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CIVIL COVER SHEET IN THE CIRCUIT COURT OF

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IN THE CIRCUIT COURT OF THE ELEVENTH JUDICIAL CIRCUIT IN AND FOR MIAMI-DADE COUNTY, FLORIDA.
IN THE COUNTY COURT IN AND FOR MIAMI-DADE COUNTY, FLORIDA.
DIVISION
CIVIL
DISTRICTS
FAMILY
OTHER
CIVIL COVER SHEET
CASE NUMBER:
JUDGE
PLAINTIFF VS. DEFENDANT
CLOCK IN
The civil cover sheet and the information contained in it neither replace nor supplement the filing and service of pleadings or other
documents as required by law. This form must be filed by the plaintiff or petitioner with the Clerk of Court for the purpose of reporting
uniform data pursuant to section 25.075, Florida Statutes. (See instructions for completion.)
AMOUNT OF CLAIM
Please indicate the estimated amount of the claim, rounded to the nearest dollar. The estimated amount of the claim is requested for data
collection and clerical processing purposes only. The amount of the claim shall not be used for any other purpose.
$8,000 or less
$8,001 - $30,000
$30,001 - $50,000
$50,001 - $75,000
$75,001 - $100,000
over $100,000.00
TYPE OF CASE (If the case fits more than one type of case, select the most definitive category.) If the most descriptive label is a
subcategory (is indented under a broader category), place an x on both the main category and subcategory lines.
CIRCUIT CIVIL
Condominium Other
Contracts and indebtedness Antitrust/Trade regulation
Eminent domain Business transactions
Auto negligence Constitution challenge-statute or ordinance
Negligence - other Constitution challenge-proposed amendment
Business governance Corporate trust
Business torts Discrimination-employment or other
Environmental/Toxic Tort Insurance claims
Third party indemnification Intellectual property
Construction defect Libel/Slander
Mass tort Shareholder derivative action
Negligent security Securities litigation
Nursing home negligence Trade secrets
Premises liability - commercial Trust litigation
Premises liability - residential
Products liability COUNTY CIVIL
Real property/Mortgage foreclosure Civil
Commercial foreclosure Real property/Mortgage foreclosure
Homestead residential foreclosure Replevins
Non-homestead residential foreclosure Evictions
O
ther real property actions Residential Evictions
Professional malpractice Non-residential Evictions
Malpractice - business Other civil (non-monetary)
Malpractice - medical
Malpractice - other professional
CLK/CT 96 Rev. 10/20 Clerk’s web address: www.miami-dadeclerk.com
COMPLEX BUSINESS COURT
REMEDIES SOUGHT (check all that apply):
Monetary;
Non-monetary declaratory or injunctive relief;
Punitive
NUMBER OF CAUSES OF ACTION: [ ]
(specify)
IS THIS CASE A CLASS ACTION LAWSUIT?
Yes
No
HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED?
No
Yes If “Yes”, list all related cases by name, case number, and court.
IS JURY TRIAL DEMANDED IN COMPLAINT?
Yes
No
I CERTIFY that the information I have provided in this cover sheet is accurate to the best of my knowledge and belief, and
that I have read and will comply with the requirements of Florida Rule of Judicial Administration 2.425.
Signature Florida Bar #
Attorney or party (Bar #, if attorney)
(type or print name) Date
CLK/CT 96 Rev. 10/20 Clerk’s web address: www.miami-dadeclerk.com
CLK/CT 96 Rev. 10/20 Clerk’s web address: www.miami-dadeclerk.com
INSTRUCTIONS FOR ATTORNEYS COMPLETING CIVIL COVER SHEET
Plaintiff must file this cover sheet with the first document filed in the action or proceeding (except small claims cases,
probate, or family cases). Domestic and juvenile cases should be accompanied by a completed Florida Family Law
Rules of Procedure Form 12.928, Cover Sheet for Family Court Cases. Failure to file a civil cover sheet in any civil
case other than those excepted above may result in sanctions.
I. Case Style. Enter the name of the court, the appropriate case number assigned at the time of filing of the original
complaint or petition, the name of the judge assigned (if applicable), and the name (last, first, middle initial) of
plaintiff(s) and defendant(s).
II. Amount of Claim. Enter the estimated amount of the claim, rounded to the nearest dollar. The estimated amount
of the claim is requested for data collection and clerical processing purposes only. The amount of the claim shall not
be used for any other purpose.
III. Type of Case. Place an “X” on the appropriate line. If the cause fits more than one type of case, select the most
definitive. If the most definitive label is a subcategory (indented under a broader category label), place an “X” on the
category and subcategory lines. Definitions of the cases are provided below in the order they appear on the form.
Circuit Civil
(A) Condominium - all civil lawsuits pursuant to Chapter 718, Florida Statutes, in which a condominium association is
a party.
(B) Contracts and indebtedness - all contract actions relating to promissory notes and other debts, including those
arising from sale of goods, but excluding contract disputes involving condominium associations.
(C) Eminent domain - all matters relating to the taking of private property for public use, including inverse
condemnation by state agencies, political subdivisions, or public service corporations.
(D) Auto negligence - all matter arising out of a party’s allegedly negligent operation of a motor vehicle.
(E) Negligence-other - all actions sounding in negligence, including statutory claims for relief on account of death or
injury, that are not included in other main categories.
(F) Business governance - all matters relating to the management, administration, or control of a company.
(G) Business torts - all matters relating to liability for economic loss allegedly caused by interference with economic or
business relationships.
(H) Environmental/Toxic tort - all matters relating to claims that violations of environmental regulatory provisions or
exposure to a chemical caused injury or disease.
(I) Third party indemnification - all matters relating to liability transferred to a third party in a financial relationship.
