IN THE COURT OF COMMON PLEAS FOR THE STATE OF DELAWARE IN _____________ COUNTY SPECIAL ELECTION and EXPEDITED DETERMINATION DOCKET (Speed Docket) CASE NUMBER: _____________________ DATE: ____________ FULL CASE CAPTION: I, OR WE, _______________________________ (Plaintiff/ Attorney, Defendant/Attorney) do hereby request that the above stated case proceed through the Special Election track that will be known as the Speed Docket. The claim amount of my case is $10,000 or greater. Official notification has been made to all parties of such request filed with the Court of Common Pleas in __________________ County on ____________________ . (Date) Plaintiff/Attorney Signature: ______________________________ Defendant/Attorney Signature: _____________________________ American LegalNet, Inc. www.FormsWorkFlow.com