COURT OF COMMON PLEAS HAMILTON COUNTY, OHIO CLASSIFICATION FORM WWW.COURTCLERK.ORG AFTAB PUREVAL CLERK OF COURTS CASE NUMBER: PLAINTIFF: PURSUANT TO SUPERINTENDENCE RULE 4, THIS CASE WAS ORIGINALLY FILED AND DISMISSED UNDER CASE NUMBER: BY JUDGE PLEASE INDICATE CLASSIFICATION INTO WHICH THIS CASE FALLS: [ ] OTHER TORT ­ C360 [ ] Personal Injury ­ C310 [ ] Wrongful Death ­ C320 [ ] Vehicle Accident ­ C370 ] PROFESSIONAL TORT ­ A300 [ ] Personal Injury ­ A310 [ ] Wrongful Death ­ A320 [ ] Legal Malpractice ­ A330 [ ] Medical Malpractice ­ A340 ] PRODUCT LIABILITY ­ B350 [ ] Personal Injury ­ B310 [ ] Wrongful Death ­ B320 ] WORKER'S COMPENSATION [ ] Non-Compliant Employer ­ D410 [ ] Appeal ­ D420 ] ADMINISTRATIVE APPEALS ­ F600 [ ] Appeal Civil Service ­ F610 [ ] Appeal Motor Vehicle ­ F620 [ ] Apeal Unemployment ­ F630 [ ] Appeal Liquor ­ F640 [ ] Appeal Taxes ­ F650 [ ] Appeal Zoning ­ F660 ] CERTIFICATE OF QUALIFICATION ­ H600 [ ] OTHER CIVIL ­ H700-34 [ ] Appropriation ­ H710 [ ] Accounting ­ H720 [ ] Beyond Jurisdiction ­730 [ ] Breach of Contract ­ 740 [ ] Cancel Land Contract ­ 750 [ ] Change of Venue ­ H760 [ ] Class Action ­ H770 [ ] Convey Declared Void ­ H780 [ ] Declaratory Judgment ­ H790 [ ] Discharge Mechanics Lien ­ H800 [ ] Dissolve Partnership ­ H810 [ ] CONSUMER SALES ACT (1345 ORC) ­ H820 [ ] Check here if relief includes eclaratory judgment, injunction or class action recovery ­ H825 [ ] Habeas Corpus ­ H830 [ ] Injunction ­ H840 [ ] Mandamus ­ H850 [ ] On Account ­ H860 [ ] Partition ­ H870 [ ] Quiet Title ­ H880 [ ] Replevin ­ H890 [ ] Sale of Real Estate ­ H900 [ ] Specific Performance ­ 910 [ ] Restraining Order ­ H920 [ ] Testimony ­ H930-21 [ ] Environmental ­ H940 [ ] Cognovit ­ H950 [ ] Menacing by Stalking ­ H960 [ ] Repo Title ­ Transfer of Title Only ­ 970 [ ] Repo Title ­ With Money Claim ­ H980 [ ] Injunction Sexual Predator ­ 990 [ ] SB 10 ­ Termination ­ H690 [ ] SB 10 ­ Reclassification ­ H697 [ [ [ [ [ DATE: ATTORNEY (PRINT): OHIO SUPREME COURT NUMBER: Revised 01/02/2017 American LegalNet, Inc. www.FormsWorkFlow.com