Fillable FORM 1.997. INSTRUCTIONS FOR COMPLETING CIVIL: COVER SHEET (Clerk of the Circuit Court & Comptroller, Palm Beach County)

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FORM 1.997. INSTRUCTIONS FOR COMPLETING CIVIL: COVER SHEET (Clerk of the Circuit Court & Comptroller, Palm Beach County)

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FORM 1.997. INSTRUCTIONS FOR 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 the 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 matters 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 debt 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.
(T) Nonhomestead 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 direct jurisdiction
of such challenges.
(AE) Corporate trusts—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 foreclosures 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)—includes all other non-monetary county civil matters
that were not described in other county civil categories.
IV. Remedies Sought. Place an “X” on the appropriate line. 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” on the appropriate line.
VII. Related Cases. Place an “X” on the appropriate line.
VIII. Is Jury Trial Demanded In Complaint? Check the appropriate line 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.
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.)
IN THE COUNTY COURT OF THE FIFTEENTH JUDICIAL CIRCUIT, IN
AND FOR PALM BAECH COUNTY, FLORIDA
Plaintiff
vs.
Defendant
Case #
Judge
I. 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
II. 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 inde
btedness
Em
inent 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
Othe
r
re
a
l
pr
ope
r
t
y
a
c
ti
ons
Professional malpractice
Malpractice—business
Malpractice—medical
Ma
l
pra
c
t
ice
—
o
ther
prof
e
ssi
ona
l
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 a
ction
Securities litiga
tion
Trade secrets
Trust litigation
COUNTY CIVIL
Civil
Rea
l Property/Mortgage
foreclosure
Evictions
Residential Evictions
Non-residential Evictions
Other civil (non-monetary)
III. REMEDIES SOUGHT (check all that apply):
Monetary;
Nonmonetary declaratory or injunctive relief;
Punitive
IV. NUMBER OF CAUSES OF ACTION:
(Specify)
V. IS THIS CASE A CLASS ACTION LAWSUIT?
yes
no
VI. HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED?
no
yes If “yes,” list all related cases by name, case number, and court.
VII. 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
Fla. Bar #
(Bar # if attorney)
(type or print name) Date
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FORM 1.997. INSTRUCTIONS FOR COMPLETING CIVIL: COVER SHEET (Clerk of the Circuit Court & Comptroller, Palm Beach County)

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Completed 5 July 2021

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