Fillable Civil Complaint Packet (Clerk of the Superior Court)

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Civil Complaint Packet (Clerk of the Superior Court)

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BROWSE CLERK OF THE SUPERIOR COURT (AZ) FORMS

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Revised 01.07.19
CIVIL COMPLAINT
PINAL COUNTY
FORMS
Provided as a Public Service by
AMANDA STANFORD
Clerk of the Superior Court
Reset Form
September 26, 2018 Page 1 CV10F-010119
In the Superior Court of the State of Arizona
In and For the County of _______________
Case Number _____________________________
CIVIL COVER SHEET- NEW FILING ONLY
(Please Type or Print)
Plaintiff’s Attorney __________________________
Attorney Bar Number ________________________
Plaintiff’s Name(s): (List all) Plaintiff’s Address:
______________________________________ _____________________________________________
______________________________________ _____________________________________________
______________________________________ _____________________________________________
(List additional plaintiffs on page two and/or attach a separate sheet).
Defendant’s Name(s): (List All) ______________________________________________________________________
_________________________________________________________________________________________________
(List additional defendants on page two and/or attach a separate sheet)
RULE 26.2 DISCOVERY TIER OR MONETARY RELIEF CLAIMED:
IMPORTANT: Any case category that has an asterisk (*) MUST have a dollar amount claimed or Tier
selected. State the monetary amount in controversy or place an “X” next to the discovery tier to which the
pleadings allege the case would belong under Rule 26.2.
Amount Claimed $_______________ Tier 1 Tier 2 Tier 3
NATURE OF ACTION
Place an “X” next to the one case category that most accurately describes your primary case. Any case category
that has an asterisk (*) MUST have a dollar amount claimed or Tier selected as indicated above.
TORT MOTOR VEHICLE:
Non-Death/Personal Injury*
Property Damage*
Wrongful Death*
TORT NON-MOTOR VEHICLE:
Negligence*
Product Liability – Asbestos*
Product Liability – Tobacco*
Product Liability – Toxic/Other*
Intentional Tort*
Property Damage*
Legal Malpractice*
Malpractice – Other professional*
Premises Liability*
Slander/Libel/Defamation*
Other (Specify) _______________*
MEDICAL MALPRACTICE:
Physician M.D.* Hospital*
Physician D.O.* Other*
CONTRACTS:
Account (Open or Stated)*
Promissory Note*
Foreclosure*
September 26, 2018 Page 2 CV10F-010119
Buyer-Plaintiff*
Fraud*
Other Contract (e.g., Breach of Contract)*
Excess Proceeds – Sale*
Construction Defects (Residential/Commercial)*
Six to Nineteen Structures*
Twenty or More Structures*
Credit Card Debt (Maricopa County Filings Only)*
OTHER CIVIL CASE TYPES:
Eminent Domain/Condemnation*
Eviction Actions (Forcible and Special Detainers)*
Change of Name
Transcript of Judgment
Foreign Judgment
Quiet Title*
Forfeiture*
Election Challenge
NCC – Employer Sanction Action (A.R.S. §23-212)
Injunction against Workplace Harassment
Injunction against Harassment
Civil Penalty
Water Rights (Not General Stream Adjudication)*
Real Property*
Special Action against Lower Courts
(See lower court appeal cover sheet in Maricopa)
Immigration Enforcement Challenge (A.R.S. §§1-
501, 1-502, 11-1051)
UNCLASSIFIED CIVIL:
Administrative Review
(See lower court appeal cover sheet in Maricopa)
Tax Appeal
(All other tax matters must be filed in the AZ Tax
Court)
Declaratory Judgment
Habeas Corpus
Landlord Tenant Dispute – Other*
Declaration of Factual Innocence (A.R.S. §12-771)
Declaration of Factual Improper Party Status
Vulnerable Adult (A.R.S. §46-451)*
Tribal Judgment
Structured Settlement (A.R.S. §12-2901)
Attorney Conservatorships (State Bar)
Unauthorized Practice of Law (State Bar)
Out-of-State Deposition for Foreign Jurisdiction
Secure Attendance of Prisoner
Assurance of Discontinuance
In-State Deposition for Foreign Jurisdiction
