Petition Cover Sheet for Civil Law, Domestic Relations, and Other Equity Cases Filed in Iowa District Cour t* FOR COURT USE ONLY NAME & ADDRESS of Attorney (or Petitioner / Plaintiff if not represented by attorne y): CASE NUMBER: COUNTY WHERE CASE FILED: Attorney P.I.N.: Telephone No: ( ) CASE NAM(PE etitioner / Plaintiff vs. Respondent / Defendant): NATURE OF THE CASE : CHECK the BOX to the LEFT of the ONE case category that most accurately describes your PRIMARY CASE . If you are makinmg ore than one type of claim, check the one that involves thlarge est amount of damag or tes he one you consider most importan. t ? LAW: Contract/ Commercial Claim ? DOMESTIC RELATIONS ? EQUITY Debt collection (LA-C1) Dissolution -- children involved (CD-DC) Mortgage foreclosure (EQ-EM) Employment-related claim (LA-C3) Dissolution -- no children (CD-DN) Other real property claim (EQ-ER) Other contract or commercial claim (LA-C9) Modification -- children involved (CD-MC) Other equity (EQ-EO) Modification -- no children (CD-MN)
236 - Domestic abuse (DA-DA) ? LAW: Tort - Personal Injury (P.I.) ? OTHER CIVIL ACTIONS Motor vehicle accident (LA-T2)
234 - Foster care (DR-D1) Administrative appeal to dist. court (CV-V1) Premises liability / slip & fall (LA-T3)
252A -- Support action (DR-D2) Change of name (CN-CN) Malpractice: medical or dental (LA-T1)
252A.18 - Foreign support (DR-D3) Distress warrant (CV-V2) Products liability (toxic chem. / subst.) (LA-T8)
252B.11 - Cost recovery (DR-D4) Foreign judgment entry (CV-V3 ) Products liability (not toxic substance) (LA-T4)
252C - Administrative Order (DR-D5 ) Lien (LN - IE, IH, IM or IO) Wrongful death (LA-T7)
252D - Income withholding (DR-D6 ) Post conviction relief (PC-PC) Other negligent / intentional P.I. (LA-T9)
252E - Medical support (DR-D7) Seized property / forfeiture (SP-SP)
252F/
600B - Paternity (DR-D8) Transcript of judgment (TJ-TJ) ? LAW: Tort - Other damages (no P.I. )
252K - UFISA (DR-R1) Other civil action (CV-V9) FOR COURT USE ONLY Professional malpractice - no P.I. (LA-T5)
598B - Out of state custody (DR-R2) Fraud / business tort (LA - C2)
600 - Adoption (AT-AT) Other tort - property/financial damages (LA-T6) Other domestic relations action (DR-D9) * NOTE TO PETITIONER /PLAINTIFF :
Pursuant toru le 1.301(2) of thIoe wa Rules of Civil Procedure , a cover sheet MUST accompany each civil petition EXCEPT: small claims, probate, or commitment actions.
DO NOT SERVE THIS COVER SHEET ON THE DEFENDANT(S) / RESPONDENT(S).
A cover sheet is not required whfenilin g a counterclaim or crossclaim.
This cover sheet is fosr tatistical purposes only. It shall have no legal effect in the case. Updated: 4-29- 2002