Fillable Cc1416 CC-1416 Cover Sheet For Civil Actions (Virginia Judicial System)

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Cc1416 CC-1416 Cover Sheet For Civil Actions (Virginia Judicial System)

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FORM CC-1416 (MASTER) PAGE ONE 07/16

COVER SHEET FOR FILING CIVIL ACTIONS Case No. .............................................................................

COMMONWEALTH OF VIRGINIA (CLERK’S OFFICE USE ONLY)

........................................................................................................................................................................................................................... Circuit Court

............................................................................................................................... v./In re: ......................................................................................................................

PLAINTIFF(S) DEFENDANT(S)

............................................................................................................................... ......................................................................................................................

I, the undersigned [ ] plaintiff [ ] defendant [ ] attorney for [ ] plaintiff [ ] defendant hereby notify the Clerk of Court that I am filing

the following civil action. (Please indicate by checking box that most closely identifies the claim being asserted or relief sought.)

GENERAL CIVIL

Subsequent Actions

[ ] Claim Impleading Third Party Defendant

[ ] Monetary Damages

[ ] No Monetary Damages

[ ] Counterclaim

[ ] Monetary Damages

[ ] No Monetary Damages

[ ] Cross Claim

[ ] Interpleader

[ ] Reinstatement (other than divorce or

driving privileges)

[ ] Removal of Case to Federal Court

Business & Contract

[ ] Attachment

[ ] Confessed Judgment

[ ] Contract Action

[ ] Contract Specific Performance

[ ] Detinue

[ ] Garnishment

Property

[ ] Annexation

[ ] Condemnation

[ ] Ejectment

[ ] Encumber/Sell Real Estate

[ ] Enforce Vendor’s Lien

[ ] Escheatment

[ ] Establish Boundaries

[ ] Landlord/Tenant

[ ] Unlawful Detainer

[ ] Mechanics Lien

[ ] Partition

[ ] Quiet Title

[ ] Termination of Mineral Rights

Tort

[ ] Asbestos Litigation

[ ] Compromise Settlement

[ ] Intentional Tort

[ ] Medical Malpractice

[ ] Motor Vehicle Tort

[ ] Product Liability

[ ] Wrongful Death

[ ] Other General Tort Liability

ADMINISTRATIVE LAW

[ ] Appeal/Judicial Review of Decision of

(select one)

[ ] ABC Board

[ ] Board of Zoning

[ ] Compensation Board

[ ] DMV License Suspension

[ ] Employee Grievance Decision

[ ] Employment Commission

[ ] Local Government

[ ] Marine Resources Commission

[ ] School Board

[ ] Voter Registration

[ ] Other Administrative Appeal

DOMESTIC/FAMILY

[ ] Adoption

[ ] Adoption – Foreign

[ ] Adult Protection

[ ] Annulment

[ ] Annulment – Counterclaim/Responsive

Pleading

[ ] Child Abuse and Neglect – Unfounded

Complaint

[ ] Civil Contempt

[ ] Divorce (select one)

[ ] Complaint – Contested*

[ ] Complaint – Uncontested*

[ ] Counterclaim/Responsive Pleading

[ ] Reinstatement –

Custody/Visitation/Support/Equitable

Distribution

[ ] Separate Maintenance

[ ] Separate Maintenance Counterclaim

WRITS

[ ] Certiorari

[ ] Habeas Corpus

[ ] Mandamus

[ ] Prohibition

[ ] Quo Warranto

PROBATE/WILLS AND TRUSTS

[ ] Accounting

[ ] Aid and Guidance

[ ] Appointment (select one)

[ ] Guardian/Conservator

[ ] Standby Guardian/Conservator

[ ] Custodian/Successor Custodian (UTMA)

[ ] Trust (select one)

[ ] Impress/Declare/Create

[ ] Reformation

[ ] Will (select one)

[ ] Construe

[ ] Contested

MISCELLANEOUS

[ ] Amend Death Certificate

[ ] Appointment (select one)

[ ] Church Trustee

[ ] Conservator of Peace

[ ] Marriage Celebrant

[ ] Approval of Transfer of Structured

Settlement

[ ] Bond Forfeiture Appeal

[ ] Declaratory Judgment

[ ] Declare Death

[ ] Driving Privileges (select one)

[ ] Reinstatement pursuant to § 46.2-427

[ ] Restoration – Habitual Offender or 3

Offense

[ ] Expungement

[ ] Firearms Rights – Restoration

[ ] Forfeiture of Property or Money

[ ] Freedom of Information

[ ] Injunction

[ ] Interdiction

[ ] In

terrogatory

[ ] Judgment Lien-Bill to Enforce

[ ] Law Enforcement/Public Official Petition

[ ] Name Change

[ ] Referendum Elections

[ ] Sever Order

[ ] Taxes (select one)

[ ] Correct Erroneous State/Local

[ ] Delinquent

[ ] Vehicle Confiscation

[ ] Voting Rights – Restoration

[ ] Other (please specify)

............................................................................

...................................................................... ____________________________________________________________________

DATE [ ] PLAINTIFF [ ] DEFENDANT [ ] ATTORNEY FOR [ ] PLAINTIFF

[ ] DEFENDANT

............................................................................................................................................

PRINT NAME

............................................................................................................................................

ADDRESS/TELEPHONE NUMBER OF SIGNATOR

............................................................................................................................................