Eminent Domain – Light Rail Only*
Interpleader – Automobile Only*
Delayed Birth Certificate (A.R.S. §36-333.03)
Employment Dispute – Discrimination*
Employment Dispute – Other*
Verified Rule 45.2 Petition
Other (Specify)*____________________________
EMERGENCY ORDER SOUGHT:
Temporary Restraining Order Provisional Remedy OSC Election Challenge
Employer Sanction Other (Specify) ________________________
COMMERCIAL COURT (Maricopa County Only)
This case is eligible for the commercial court under Rule 8.1, and plaintiff requests assignment of this case to the
commercial court. More information on the commercial court, including the most recent forms, are available on the court’s
website at https://www.superiorcourt.maricopa.gov/commercial-court/.
Additional Plaintiff(s)
__________________________________________________________________________________________
__________________________________________________________________________________________
Additional Defendant(s)
__________________________________________________________________________________________
__________________________________________________________________________________________
Arizona Supreme Court Page 1 of 5 CVC10f-070118
Person Filing:
Address (if not protected):
City, State, Zip Code:
Telephone:
Email Address:
Representing [ ] Self or [ ] Attorney for
Lawyer’s Bar Number:
SUPERIOR COURT OF ARIZONA
IN COUNTY
Name of Plaintiff
Name of Defendant
Plaintiff hereby submits this complaint against Defendant(s) and alleges the following:
JURISDICTION and VENUE
1. The Superior Court in County has the legal authority to hear
and decide this case because: (Check all boxes that are true.)
[ ] The value of this case exceeds $10,000 dollars.
[ ] Replevin or other nonmonetary remedy will take place in
County.
[ ] The Plaintiff resides in County.
[ ] The Defendant resides in County.
[ ] The Defendant does business in County.
[ ] The events, actions, or debts subject of this Complaint occurred in
County.
FOR CLERK’S USE ONLY
Case Number:
Arizona Supreme Court Page 2 of 5 CVC10f-070118
[ ] Other reason:
DISCOVERY TIER
2. Pursuant to Arizona Rules of Civil Procedure, Rule 26.2 (c) (3), the Court should assign my case
to the following tier based on the amount of damages I request.
[ ] Tier 1 = Actions claiming $50,000 or less in damages.
[ ] Tier 2 = Actions claiming more than $50,000 and less than $300,000 in damages,
OR Actions claiming nonmonetary relief.
[ ] Tier 3 = Actions claiming $300,000 or more in damages.
PARTIES
3. The Plaintiff in this case is:
4. The Defendant in this case is:
STATEMENT OF FACTS AND BREACH
5.
Case Number:
Arizona Supreme Court Page 3 of 5 CVC10f-070118
6.
7.
8.
9.
10.
(If you need more space, add an attachment labeled “Statement of Facts and Breach,” and continue
consecutive numbering.)
APPLICABLE LAW SUPPORTING CLAIMS
( )
( )
( )
Case Number:
Arizona Supreme Court Page 4 of 5 CVC10f-070118
( )
( )
( )
( )
(If you need more space, add an attachment labeled “Applicable Laws Supporting Claims,” and continue
consecutive numbering.)
INJURIES
( )
( )
( )
( )
( )
(If you need more space, add an attachment labeled “Injuries,” and continue consecutive numbering.)
Case Number:
Arizona Supreme Court Page 5 of 5 CVC10f-070118
DEMAND FOR RELIEF
WHEREFORE, Plaintiff demands judgment against defendant(s), and each of them (if applicable) for
the following dollars, interest, costs, and expenses incurred herein, or non-monetary remedy, including
reasonable attorneys’ fees, and for such other and further relief as the Court may deem just and proper.
( )
( )
( )
( )
( )
(If you need more space, add an attachment labeled “Demand for Relief,” and continue consecutive
numbering.)
Dated this .
(Date of signature)
(Signature of Plaintiff or Plaintiff’s Attorney)
Arizona Supreme Court Page 1 of 2 CV11f-092917
Person Filing:
Address (if not protected):
City, State, Zip Code:
Telephone:
Email Address:
Representing [ ] Self or [ ] Attorney for
Lawyer’s Bar Number:
SUPERIOR COURT OF ARIZONA
