COURT OF COMMON PLEAS OF BUCKS COUNTY OFFICE OF COURT ADMINISTRATOR DOYLESTOWN, PA 18901 CIVIL COVER SHEET The information provided herein is for case flow and calendar management purposes only. It does not replace or supplement the filing and service of pleadings or other papers as required by law or rules of court. This sheet will not be used as a source for making docket entries except to note the type of action commenced. This is not a substitute from documents for commencement of actions Case No. PLAINTIFFS vs. DEFENDANTS Attorney Name & ID # (Check one classification only) ASSUMPSIT (Contracts) Mechanics Lien 057 Employment 525 Insurance 526 No-Fault Insurance 527 Negotiable Instrument 528 Product Liability 529 Warranty 530 Mortgage Foreclosure 060 Replevin (With Order) 054 Assumpsit 046 Other 531 Writ of Summons 112 EMINENT DOMAIN _______ Declaration of Taking 0067 DEMAND over $50,000 under $50,000 Not Applicable Attorney Name & ID # NATURE OF SUIT TRESPASS Motor Vehicle 047 Non-Motor Vehicle 048 Other Personal Injury 049 Assault 532 Libel/Slander 533 Medical/Malpractice534 Medical Malpractice Writ 819 Medical Malpractice Transfer 821 _______Legal Malpractice 535 _______Professional Malpractice 816 Product Warranty Liability 536 _______Other 537 _______Writ of Summons 110 EQUITY Ejectment 053 Partition 309 Quiet Title 062 Labor Dispute 540 Mandamus 055 Declaratory Judgment 061 Equity 051 Quo Warranto 056 Other 539 Writ of Summons 310 APPEALS OTHER DJ Appeal - Assumpsit 025 _______Petition DJ Appeal - Trespass 337 Award of Viewers 501 Board of Assessment 301 Pa. Labor Relations Board 369 Board of Elections 319 Local Agency 262 Zoning Hearing Board or Land Use 030 Suspension of Operator’s License 134 Suspension of Registration 694 Other 538 JURY DEMAND (Check only if demanded in Complaint.) Yes No THIS FORM SHOULD BE RETURNED TO THE PROTHONOTARY’S OFFICE REV 05/2008 American LegalNet, Inc. www.FormsWorkflow.com ADMINISTRATIVE ORDER NO. 48 IN RE: Information Collection on Initial Filings This order pertains to all actions and appeals commenced in the Office of the Prothonotary. Every initial filing commencing an action, appeal or miscellaneous application in the civil division of the Bucks County Court of Common Pleas shall be accompanied by an informational cover sheet in such form as may be prescribed by the Prothonotary. This cover sheet may collect such information as the names of the parties and counsel, the nature of the matter being filed, the amount in controversy and such other miscellaneous information as may assist the Court in the administration of its dockets. The failure to file this form or the failure to file the form correctly or completely may result in an order imposing sanctions. DATED: MAY 5, 2004 BY THE COURT: DAVID W. HECKLER, PRESIDENT JUDGE REV 05/2008 American LegalNet, Inc. www.FormsWorkflow.com