Fillable FORM 1.997. CIVIL COVER SHEET: The civil cover (Duval County Clerk of Courts)

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FORM 1.997. CIVIL COVER SHEET: The civil cover (Duval County Clerk of Courts)

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FORM 1.997. CIVIL COVER SHEET
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.)
I.
CASE STYLE
IN THE CIRCUIT COURT OF THE FOURTH
JUDICIAL CIRCUIT,
IN AND FOR DUVAL COUNTY, FLORIDA
Plaintiff
Case #
Judge
vs.
Defendant
II.
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
III.
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.
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CIRCUIT CIVIL
☐ Condominium
☐ Contracts and indebtedness
☐ Eminent domain
☐ Auto negligence
☐ Negligence—other
☐ Business governance
☐ Business torts
☐ Environmental/Toxic tort
☐ Third party indemnification
☐ Construction defect
☐ Mass tort
☐ Negligent security
☐ Nursing home negligence
☐ Premises liability—commercial
☐ Premises liability—residential
☐ Products liability
☐ Real Property/Mortgage foreclosure
☐ Commercial foreclosure
☐ Homestead residential foreclosure
☐ Non-homestead residential foreclosure
☐ Other real property actions
☐Professional malpractice
☐ Malpractice—business
☐ Malpractice—medical
☐ Malpractice—other professional
☐ Other
☐ Antitrust/Trade regulation
☐ Business transactions
☐ Constitutional challenge—statute or ordinance
☐ Constitutional challenge—proposed amendment
☐ Corporate trusts
☐ Discrimination—employment or other
☐ Insurance claims
☐ Intellectual property
☐ Libel/Slander
☐ Shareholder derivative action
☐ Securities litigation
☐ Trade secrets
☐ Trust litigation
COUNTY CIVIL
☐ Small Claims up to $8,000
Civil
Real property/Mortgage foreclosure
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☐ Replevins
☒ Evictions
Residential Evictions
☐ Non-residential Evictions
☐ Other civil (non-monetary)
COMPLEX BUSINESS COURT
This action is appropriate for assignment to Complex Business Court as delineated and mandated by
the Administrative Order. Yes ☐ No
IV.
REMEDIES SOUGHT (check all that apply):
☐ Monetary;
☒ Nonmonetary declaratory or injunctive relief;
☐ Punitive
V.
NUMBER OF CAUSES OF ACTION: [ ]
(Specify)
VI.
IS THIS CASE A CLASS ACTION LAWSUIT?
☐ yes
☒ no
VII.
HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED?
☒ no
☐ yes If “yes,” list all related cases by name, case number, and court.
VIII.
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:
Attorney or Party
FL Bar No.:
(Bar number, if attorney)
(Type or print name)
Date:
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FORM 1.997. CIVIL COVER SHEET: The civil cover (Duval County Clerk of Courts)

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Completed 9 January 2021

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