Circuit Court for City or County CIVIL - NON-DOMESTIC CASE INFORMATION REPORT DIRECTIONS: Plaintiff: This Information Report must be completed and attached to the complaint filed with the Clerk of Court unless your case is exempted from the requirement by the Chief Judge of the Court of Appeals pursuant to Rule 2-111(a). A copy must be included for each defendant to be served. Defendant: You must file an Information Report as required by Rule 2-323(h). THIS INFORMATION REPORT CANNOT BE ACCEPTED AS AN ANSWER OR RESPONSE. FORM FILED BY: PLAINTIFF DEFENDANT CASE NUMBER (Clerk to insert) CASE NAME: vs. Defendant Plaintiff JURY DEMAND: Yes RELATED CASE PENDING? Special Requirements? No Yes No Anticipated length of trial: If yes, Case #(s), if known: hours or days Interpreter (Please attach Form CC-DC 41) ADA accommodation (Please attach Form CC-DC 49) NATURE OF ACTION DAMAGES/RELIEF (CHECK ONE BOX) A. TORTS LABOR Actual Damages Workers' Comp. Under $7,500 Wrongful Discharge Medical Bills $7,500 - $50,000 EEO $ $50,000 - $100,000 Other Property Damages CONTRACTS Over $100,000 $ Insurance Wage Loss Confessed Judgment $ Other C. NONMONETARY REAL PROPERTY B. CONTRACTS Judicial Sale Under $10,000 Declaratory Judgment Condemnation Injunction $10,000 - $20,000 Landlord Tenant Other Over $20,0000 Other OTHER Civil Rights Environmental ADA Other ALTERNATIVE DISPUTE RESOLUTION INFORMATION Is this case appropriate for referral to an ADR process under Md. Rule 17-101? (Check all that apply) A. Mediation Yes No C. Settlement Conference Yes No B. Arbitration Yes No D. Neutral Evaluation Yes No TORTS Motor Tort Premises Liability Assault & Battery Product Liability Professional Malpractice Wrongful Death Business & Commercial Libel & Slander False Arrest/Imprisonment Nuisance Toxic Torts Fraud Malicious Prosecution Lead Paint Asbestos Other TRACK REQUEST With the exception of Baltimore County and Baltimore City, please fill in the estimated LENGTH OF TRIAL. THIS CASE WILL THEN BE TRACKED ACCORDINGLY. 1/2 day of trial or less 3 days of trial time 1 day of trial time More than 3 days of trial time 2 days of trial time PLEASE SEE PAGE TWO OF THIS FORM FOR INSTRUCTIONS PERTAINING TO THE BUSINESS AND TECHNOLOGY CASE MANAGEMENT PROGRAM AND COMPLEX SCIENCE AND/OR MEDICAL CASE MANAGEMENT PROGRAM (ASTAR), AS WELL AS ADDITIONAL INSTRUCTIONS IF YOU ARE FILING YOUR COMPLAINT IN BALTIMORE CITY, PRINCE GEORGE'S COUNTY, OR BALTIMORE COUNTY. Signature Date CC/DCM 002 (Rev. 2/2010) Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com BUSINESS AND TECHNOLOGY CASE MANAGEMENT PROGRAM For all jurisdictions, if Business and Technology track designation under Md. Rule 16-205 is requested, attach a duplicate copy of complaint and check one of the tracks below. Standard Trial within 18 months of Filing Expedited Trial within 7 months of Filing EMERGENCY RELIEF REQUESTED Date Signature COMPLEX SCIENCE AND/OR MEDICAL CASE MANAGEMENT PROGRAM (ASTAR) FOR PURPOSES OF POSSIBLE SPECIAL ASSIGNMENT TO AN ASTAR RESOURCE JUDGE under Md. Rule 16-202. Please check the applicable box below and attach a duplicate copy of your complaint. Expedited - Trial within 7 months of Filing Standard - Trial within 18 months of Filing IF YOU ARE FILING YOUR COMPLAINT IN BALTIMORE CITY, PRINCE GEORGE'S COUNTY, OR BALTIMORE COUNTY PLEASE FILL OUT THE APPROPRIATE BOX BELOW. CIRCUIT COURT FOR BALTIMORE CITY (CHECK ONLY ONE) Expedited Trial 60 to 120 days from notice. Non-jury matters. Standard-Short Trial 210 days. Standard Trial 360 days. Lead Paint Fill in: Birth Date of youngest plaintiff Asbestos Events and deadlines set by individual judge. Protracted Cases Complex cases designated by the Administrative Judge. . CIRCUIT COURT FOR PRINCE GEORGE'S COUNTY To assist the Court in determining the appropriate Track for this case, check one of the boxes below. This information is not an admission and may not be used for any purpose other than Track Assignment. Liability is conceded. Liability is not conceded, but is not seriously in dispute. Liability is seriously in dispute. CC/DCM 002 (Rev. 2/2010) Page 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com CIRCUIT COURT FOR BALTIMORE COUNTY Expedited (Trial Date-90 days) Attachment Before Judgment, Declaratory Judgment (Simple), Administrative Appeals, District Court Appeals and Jury Trial Prayers, Guardianship, Injunction, Mandamus. Standard (Trial Date-240 days) Condemnation, Confessed Judgments (Vacated), Contract, Employment Related Cases, Fraud and Misrepresentation, International Tort, Motor Tort, Other Personal Injury, Workers' Compensation Cases. Extended Standard (Trial Date-345 days) Asbestos, Lender Liability, Professional Malpractice, Serious Motor Tort or Personal Injury Cases (medical expenses and wage loss of $100,000, expert and out-of-state witnesses (parties), and trial of five or more days), State Insolvency. Complex (Trial Date-450 days) Class Actions, Designated Toxic Tort, Major Construction Contracts, Major Product Liabilities, Other Complex Cases. CC/DCM 002 (Rev. 2/2010) Page 3 of 3 American LegalNet, Inc. www.FormsWorkFlow.com