IN THE COMMON PLEAS COURT OF HANCOCK COUNTY, OHIO ________________________________ Plaintiff vs. ________________________________ Defendant Case No. ________________ CASE DESIGNATION SHEET The above captioned case is designated as being the following type of case: ( ) PT – Professional Tort ( ) PL – Product Liability ( ) T – Other Tort ( ) WC – Worker’s Compensation ( ) F – Foreclosure ( ) AP – Administrative Appeal ( ) CL – Complex Litigation – Must be accompanied with a request of counsel, approval of all parties and a judgment entry granting said request for approval of assigned judge. ( ) OC – Other Civil ( ) DC – Divorce, with children ( ) D – Divorce without children ( ) DMC – Dissolution of Marriage, with children ( ) DM – Dissolution of Marriage, without children ( ) DV – Domestic Violence ( ) U – URESA ( ) AO – All other domestic ( ) SO – Support only ( ) CA – Court of Appeals ( ) CJ – Certificate of Judgment ( ) CR – Criminal ( ) Refiling of a previously filed case This matter is the refiling of a case, which has been previously dismissed. ( ) Yes ( ) No Prior Case No. _____________________ Judge previously assigned ______________________________ _____________________________ Signature of Attorney Refiling Case ATTORNEY DESIGNATION Trial Attorney: ________________________________________________________ Supreme Court Registration Number: ______________________________________ Address: _____________________________________________________________ Attorney for: ( ) Plaintiff ( ) Defendant American LegalNet, Inc. www.FormsWorkFlow.com