CIVIL COVER SHEET The civil cover sheet and the information contained herein neither replace nor supplement the filing and service of pleadings or other papers as required by law. This form is required for the use of the Clerk of court for the purpose of reporting judicial workload data pursuant to Florida statue 25.075. I. CASE STYLE (Name of Court) ________________ Case #: ____________________ Judge: ____________________ PLAINTIFF/ PETITIONER ______________________________ ______________________________ vs DEFENDANT/ RESPONDENT II. ______________________________ ______________________________ TYPE OF CASE Domestic Relations Simplified Dissolution Dissolution Support - IV-D Support - Non IV-D UIFSA - IV-D UIFSA - Non IV-D Domestic Violence Repeat Violence Other domestic relations III. (Place an x in one box only. If the case fits more than one type of case, select the most definitive.) Torts Professional Malpractice Products Liability Auto Negligence Other negligence Other Civil Contracts Condominium Real Property/ Mortgage Foreclosure Eminent Domain Challenge to proposed constitutional amendment Other IS JURY TRIAL DEMANDED IN COMPLAINT? Yes No DATE___________________ SIGNATURE OF ATTORNEY FOR____________________________ PARTY INITIATING ACTION CIRCUIT CIVIL\FORMS\CIVIL COVER SHEET/updated 12/28/05 American LegalNet, Inc. www.FormsWorkFlow.com