CIVIL ACTION COVER SHEET Trial Court Of Massachusetts Superior Court Department County: SUFFOLK DOCKET NO(S) B.L.S. PLAINTIFF(S) DEFENDANT(S) ATTORNEY, FIRM NAME, ADDRESS AND TELEPHONE ATTORNEY (if known) Board of Bar Overseers number Origin Code Original Complaint TYPE OF ACTION AND TRACK DESIGNATION (See reverse side) CODE NO. TYPE OF ACTION (specify) TRACK _________ ________________________ * (B) IS THIS A JURY CASE? ( ) Yes ( ) No The following is a full and detailed statement of the facts on which plaintiff relies to determine eligibility in to The Business Litigation Session. * A Special Tracking Order shall be created by the Presiding Justice of the Business Litigation Session at the Rule 16 Conference. PLEASE IDENTIFY, BY CASE NUMBER, NAME AND COUNTY, ANY RELATED ACTION PENDING IN THE SUPERIOR COURT DEPARTMENT. “I hereby certify that I have complied with the requirements of Rule 5 of the Supreme Judical Court Uniform Rules on Dispute Resolution (SJC Rule 1:18) requiring that I provide my clients with information about court-connected dispute resolution services and discuss with them the advantages and disadvantages of the various methods.” Signature of Attorney of Record_____________________________________________________ DATE:__________________ American LegalNet, Inc. www.FormsWorkflow.com CIVIL ACTION COVER SHEET INSTRUCTIONS SELECT CATEGORY THAT BEST DESCRIBES YOUR CASE BA.1 claims relating to the governance and conduct of internal affairs of entities BA.2 claims relating to employment agreements BA.3 claims relating to liability of shareholders, directors, officers, partners, etc. BB.1 shareholder derivative claims BB.2 claims relating to or arising out of securities transactions BC.1 claims involving mergers, consolidations, sales of assets, issuance of debt, equity and like interests BD.1 claims to determine the use or status of, or claims involving, intellectual property BD.2 claims to determine the use or status of, or claims involving, confidential, propriety or trade secret information BD.3 claims to determine the use or status of, or claims involving restrictive covenants BE.1 claims involving breaches of contract or fiduciary, fraud, misrepresentation business torts or other violations involving business relationships BF.1 claims under the U.C.C. involving complex issues BG.1 claims arising from transactions with banks, investment bankers and financial advisers, brokerage firms, mutual and money funds BH.1 claims for violation of antitrust or other trade regulation laws BH.2 claims of unfair trade practices involving complex issues BI.1 malpractice claims by business enterprises against professionals BJ.1 claims by or against a business enterprise to which a government entity is a party. BK.1 other commercial claims. including insurance, construction, real estate and consumer matters involving complex issues TRANSFER YOUR SELECTION TO THE FACE SHEET EXAMPLE: CODE NO. TYPE OF ACTION (SPECIFY) TRACK BD3 Restrictive covenants (B) * IS THIS A JURY CASE? Yes No DUTY OF THE PLAINTIFF. The plaintiff, or plaintiff’s counsel, shall set forth, in the face sheet a statement specifying in full detail the facts upon which the plaintiff then relies for “presumptive” entry into the Business Litigation Session. A copy of the civil action cover sheet shall be served on all defendants, together with the complaint. DUTY OF THE DEFENDANT. Should the defendant contest the entry into the Business Litigation Session, the defendant shall file with the answer (or dispositive motion) a statement specifying why the action does not belong in the Business Litigation Session. Such Statement shall be served with the answer (or dispositive motion). A CIVIL ACTION COVER SHEET MUST BE FILED WITH EACH COMPLAINT. FAILURE TO COMPLETE THIS COVER SHEET THOROUGHLY AND ACCURATELY MAY RESULT IN THE TRANSFER OF THIS ACTION FROM THE BUSINESS LITIGATION SESSION TO ANOTHER APPROPRIATE SESSION OF THE SUPERIOR COURT. * A special tracking order shall be created by the presiding justice of the Business Litigation Session at the Initial Rule 16 Conference. American LegalNet, Inc. www.FormsWorkflow.com