In the Superior Court of the State of Arizona In and For the County of Maricopa Case Number _____________________________ CIVIL COVER SHEET- NEW FILING ONLY (Please Type or Print) Plaintiff’s Attorney: __________________________________________ Is Interpreter Needed? Yes No If yes, what language: ___________________________________ To the best of my knowledge, all information is true and correct. Attorney’s Bar Number:________________________ _______________________________________________________ Attorney/Pro Per Signature (If no attorney, YOUR signature) 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). EMERGENCY ORDER SOUGHT: (if applicable) Temporary Restraining Order OSC – Order to Show Cause Employer Sanction Provisional Remedy Election Challenge Other ______________________ 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.) 100 TORT MOTOR VEHICLE: 101 Non-Death/Personal Injury 102 Property Damage 103 Wrongful Death 110 TORT NON-MOTOR VEHICLE: 111 Negligence 112 Product Liability – Asbestos 112 Product Liability – Tobacco 112 Product Liability – Toxic/Other 113 Intentional Tort 114 Property Damage 115 Legal Malpractice 115 Malpractice – Other professional 117 Premises Liability 118 Slander/Libel/Defamation 116 Other (Specify) _______________ 120 MEDICAL MALPRACTICE: Superior Court of Arizona in Maricopa County LRD January 1, 2009 121 Physician M.D. 123 Hospital 122 Physician D.O 124 Other 130 CONTRACTS: 131 Account (Open or Stated) 132 Promissory Note 133 Foreclosure 138 Buyer-Plaintiff 139 Fraud 134 Other Contract (i.e. Breach of Contract) 135 Excess Proceeds - Sale Construction Defects (Residential/Commercial) 136 Six to Nineteen Structures 137 Twenty or More Structures 150-199 OTHER CIVIL CASE TYPES: 156 Eminent Domain/Condemnation Page 1 of 2 CV10f Use current version American LegalNet, Inc. www.FormsWorkflow.com 151 Forcible Detainer 152 Change of Name 153 Transcript of Judgment 154 Foreign Judgment 158 Quiet Title 160 Forfeiture 175 Election Challenge 179 Employer Sanction Action (A.R.S. §23-212) 180 Injunction against Workplace Harassment 181 Injunction against Harassment 182 Civil Penalty 186 Water Rights (Not General Stream Adjudication) 187 Real Property Sexually Violent Persons (A.R.S. §36-3704) (Except Maricopa County) Minor Abortion (See Juvenile in Maricopa County) Special Action Against Lower Courts (See lower court appeal cover sheet in Maricopa) 150-199 UNCLASSIFIED CIVIL CASE TYPES: Administrative Review (See lower court appeal cover sheet in Maricopa) 150 Tax Appeal (All other tax matters must be filed in the AZ Tax Court) 155 Declaratory Judgment 157 Habeas Corpus 184 Landlord Tenant Dispute - Other 159 Restoration of Civil Rights (Federal) 159 Clearance of Records (A.R.S. §13-4051) 190 Declaration of Factual Innocence(A.R.S.§12-771) 191 Declaration of Factual Improper Party Status 193 Vulnerable Adult (A.R.S. §46-451) 165 Tribal Judgment 167 Structured Settlement (A.R.S. §12-2901) 169 Attorney Conservatorships (State Bar) 170 Unauthorized Practice of Law (State Bar) 171 Out-of-State Deposition for Foreign Jurisdiction 172 Secure Attendance of Prisoner 173 Assurance of Discontinuance 174 In-State Deposition for Foreign Jurisdiction 176 Eminent Domain–Light Rail Only 177 Interpleader– Automobile Only 178 Delayed Birth Certificate (A.R.S. §36-333.03) 183 Employment Dispute - Discrimination 185 Employment Dispute - Other 163 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 Additional Plaintiff(s) __________________________________________________________________________________________ __________________________________________________________________________________________ Additional Defendant(s) __________________________________________________________________________________________ _________________________________________________________________________________________ Superior Court of Arizona in Maricopa County LRD January 1, 2009 Page 2 of 2 CV10f Use current version American LegalNet, Inc. www.FormsWorkflow.com