LEON COUNTY CIRCUIT COURT 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 Section 25.075, Florida Statutes. ---------------------------------------------------------------------------------------------------------------------------------------------- I. CASE STYLE PLAINTIFF: ____________________________ CASE #: ___________________________ ____________________________ JUDGE: ___________________________ vs. DEFENDANT: ___________________________ ---------------------------------------------------------------------------------------------------------------------------------------------- II. TYPE OF CASE (Place an X in one box only. If the case fits more than one type of case, select the most definitive) 1. □ Professional Malpractice (PRMP) 2. □ Products Liability (PROL) 3. □ Auto Negligence (AUNG) 4. □ Other Negligence (OTNG) 5. □ Condominium (COND) 6. □ Contract & Indebtedness (CONT) 7. □ Real Property □ Mortgage Foreclosure (RPMF) (MTFC) 8. □ Eminent Domain (EMDO) 9. □ Appeal from County Court (APCO) 10. Other: a. □ Discrimination (DISC) b. □ Equitable Relief (EQRL) c. □ Foreign Judgment (FRJU) d. □ Writ of Habeas Corpus (HBCP) e. □ Insurance Receiverships (INRC) f. □ Jimmy Ryce (RYCE) g. □ Writ of Mandamus (WRMA) h. □ Challenge to Proposed Constitutional Amendment (CPCA) i. □ Other: (OTHR) ____________________________________ --------------------------------------------------------------------------------------------------------------------------------------III. Is Jury Trial Demanded In Complaint? □ Yes □ No --------------------------------------------------------------------------------------------------------------------------------------Date: ______________________________ FL Bar #: _______________________ ________________________________________ Signature of Attorney for Party Initiating Action Rev. 01/2006 American LegalNet, Inc. www.USCourtForms.com