(J) Construction defect - all civil lawsuits in which damage or injury was allegedly caused by defects in the
construction of a structure.
(K) Mass tort - all matters relating to a civil action involving numerous plaintiffs against one or more defendants.
(L) Negligent security - all matters involving injury to a person or property allegedly resulting from insufficient security.
(M) Nursing home negligence - all matters involving injury to a nursing home resident resulting from negligence of
nursing home staff or facilities.
(N) Premises liability-commercial - all matters involving injury to a person or property allegedly resulting from a defect
on the premises of a commercial property.
(O) Premises liability-residential - all matters involving injury to a person or property allegedly resulting from a defect
on the premises of a residential property.
(P) Products liability - all matters involving injury to a person or property allegedly resulting from the manufacture or
sale of a defective product or from a failure to warn.
(Q) Real property/Mortgage foreclosure - all matters relating to the possession, title, or boundaries of real property. All
matters involving foreclosures or sales of real property, including foreclosures associated with condominium
associations or condominium units. (The amount of claim specified in Section II. of the form determines the filing fee
pursuant to section 28.241, Florida Statutes.)
(R) Commercial foreclosure - all matters relating to the termination of a business owner’s interest in commercial
property by a lender to gain title or force a sale to satisfy the unpaid dept secured by the property.
(S) Homestead residential foreclosure - all matters relating to the termination of a residential property owner’s interest
by a lender to gain title or force a sale to satisfy the unpaid debt secured by the property where the property has been
granted a homestead exemption.
CLK/CT 96 Rev. 10/20 Clerk’s web address: www.miami-dadeclerk.com
(T) Non-homestead residential foreclosure - all matters relating to the termination of a residential property owner’s
interest by a lender to gain title or force a sale to satisfy the unpaid debt secured by the property where the property
has not been granted a homestead exemption.
(U) Other real property actions - all matters relating to land, land improvements, or property rights not involving
commercial or residential foreclosure.
(V) Professional malpractice - all professional malpractice lawsuits.
(W) Malpractice-business - all matters relating to a business’s or business person’s failure to exercise the degree of
care and skill that someone in the same line of work would use under similar circumstances.
(X) Malpractice-medical - all matters relating to a doctor’s failure to exercise the degree of care and skill that a
physician or surgeon of the same medical specialty would use under similar circumstances.
(Y) Malpractice-other professional - all matters relating to negligence of those other than medical or business
professionals.
(Z) Other - all civil matters not included in other categories.
(AA) Antitrust/Trade regulation - all matters relating to unfair methods of competition or unfair or deceptive business
acts or practices.
(AB) Business transactions - all matters relating to actions that affect financial or economic interests.
(AC) Constitutional challenge-statute or ordinance - a challenge to a statute or ordinance, citing a violation of the
Florida Constitution.
(AD) Constitutional challenge-proposed amendment - a challenge to a legislatively initiated proposed constitutional
amendment, but excluding challenges to a citizen-initiated proposed constitutional amendment because the Florida
Supreme Court has directed jurisdiction of such challenges.
(AE) Corporate trust - all matters relating to the business activities of financial services companies or banks acting in a
fiduciary capacity for investors.
(AF) Discrimination-employment or other - all matters relating to discrimination, including employment, sex, race, age,
handicap, harassment, retaliation, or wages.
(AG) Insurance claims - all matters relating to claims filed with an insurance company.
(AH) Intellectual property - all matters relating to intangible rights protecting commercially valuable products of the
human intellect.
(AI) Libel/Slander - all matters relating to written, visual, oral, or aural defamation of character.
(AJ) Shareholder derivative action - all matters relating to actions by a corporation’s shareholders to protect and
benefit all shareholders against corporate management for improper management.
(AK) Securities litigation - all matters relating to the financial interest or instruments of a company or corporation.
(AL) Trade secrets - all matters relating to a formula, process, device, or other business information that is kept
confidential to maintain an advantage over competitors.
(AM) Trust litigation - all civil matters involving guardianships, estates, or trusts and not appropriately filed in probate
proceedings.
County Civil
(AN) Civil – all matters involving claims ranging from $8,001 through $30,000 in damages, exclusive of interest, costs,
and attorney fees.
(AO) Real property/Mortgage foreclosure-all matters involving claims up to $30,000 relating to the possession, title, or
boundaries of real property. All matters involving foreclosures or sales of real property up to $30,000, including
associated with condominium associations or condominium units.
(AP) Replevins—all lawsuits pursuant to Chapter 78. Florida Statutes, involving claims up to $30,000.
(AQ) Evictions-all matters involving the recovery of possession of leased land or rental property by process of law.
(AR) Other civil (non-monetary county civil matters that were not described in other county civil categories.
____________________________________________________________________________________________
IV. Remedies Sought. Place an “X” in the appropriate box. If more than one remedy is sought in the complaint or
petition, check all that apply.
V. Number of Causes of Action. If the complaint or petition alleges more than one cause of action, note the number
and the name of the cause of action.
VI. Class Action. Place an “X” in the appropriate box.
VII. Related Cases. Places an “X” in the appropriate box.
VIII. Is Jury Trial Demanded In Complaint? Check the appropriate box to indicate whether a jury trial is being
demanded in the complaint.
ATTORNEY OR PARTY SIGNATURE. Sign the civil cover sheet. Print legibly the name of the person signing the civil
cover sheet. Attorneys must include a Florida Bar number. Insert the date the civil cover sheet is signed. Signature is
a certification that the filer has provided accurate information on the civil cover sheet, and has read and complied
with the requirements of Florida Rule of Judicial Administration 2.425.
CLK/CT 96 Rev. 10/20 Clerk’s web address: www.miami-dadeclerk.com
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Completed 14 February 2021

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