERGENCY ORDER SOUGHT: Election Challenge Employer Sanction Other _____________________________________________ (Specify) RULE 8(i) COMPLEX LITIGATION DOES NOT APPLY. (Mark appropriate box under Nature of Action) RULE 8(i) COMPLEX LITIGATION APPLIES. Rule 8(i) of the Rules of Civil Procedure defines a "Complex Case" as civil actions that require continuous judicial management. A typical case involves a large number of witnesses, a substantial amount of documentary evidence, and a large number of separately represented parties. (Mark appropriate box on page two as to complexity, in addition to the Nature of Action case category). NATURE OF ACTION (Place an "X" next to the one case category that most accurately describes your primary case.) TORT MOTOR VEHICLE: Non-Death/Personal Injury Property Damage Wrongful Death TORT NON-MOTOR VEHICLE: Negligence Product Liability ­ Asbestos Product Liability ­ Tobacco Product Liability ­ Toxic/Other Intentional Tort Property Damage Legal Malpractice Malpractice ­ Other professional November 21, 2008 Premises Liability Slander/Libel/Defamation Other (Specify) _______________ MEDICAL MALPRACTICE: Physician M.D. Hospital Physician D.O Other CONTRACTS: Account (Open or Stated) Promissory Note Foreclosure Buyer-Plaintiff Fraud Other Contract (i.e. Breach of Contract) 1 American LegalNet, Inc. www.FormsWorkFlow.com CONTRACTS continued: Excess Proceeds-Sale Construction Defects (Residential/Commercial) Six to Nineteen Structures Twenty or More Structures OTHER CIVIL CASE TYPES: Eminent Domain/Condemnation Forcible Detainer Change of Name Transcript of Judgment Foreign Judgment Quiet Title Forfeiture Election Challenge NCC- Employer Sanction Action (A.R.S. §23-212) Injunction against Workplace Harassment Injunction against Harassment Civil Penalty Water Rights(Not General Stream Adjudication) Real Property Sexually Violent Person (A.R.S. §36-3704) Minor Abortion Special Action Against Lower Courts UNCLASSIFIED CIVIL: Administrative Review Tax Appeal (All other tax matters must be filed in the AZ Tax Court) Declaratory Judgment Habeas Corpus Landlord Tenant Dispute- Other Restoration of Civil Rights (Federal) Clearance of Records (A.R.S. §13-4051) Declaration of Factual Innocence (A.R.S. §12-771) Declaration of Factual Improper Party Status Vulnerable Adult (A.R.S. §46-451) Tribal Judgment Structured Settlement (A.R.S. §12-2901) Attorney Conservatorships (State Bar) Unauthorized Practice of Law (State Bar) Out-of-State Deposition for Foreign Jurisdiction Secure Attendance of Prisoner Assurance of Discontinuance In-State Deposition for Foreign Jurisdiction Eminent Domain­ Light Rail Only Interpleader­ Automobile Only Delayed Birth Certificate (A.R.S. §36-333.03) Employment Dispute- Discrimination Employment Dispute-Other Other __________________________________ (Specify) COMPLEXITY OF THE CASE If you marked the box on page one indicating that Complex Litigation applies, place an "X" in the box of no less than one of the following: Antitrust/Trade Regulation Construction Defect with many parties or structures Mass Tort Securities Litigation with many parties Environmental Toxic Tort with many parties Class Action Claims Insurance Coverage Claims arising from the above-listed case types A Complex Case as defined by Rule 8(i) ARCP Additional Plaintiff(s) __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Additional Defendant(s) __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ November 21, 2008 2 American LegalNet, Inc. www.FormsWorkFlow.com