EMAIL ADDRESS OF SIGNATOR (OPTIONAL)

*“Contested” divorce means any of the following matters are in

dispute: grounds of divorce, spousal support and maintenance,

child custody and/or visitation, child support, property distribution

or debt allocation. An “Uncontested” divorce is filed on no fault

grounds and none of the above issues are in dispute.

[ ] Damages in the amount of $

...............................................................

are claimed.

Clear All Data

FORM CC-1416 (MASTER) PAGE TWO 10/17

Civil Action Type Codes

(Clerk’s Office Use Only)

counting

.......................................................................... ACCT

Adoption

............................................................................... ADOP

Adoption – Foreign

.......................................................... FORA

Adult Protection

.................................................................. PROT

Aid and Guidance

.................................................................. AID

Amend Death Certificate

................................................... ADC

Annexation

........................................................................ ANEX

Annulment

........................................................................... ANUL

Annulment – Counterclaim/Responsive Pleading

.. ACRP

Appeal/Judicial Review

ABC Board

.................................................................... ABC

Board of Zoning

........................................................ ZONE

Compensation Board

.............................................. ACOM

DMV License Suspension

............................................. JR

Employment Commission

........................................ EMP

Employment Grievance Decision

.......................... GRV

Local Government

................................................... GOVT

Marine Resources

....................................................... MAR

School Board

..................................................................... JR

Voter Registration

.................................................... AVOT

Other Administrative Appeal

............................... AAPL

Appointment

Conservator of Peace

.................................................. COP

Church Trustee

.......................................................... AOCT

Custodian/Successor Custodian (UTMA)

...... UTMA

Guardian/Conservator

.............................................. APPT

Marriage Celebrant

................................................. ROMC

Standby Guardian/Conservator

........................... STND

Approval of Transfer of Structured Settlement

.............. SS

Asbestos Litigation

.................................................................. AL

Attachment

.............................................................................. ATT

Bond Forfeiture Appeal

...................................................... BFA

Child Abuse and Neglect – Unfounded Complaint

.. CAN

Civil Contempt

................................................................... CCON

Claim Impleading Third Party Defendant –

Monetary Damages/No Monetary Damages

........... CTP

Complaint – (Miscellaneous)

.......................................... COM

Compromise Settlement

................................................. COMP

Condemnation

................................................................... COND

Confessed Judgment

................................................................ CJ

Contract Action

.................................................................. CNTR

Contract Specific Performance

....................................... PERF

Counterclaim – Monetary Damages/No Monetary

Damages

................................................................................. CC

Cross Claim

......................................................................... CROS

Declaratory Judgment

...................................................... DECL

Declare Death

..................................................................... DDTH

Detinue

...................................................................................... DET

Divorce

Complaint – Contested/Uncontested

...................... DIV

Counterclaim/Responsive Pleading

................... DCRP

Reinstatement – Custody/Visitation/Support/

Equitable Distribution

............................................ CVS

Driving Privileges

Reinstatement pursuant to § 46.2-427

................ DRIV

Restoration – Habitual Offender or

Offense ................................................................... REST

Ejectment

........................................................................... EJET

Encumber/Sell Real Estate

............................................... RE

Enforce Vendor’s Lien

................................................ VEND

Escheatment

........................................................................ ESC

Establish Boundaries

.................................................... ESTB

Expungement

.................................................................. XPUN

Forfeiture of Property or Money

.............................. FORF

Freedom of Information

.................................................. FOI

Garnishment

.................................................................. GARN

Injunction

............................................................................... INJ

Intentional Tort

................................................................ ITOR

Interdiction

....................................................................... INTD

Interpleader

....................................................................... INTP

Interrogatory

..................................................................... INTR

Judgment Lien – Bill to Enforce

............................... LIEN

Landlord/Tenant

................................................................... LT

Law Enforcement/Public Official Petition

............... LEP

Mechanics Lien

............................................................ MECH

Medical Malpractice

...................................................... MED

Motor Vehicle Tort

........................................................... MV

Name Change

....................................................................... NC

Other General Tort Liability

..................................... GTOR

Partition

............................................................................. PART

Permit, Unconstitutional Grant/Denial by Locality LUC

Petition – (Miscellaneous)

............................................. PET

Product Liability

........................................................... PROD

Quiet Title

.............................................................................. QT

Referendum Elections

.................................................. ELEC

Reinstatement (Other than divorce or driving

privileges)

..................................................................... REIN

Removal of Case to Federal Court

.............................REM

Restore Firearms Rights – Felony

............................ RFRF

Restore Firearms Rights – Review

.......................... RFRR

Separate Maintenance

...................................................... SEP

Separate Maintenance – Counterclaim/Responsive

Pleading

........................................................................ SCRP

Sever Order

...................................................................... SEVR

Sex Change

......................................................................... COS

Taxes

Correct Erroneous State/Local

........................ CTAX

Delinquent

.............................................................. DTAX

Termination of Mineral Rights

.................................... MIN

Trust – Impress/Declare/Create

................................ TRST

Trust – Reformation

...................................................... REFT

Uniform Foreign Country Money Judgments

....... RFCJ

Unlawful Detainer

.............................................................. UD

Vehicle Confiscation

...................................................... VEH

Voting Rights – Restoration

...................................... VOTE

Will Construction

........................................................... CNST

Will Contested

................................................................ WILL

Writs

Certiorari

...................................................................... WC

Habeas Corpus

........................................................ WHC

Mandamus

.................................................................. WM

Prohibition

.................................................................... WP

Quo Warranto

........................................................ WQW

Wrongful Death

.................................................................. WD

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Completed 21 January 2021

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