Civil Action Cover Sheet - Case Initiation (05/27/16) CCL 0520 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT, LAW DIVISION ___________________________________________________________ v. ___________________________________________________________ CIVIL ACTION COVER SHEET - CASE INITIATION A Civil Action Cover Sheet - Case Initiation shall be filed with the complaint in all civil actions. The information contained herein is for administrative purposes only and cannot be introduced into evidence. Please check the box in front of the appropriate case type which best characterizes your action. Only one (1) case type may be checked with this cover sheet. Jury Demand Yes No PERSONAL INJURY/WRONGFUL DEATH CASE TYPES: 027 Motor Vehicle 040 Medical Malpractice 047 Asbestos 048 Dram Shop 049 Product Liability 051 Construction Injuries (including Structural Work Act, Road Construction Injuries Act and negligence) 052 Railroad/FELA 053 Pediatric Lead Exposure 061 Other Personal Injury/Wrongful Death 063 Intentional Tort 064 Miscellaneous Statutory Action (Please Specify Below**) 065 Premises Liability 078 Fen-phen/Redux Litigation 199 Silicone Implant TAX & MISCELLANEOUS REMEDIES CASE TYPES: 007 Confessions of Judgment 008 Replevin 009 Tax 015 Condemnation 017 Detinue 029 Unemployment Compensation 031 Foreign Transcript 036 Administrative Review Action 085 Petition to Register Foreign Judgment 099 All Other Extraordinary Remedies By: _______________________________________________ (Attorney) (Pro Se) No. ______________________________ (FILE STAMP) COMMERCIAL LITIGATION CASE TYPES: 002 Breach of Contract 070 Professional Malpractice (other than legal or medical) 071 Fraud (other than legal or medical) 072 Consumer Fraud 073 Breach of Warranty 074 Statutory Action (Please specify below.**) 075 Other Commercial Litigation (Please specify below.**) 076 Retaliatory Discharge OTHER ACTIONS CASE TYPES: 062 Property Damage 066 Legal Malpractice 077 Libel/Slander 079 Petition for Qualified Orders 084 Petition to Issue Subpoena 100 Petition for Discovery ** ___________________________________________________ _____________________________________________________ Primary Email: _________________________________________ Secondary Email: _______________________________________ Tertiary Email: _________________________________________ Pro Se Only: I have read and agree to the terms of the Clerk's Office Electronic Notice Policy and choose to opt in to electronic notice form the Clerk's Office for this case at this email address: ______________________________________________________________ DOROTHY BROWN, CLERK OF THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS Page 1 of 1