IN THE UNITED STATES DISTRICT COURT FOR THE EA STERN DISTRI CT OF PENNSYLVAN IA CASE MANAGEMENT TRACK DESIGNATION FORM : CIVIL ACTION : v. : : : NO. In accordance with the Civil Justice Expense and Delay Reduction Plan of this court, counsel for plaintiff shall complete a case Management Track Designation Form in all civil cases at the time of filing the complaint and serve a copy on all defendants. (See 1:03 of the plan set forth on the reverse side of this form.) In the event that a defendant does not agree with the plaintiff regarding said designation, that defendant shall, with its first appearance, submit to the clerk of court and serve on the plaintiff and all other parties, a case management track designation form specifying the track to which that defendant believes the case should be assigned. SELECT ONE OF THE FOLLOWI NG CASE MANAGEM ENT TRACK S: (a) Habeas Corpus Cases brought under 28 U.S.C. 2241 through 2255. ( )(b) Social Security Cases requesting review of a decision of the Secretary of Health and Human Services denying plaintiff Social Security Benefits ( )(c) Arbitration Cases required to be designated for arbitration under Local Civil Rule 53.2. ( )(d) Asbestos Cases involving claims for personal injury or property damage from exposure to asbestos. ( )(e) Special Management Cases that do not fall into tracks (a) through (d) that are commonly referred to as complex and that need special or intense management by the court. (See reverse side of this form for a detailed explanation of special management cases.) ( )(f) Standard Management Cases that do not fall into any one of the other tracks. ( ) Date Attorney-at-law Attorney for Telephone FAX Number E-Mail Address (Civ. 660) 10/02