Cause No. _______ ___________________________________ Plaintiff v. ___________________________________ Defendant IN THE DISTRICT COURT OF § § § § § § § ________________ COUNTY, TEXAS 33rd JUDICIAL DISTRICT CIVIL CASE INFORMATION SHEET (non-family law) This form must be completed and filed with every original petition, and a copy attached to every original petition served. The information m ust be the b est available at the time of filing, u nderstand ing that su ch inform ation may chan ge before trial. This form does not cons titute a discovery requ est, respon se, or sup plementation, and is not admis sible at trial. Service must be obtained promptly. Notice is hereby given that any case in which no answer has been fil ed or default judgment signed six months after filing will be eligible for dismissal for want of prosecution. Type of Action: %¡ Commercial Check all claims pled: %¡ Account Due %¡ Admiralty %¡ Assault %¡ Asbest os %¡ Auto %¡ Bill of Review %¡ Busin ess dissol ution %¡ Conspir acy %¡ Contract %¡ Deed r estr iction %¡ Declaratory judgment %¡ Defamation/libel %¡ Disbarment %¡ Discrimination %¡ Dram s hop %¡ DTPA %¡ Employment di schar ge %¡ Environmental tort %¡ Personal Injury %¡ Death %¡ Expun ction %¡ False imprisonment %¡ Foreclosure %¡ Forfeiture %¡ Fraud %¡ Garnishment %¡ Injunction/TRO %¡ Insurance bad faith %¡ Mali cious prosecu tion %¡ Malpractice/legal %¡ Malpractice/medical %¡ Malpractice/other %¡ Name change %¡ Note %¡ Premises liability %¡ Product liability %¡ Other %¡ Post judgment %¡ Railroad %¡ Real estate %¡ Securities fraud %¡ Seque stra tion %¡ Tax %¡ Tortious inter ference %¡ Trespass %¡ Worker s compen sati on %¡ %¡ Other _______________________________________________________________________________ Has this dispute, or any material portion thereof, previously been in the 33rd Distr ict Court ? %¡ No %¡ Yes, in ____________ County. Monetary damages sought: %¡ less than $25K %¡ less than $50K %¡ less than $100K %¡ more than $100,000 Estimated time needed for discovery %¡ 0-3 months %¡ 4-6 months %¡ 7-12 months %¡ > 1 year Estimated time needed for trial %¡ < 1 day %¡ 1-2 days %¡ 3-5 days %¡ > 5 days Is there a likelihood of experts other than treating physicians or in regard to attorney s fees? %¡ Yes %¡ No %¡ After partial discovery %¡ After discovery completed Is ADR requested %¡ Immediate Name of PARTY filing this cover sheet: ___________________________________________________ Signature of attorney or pro se party fil ing cover sheet: Name printed: _______________________________________________ _______________________________________________________ Phone No.: _____________________________ Bar No. _______________________ FOR COURT USE ONLY: %¡ 2 %¡ 3 Track Assigned: %¡ 1 %¡ Clerk s file %¡ Court Coordinator %¡ Each se rvice cop y of petit ion Distribution: 2000 © American Legalnet, Inc