In the Superior court of the State of Arizona In and For the County of Mohave Case Number__________________________ CIVIL COVER SHEET – NEW FILING ONLY (Please type or Print) Plaintiff’s Attorney___________________________ Attorney’s 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 EMERGENCY ORDER SOUGHT: Provisional Remedy OSC 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 Premises Liability Slander/Libel/Defamation Other (Specify)___________________________ Revised 08/23/2010 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) Excess Proceeds-Sale Construction Defects (Residential/Commercial) Six to Nineteen Structures Twenty or More Structures OTHER CIVIL CASE TYPES: Eminent Domain/Condemnation Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com UNCLASSIFIED CIVIL (Continued) OTHER CIVIL CASE TYPES (Continued) Eminent Domain/Condemnation Declaratory Judgment Eviction Actions (Forcible and Special Detainers) Habeas corpus Change of Name Landlord Tenant Dispute - Other Transcript of Judgment Restoration of civil Rights (Federal) Foreign Judgment Clearance of Records (A.R.S. §13-4051) Quiet Title Declaration of Factual Innocence (A.R.S. §12-771) Forfeiture Declaration of Factual Improper Party Status Election Challenge Vulnerable Adult (A.R.S. §46-451) NCC – Employer Sanction Action (A.R.S. §23-212) Tribal Judgment Injunction against Workplace Harassment Structured Settlement (A.R.S. §12-2901) Injunction against Harassment Attorney Conservatorships (State Bar) Civil Penalty Unauthorized Practice of Law (State Bar) Water Rights (Not General Stream Adjudication) Out-of-State Deposition for Foreign Jurisdiction Real Property Secure Attendance of Prisoner Sexually Violent Person (A.R.S. §36-3704) Assurance of Discontinuance (Except Maricopa County) In-State Deposition for Foreign Jurisdiction Eminent Domain – Light Rail Only  Minor Abortion (See Juvenile in Maricopa County) Special Action Against Lower Courts Interpleader – Automobile Only (See lower court appeal cover sheet in Maricopa) Delayed Birth Certificate (A.R.S. §36-333.03) UNCLASSIFIED CIVIL: Employment Dispute - discrimination Administrative Review Employment dispute - Other (See lower court appeal cover sheet in Maricopa) Other _______________________________________ Tax Appeal (Specify) (All other tax matters must be filed in the AZ Tax Court) 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) ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ Revised 08/23/2010 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com