Case Assignment Designation And Case Information Cover Sheet Form. This is a Washington form and can be use in King Local County.
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KING COUNTY SUPERIOR COURT CASE ASSIGNMENT DESIGNATION and CASE INFORMATION COVER SHEET (cics) In accordance with LCR82 (e), a faulty document fee of $15 will be assessed to new case filings missing this sheet pursuant to King County Code 4.71.100. CASE NUMBER: ________________________________________________ CASE CAPTION: ________________________________________________ I certify that this case meets the case assignment criteria, described in King County LCR 82(e), for the: ________ Seattle Area, defined as: All of King County north of Interstate 90 and including all of the Interstate 90 right-of-way; all the cities of Seattle, Mercer Island, Bellevue, Issaquah and North Bend; and all of Vashon and Maury Islands. _________ Kent Area, defined as: All of King County south of Interstate 90 except those areas included in the Seattle Case Assignment Area. ____________________________________ Signature of Petitioner/Plaintiff ______________ Date or ____________________________________ Signature of Attorney for Petitioner/Plaintiff ______________ Date __________________ WSBA Number L/forms/cashiers/CICS rev.9/11 1 American LegalNet, Inc. www.FormsWorkFlow.com KING COUNTY SUPERIOR COURT CASE ASSIGNMENT DESIGNATION and CASE INFORMATION COVER SHEET Please check one category that best describes this case for indexing purposes. Accurate case indexing not only saves time but also helps in forecasting judicial resources. A faulty document fee of $15 will be assessed to new case filings missing this sheet pursuant to Administrative Rule 2 and King County Code 4.71.100. ADOPTION/PARENTAGE Adoption (ADP 5) DOMESTIC RELATIONS Challenge to Acknowledgment of Parentage (PAT 5)* Challenge to Denial of Parentage (PAT 5)* with dependent children? Y / N; wife pregnant? Y / N Confidential Intermediary (MSC 5) Establish Parenting Plan-Existing King County Paternity (MSC 5)* Initial Pre-Placement Report (PPR 5) Dissolution With Children (DIC 3)* Modification (MOD 5)* Enforcement/Show Cause- Out of County (MSC 3) Modification-Support Only (MDS 5)* Establish Residential Sched/Parenting Plan(PPS 3)* ££ Parentage, Establish/Disestablish (PAT 5)* Parentage /UIFSA (PUR 5)* Establish Support Only (PPS 3)* ££ Relinquishment (REL 5) with dependent children? Y / N; wife pregnant? Y / N Relocation Objection/Modification (MOD 5)* Mandatory Wage Assignment (MWA 3) Rescission of Acknowledgment of Parentage (PAT 5)* Modification (MOD 3)* Rescission of Denial of Parentage (PAT 5)* Modification - Support Only (MDS 3)* Termination of Parent-Child Relationship (TER 5) Nonparental Custody (CUS 3)* Annulment/Invalidity (INV3)* Committed Intimate Relationship (CIR 3)* Dissolution With No Children (DIN 3)* wife pregnant? Y / N Legal Separation (SEP 3)* Out-of-state Custody Order Registration (OSC 3) Out-of-State Support Court Order Registration (FJU 3) Relocation Objection/Modification (MOD 3)* APPEAL/REVIEW DOMESTIC PARTNERSHIPS-REGISTERED Administrative Law Review (ALR 2)* Dissolution of Domestic Partnership With Children (DPC 3)* DOL Implied Consent—Test Refusal –only RCW 46.20.308 (DOL 2)* Dissolution of Domestic Partnership- No Children(DPN3)* pregnant? Y / N Invalidity of Domestic Partnership (INP 3)* with dependent children? Y / N; pregnant? Y / N CONTRACT/COMMERCIAL Legal Separation of Domestic Partnership (SPD 3)* Breach of Contract (COM 2)* with dependent children? Y / N; pregnant? Y / N Commercial Contract (COM 2)* Commercial Non-Contract (COL 2)* DOMESTIC VIOLENCE/ANTIHARASSMENT Third Party Collection (COL 2)* Certificate and Order of Discharge and for Issuance of a Separate No-Contact Order pursuant to RCW 9.94A.637. Civil Harassment (HAR 2) Confidential Name Change (CHN 5) Domestic Violence (DVP 2) Domestic Violence with Children (DVC 2) Foreign Protection Order (FPO 2) Sexual Assault Protection Order (SXP 2) Vulnerable Adult Protection (VAP 2) L/forms/cashiers/CICS rev.9/11 2 American LegalNet, Inc. www.FormsWorkFlow.com KING COUNTY SUPERIOR COURT CASE ASSIGNMENT DESIGNATION and CASE INFORMATION COVER SHEET Please check one category that best describes this case for indexing purposes. JUDGMENT Disclaimer (DSC4) Confession of Judgment (MSC 2)* Estate (EST 4) Judgment, Another County, Abstract (ABJ 2) Judgment, Another State or Country (FJU 2) Foreign Will (FNW 4) Guardian (GDN4) Tax Warrant (TAX 2) Limited Guardianship (LGD 4) Transcript of Judgment (TRJ 2) Minor Settlement (MST 4) Notice to Creditors – Only (NNC 4) PROPERTY RIGHTS Trust (TRS 4) Condemnation/Eminent Domain (CON 2)* Trust Estate Dispute Resolution Act/POA (TDR 4) Foreclosure (FOR 2)* Will Only—Deceased (WLL4) Land Use Petition (LUP 2)* Property Fairness (PFA 2)* TORT, ASBESTOS Quiet Title (QTI 2)* Personal Injury (PIN 2)* Unlawful Detainer (UND 2) Wrongful Death (WDE 2)* OTHER COMPLAINT/PETITION TORT, MEDICAL MALPRACTICE Action to Compel/Confirm Private Binding Arbitration (MSC 2) Hospital (MED 2)* Certificate of Rehabilitation (MSC 2) Medical Doctor (MED 2)* Change of Name (CHN 2) Other Health Care Professional (MED 2)* Deposit of Surplus Funds (MSC 2) Emancipation of Minor (EOM 2) TORT, MOTOR VEHICLE Frivolous Claim of Lien (MSC 2) Death (TMV 2)* Injunction (INJ 2)* Non-Death Injuries (TMV 2)* Interpleader (MSC 2) Property Damage Only (TMV 2)* Malicious Harassment (MHA 2)* Victims Vehicle Theft (VVT 2)* Other Complaint/Petition(MSC 2)* Public Records Act (PRA 2)* TORT, NON-MOTOR VEHICLE Receivership (MSC 2) Implants (PIN 2) School District-Required Action Plan (SDR 2) Other Malpractice (MAL 2)* Seizure of Property from the Commission of a Crime (SPC 2)* Personal Injury (PIN 2)* Seizure of Property Resulting from a Crime (SPR 2)* Products Liability (TTO 2)* Structured Settlements (MSC 2)* Property Damage (PRP2)* Subpoena (MSC 2) Property Damage-Gang (PRG2)* Tort, Other (TTO 2)* Vehicle Ownership (MSC2)* WRIT Habeas Corpus (WHC 2) PROBATE/GUARDIANSHIP Mandamus (WRM 2)** Absentee (ABS 4) Review (WRV 2)** £ Paternity Affidavit or Existing/Paternity is not an issue and NO other case exists in King County * The filing party will be given an appropriate case schedule at time of filing. ** Case schedule will be issued after hearing and findings L/forms/cashiers/CICS rev.9/11 3 American LegalNet, Inc. www.FormsWorkFlow.com