In the Superior Court of the State of Arizona In and For the County of Case Number CIVIL COVER SHEET- NEW FILING ONLY (Please Type or Print) Plaintiff222s Attorney Attorney Bar Number Is Interpreter Needed? Yes No If yes, what language(s): Plaintiff222s Name(s): (List all) Plaintiff222s Address: Phone #: Email Address: (List additional Plaintiffs on page two and/or attach a separate sheet). Defendant222s Name(s): (List All) (List additional Defendants on page two and/or attach a separate sheet) RULE 26.2 DISCOVERY TIER OR MONETARY RELIEF CLAIMED: IMPORTANT: Any case category that has an asterisk (*) MUST have a dollar amount claimed or Tier selected. State the monetary amount in controversy or place an 223X224 next to the discovery tier to which the pleadings allege the case would belong under Rule 26.2. Amount Claimed $ Tier 1 Tier 2 Tier 3 NATURE OF ACTION Place an 223X224 next to the one case category that most accurately describes your primary case. Any case category that has an asterisk (*) MUST have a dollar amount claimed or Tier selected as indicated above. 100 TORT MOTOR VEHICLE: 101 Non-Death/Personal Injury* 102 Property Damage* 103 Wrongful Death* 251Superior Court of Arizona in Maricopa County Page 1 of 3 CV10f 226 010119 ALL RIGHTS RESERVED American LegalNet, Inc. www.FormsWorkFlow.com Case No. 110 TORT NON-MOTOR VEHICLE: 111 Negligence* 112 Product Liability 226 Asbestos* 112 Product Liability 226 Tobacco* 112 Product Liability 226 Toxic/Other* 113 Intentional Tort* 114 Property Damage* 115 Legal Malpractice* 115 Malpractice 226 Other professional* 117 Premises Liability* 118 Slander/Libel/Defamation* 116 Other (Specify) * 120 MEDICAL MALPRACTICE: 121 Physician M.D.* 123 Hospital* 122 Physician D.O* 124 Other* 130 & 197 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* 197 Credit Card Debt (Maricopa County Only)* 150-199 OTHER CIVIL CASE TYPES: 156 Eminent Domain/Condemnation* 151 Eviction Actions (Forcible and Special Detainers)* 152 Change of Name 153 Transcript of Judgment 154 Foreign Judgment 158 Quiet Title* 160 Forfeiture* 175 Election Challenge 179 NCC-Employer Sanction Action (A.R.S. 24723-212) 180 Injunction against Workplace Harassment 181 Injunction against Harassment 182 Civil Penalty 186 Water Rights (Not General Stream Adjudication)* 187 Real Property * Special Action against Lower Courts (See Lower Court Appeal cover sheet in Maricopa) 194 Immigration Enforcement Challenge (A.R.S. 2472471-501, 1-502, 11-1051) 150-199 UNCLASSIFIED CIVIL: 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 226 Other* 190 Declaration of Factual Innocence (A.R.S. 24712-771) 191 Declaration of Factual Improper Party Status 193 Vulnerable Adult (A.R.S. 24746-451)* 165 Tribal Judgment 167 Structured Settlement (A.R.S. 24712-2901) 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 Domain226 Light Rail Only* 177 Interpleader226 Automobile Only* 178 Delayed Birth Certificate (A.R.S. 24736-333.03) 183 Employment Dispute- Discrimination* 251 Superior Court of Arizona in Maricopa County Page 2 of 3 CV10f - 010119 ALL RIGHTS RESERVED American LegalNet, Inc. www.FormsWorkFlow.com Case No. 185 Employment Dispute-Other* 196 Verified Rule 45.2 Petition 195(a) Amendment of Marriage License 195(b) Amendment of Birth Certificate 163 Other* (Specify) EMERGENCY ORDER SOUGHT Temporary Restraining Order Provisional Remedy OSC Election Challenge Employer Sanction Other (Specify) COMMERCIAL COURT (Maricopa County Only) This case is eligible for the Commercial Court under Rule 8.1, and Plaintiff requests assignment of this case to the Commercial Court. More information on the Commercial Court, including the most recent forms, are available on the Court222s website at: https://www.superiorcourt.maricopa.gov/commercial-court/ . Additional Plaintiff(s): Additional Defendant(s): 251 Superior Court of Arizona in Maricopa County Page 3 of 3 CV10f - 010119 ALL RIGHTS RESERVED American LegalNet, Inc. www.FormsWorkFlow.com