IN COUNTY
Name of Plaintiff
And
Name of Defendant
Case Number:
SUMMONS
WARNING: This is an official document from the court that affects your rights. Read this carefully. If
you do not understand it, contact a lawyer for help.
FROM THE STATE OF ARIZONA TO:
Name of Defendant
1. A lawsuit has been filed against you. A copy of the lawsuit and other court papers are served on
you with this “Summons”.
2. If you do not want a judgment or order taken against you without your input, you must file an
“Answer” or a “Response” in writing with the court and pay the filing fee. If you do not file an
“Answer” or “Response” the other party may be given the relief requested in his/her Petition or
Complaint. To file your “Answer” or “Response” take, or send, the “Answer” or “Response” to
the Clerk of the Superior Court.
Mail a copy of your “Response” or “Answer” to the other party at the address listed on the top of
this Summons.
3. If this “Summons” and the other court papers were served on you by a registered process server or
For Clerk’s Use Only
Case Number:
Arizona Supreme Court Page 2 of 2 CV11f-092917
the Sheriff, within the State of Arizona, your “Response” or “Answer” must be filed within
TWENTY (20) CALENDAR DAYS from the date you were served, not counting the day you
were served. If this “Summons” and the other papers were served on you by a registered process
server or the Sheriff outside the State of Arizona, your Response must be filed within THIRTY
(30) CALENDAR DAYS from the date you were served, not counting the day you were served.
Service by a registered process server or the Sheriff is complete when made. Service by Publication
is complete thirty (30) days after the date of the first publication.
4. You can get a copy of the court papers filed in this case from the Petitioner at the address at the
top of this paper, or from the Clerk of the Superior Court.
5. Requests for reasonable accommodation for persons with disabilities must be made to the office
of the judge or commissioner assigned to the case, at least ten (10) judicial days before your
scheduled court date.
6. Requests for an interpreter for persons with limited English proficiency must be made to the office
of the judge or commissioner assigned to the case at least ten (10) judicial days in advance of your
scheduled court date.
SIGNED AND SEALED this date
CLERK OF SUPERIOR COURT
By
Deputy Clerk
Arizona Supreme Court Page 1 of 1 CV00f-030617
Person Filing:
Address (if not protected):
City, State, Zip Code:
Telephone:
Email Address:
Representing [ ] Self or [ ] Attorney for
Lawyer’s Bar Number:
SUPERIOR COURT OF ARIZONA
IN COUNTY
PLAINTIFF
vs.
DEFENDANT
Case Number:
CERTIFICATE OF COMPULSORY
ARBITRATION
The undersigned certifies that the largest award sought by the complainant, including punitive damages,
but excluding interest, attorneys' fees, and costs [ ] does [ ] does not exceed limits set by Local Rule for
compulsory arbitration. This case [ ] is [ ] is not subject to compulsory arbitration as provided in Rules
72 through 77 of the Rules of Civil Procedure.
SUBMITTED this day of , 20 .
BY
For Clerk’s Use Only
Arizona Supreme Court Page 1 of 1 CVC11f-051718
Person Filing:
Address (if not protected):
City, State, Zip Code:
Telephone:
Email Address:
Representing [ ] Self or [ ] Attorney for
Lawyer’s Bar Number:
SUPERIOR COURT OF ARIZONA
IN COUNTY
Name of Plaintiff
Name of Defendant
Case Number:
PLAINTIFF’S DEMAND for
JURY TRIAL
Plaintiff, (Name of Plaintiff), demands a trial by jury in this case. If
this case is sent to compulsory arbitration, Plaintiff demands a trial by jury if there is an appeal from that
compulsory arbitration.
Dated this .
(Date of signature) (Signature of Plaintiff or Plaintiff’s Attorney)
FOR CLERK’S USE ONLY
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Civil Complaint Packet (Clerk of the Superior Court)

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Completed 25 July 2020

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