CIVIL CASE INFORMATION SHEET CAUSE NUMBER (FOR CLERK USE ONLY): _______________________________ COURT (FOR CLERK USE ONLY): ______________________ STYLED ___________________________________________________________________________________________________ (e.g., John Smith v. All American Insurance Co; In re Mary Ann Jones; In the Matter of the Estate of George Jackson) A civil case information sheet must be completed and submitted when an original petition or application is filed to initiate a new civil, family law, probate, or mental health case or when a post-judgment petition for modification or motion for enforcement is filed in a family law case. The information should be the best available at the time of filing. This sheet, approved by the Texas Judicial Council, is intended to collect information that will be used for statistical purposes only. It neither replaces nor supplements the filings or service of pleading or other documents as required by law or rule. The sheet does not constitute a discovery request, response, or supplementation, and it is not admissible at trial. 1. Contact information for person completing case information sheet: Names of parties in case: Name: Email: Plaintiff(s)/Petitioner(s): _____________________________ ____________________________ _________________________________ Address: Telephone: _________________________________ _____________________________ ____________________________ City/State/Zip: Fax: _____________________________ ____________________________ Person or entity completing sheet is: Attorney for Plaintiff/Petitioner Pro Se Plaintiff/Petitioner Title IV-D Agency Other: _________________________ Additional Parties in Child Support Case: Defendant(s)/Respondent(s): Custodial Parent: _________________________________ _________________________________ _________________________________ Signature: State Bar No: _____________________________ ____________________________ Non-Custodial Parent: _________________________________ _________________________________ Presumed Father: _________________________________ [Attach additional page as necessary to list all parties] 2. Indicate case type, or identify the most important issue in the case (select only 1): Civil Contract Debt/Contract Consumer/DTPA Debt/Contract Fraud/Misrepresentation Other Debt/Contract: ____________________ Foreclosure Home Equity—Expedited Other Foreclosure Franchise Insurance Landlord/Tenant Non-Competition Partnership Other Contract: ______________________ Employment Discrimination Retaliation Termination Workers’ Compensation Other Employment: ______________________ Tax Tax Appraisal Tax Delinquency Other Tax Family Law Injury or Damage Assault/Battery Construction Defamation Malpractice Accounting Legal Medical Other Professional Liability: _______________ Motor Vehicle Accident Premises Product Liability Asbestos/Silica Other Product Liability List Product: _________________ Other Injury or Damage: _________________ Administrative Appeal Antitrust/Unfair Competition Code Violations Foreign Judgment Intellectual Property Real Property Eminent Domain/ Condemnation Partition Quiet Title Trespass to Try Title Other Property: ____________________ Related to Criminal Matters Expunction Judgment Nisi Non-Disclosure Seizure/Forfeiture Writ of Habeas Corpus— Pre-indictment Other: _______________ Marriage Relationship Annulment Declare Marriage Void Divorce With Children No Children Other Family Law Enforce Foreign Judgment Habeas Corpus Name Change Protective Order Removal of Disabilities of Minority Other: __________________ Other Civil Lawyer Discipline Perpetuate Testimony Securities/Stock Tortious Interference Other: _______________ Post-judgment Actions (non-Title IV-D) Enforcement Modification—Custody Modification—Other Title IV-D Enforcement/Modification Paternity Reciprocals (UIFSA) Support Order Parent-Child Relationship Adoption/Adoption with Termination Child Protection Child Support Custody or Visitation Gestational Parenting Grandparent Access Parentage/Paternity Termination of Parental Rights Other Parent-Child: _____________________ Probate & Mental Health Probate/Wills/Intestate Administration Dependent Administration Independent Administration Other Estate Proceedings 3. Indicate procedure or remedy, if applicable (may select more than 1): Appeal from Municipal or Justice Court Declaratory Judgment Arbitration-related Garnishment Attachment Interpleader Bill of Review License Certiorari Mandamus Class Action Post-judgment Guardianship—Adult Guardianship—Minor Mental Health Other: ____________________ Prejudgment Remedy Protective Order Receiver Sequestration Temporary Restraining Order/Injunction Turnover American LegalNet, Inc. www.FormsWorkFlow.com