Common Court Civil Cover Sheet - Free Download | Page 2
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Common Court Civil Cover Sheet Page 2
Instructions for Completing Civil Cover Sheet
Rules of Court require that a Civil Cover Sheet be attached to any document commencing an action (whether the action is commenced by Complaint, Writ of Summons, Notice
of Appeal, or by Petition). The information requested is necessary to allow the Court to properly monitor, control and dispose cases led. A copy of the Civil Cover Sheet
must be attached to service copies of the document commencing an action. The attorney or non-represented party ling a case shall complete the form as follows:
A. Parties
i. Plaintiffs/Defendants
Enter names (last, rst, middle initial) of plaintiff, petitioner or appellant ("plaintiff") and defendant. If the plaintiff or defendant is a government agency or cor-
poration, use the full name of the agency or corporation. In the event there are more than three plaintiffs and/or three defendants, list the additional parties on the
Supplemental Parties Form. Husband and wife are to be listed as separate parties.
ii. Parties' Addresses
Enter the address of the parties at the time of ling of the action. If any party is a corporation, enter the address of the registered ofce of the corporation.
iii. Number of Plaintiffs/Defendants: Indicate the total number of plaintiffs and total number of defendants in the action.
B. Commencement Type: Indicate type of document led to commence the action.
C. Amount in Controversy: Check the appropriate box.
D. Court Program: Check the appropriate box.
E. Case Types: Insert the code number and type of action by consulting the list set forth hereunder. To perfect a jury trial, the appropriate fees must be paid as provided
by rules of court.
F. Commerce Program
Commencing January 3, 2000 the First Judicial District instituted a Commerce Program for cases involving corporations and corporate law issues, in general. If the action
involves corporations as litigants or is deemed a Commerce Program case for other reasons, please check this block AND complete the information on the "Commerce
Program Addendum". For further instructions, see Civil Trial Division Administrative Docket 01 of 2000.
G. Statutory Basis for Cause of Action
If the action is commenced pursuant to statutory authority ("Petition Action"), the specic statute must be identied.
H. Related Pending Cases
All previously led related cases, regardless of whether consolidated by Order of Court or Stipulation, must be identied.
I. Plaintiff's Attorney
The name of plaintiff's attorney must be inserted herein together with other required information. In the event the ler is not represented by an attorney, the name of the
ler, address, the phone number and signature is required.
The current version of the Civil Cover Sheet may be downloaded from the FJD's website
01-101 (Reverse)
Proceedings Commenced by Appeal
Minor Court
5M Money Judgment
5L Landlord and Tenant
5D Denial Open Default Judgment
5E Code Enforcement
Local Agency
5B Motor Vehicle Suspension -
5V Motor Vehicle Licenses,
Inspections, Insurance
5C Civil Service
5K Philadelphia Parking Authority
5Q Liquor Control Board
5R Board of Revision of Taxes
5X Tax Assessment Boards
5Z Zoning Board
52 Board of View
51 Other:
Proceedings Commenced by Petition
8P Appointment of Arbitrators
8C Name Change - Adult
8L Compel Medical Examination
8D Eminent Domain
8E Election Matters
8F Forfeiture
8S Leave to Issue Subpoena
8M Mental Health Proceedings
8G Civil Tax Case - Petition
1C Contract
1T Construction
1O Other:
2B Assault and Battery
2L Libel and Slander
4F Fraud
1J Bad Faith
2E Wrongful Use of Civil Process
2V Motor Vehicle Accident
2H Other Trafc Accident
1F No Fault Benets
4M Motor Vehicle Property Damage
2F Personal Injury - FELA
2O Other Personal Injury
2S Premises Liability - Slip & Fall
2P Product Liability
2T Toxic Tort
T1 Asbestos
T2 Implant
3E Toxic Waste
Actions Commenced by Writ of Summons or Complaint
Professional Malpractice
2D Dental
4L Legal
2M Medical
4Y Other:
1G Subrogation
E1 No Real Estate
E2 Real Estate
1D Declaratory Judgment
M1 Mandamus
Real Property
3R Rent, Lease, Ejectment
Q1 Quiet Title
3D Mortgage Foreclosure - Residential
Owner Occupied
3F Mortgage Foreclosure - Not Residential
Not Owner Occupied
1L Mechanics Lien
P1 Partition
Prevent Waste
1V Replevin
1H Civil Tax Case - Complaint
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Common Court Civil Cover Sheet