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
Case No.
Judge
Name of Court
Plaintiff
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
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.
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:
Civil
Real property/Mortgage foreclosure
Replevins
Evictions
Residential evictions
Non-residential evictions
Other civil (non-monetary)
IV. REMEDIES SOUGHT (check all that apply):
Monetary;
Non-monetary 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 of attorney or party Fla. Bar # (if Attorney)
Type or print name Date
click to sign
signature
click to edit