Fillable Form 1.997 Civil Cover Sheet: The civil cover (LAURA E. ROTH Clerk of the Circuit Court, Volusia County Florida)

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Form 1.997 Civil Cover Sheet: The civil cover (LAURA E. ROTH Clerk of the Circuit Court, Volusia County Florida)

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CL-0891-2201
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
(Name of Court)
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
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 in both the
main category and subcategory boxes.
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
CL-0891-2201
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 Eviction
Non-Residential Eviction
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)
CL-0891-2201
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 General Practice and Judicial Administration 2.425.
Signature Fla. Bar #
Attorney or party
(Bar # if attorney)
____________________________________________
(type or print name)
_____________________________
Date
IX.
DOES THIS CASE INVOLVE ALLEGATIONS OF SEXUAL ABUSE?
yes
no
CL-0891-2201
FORM 1.997. INSTRUCTIONS FOR ATTORNEYS COMPLETING CIVIL COVER SHEET
Plaintiff must file this cover sheet with first paperwork 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” in the appropriate box. 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” in the category and subcategory boxes. 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.
CL-0891-2201
(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) Non-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 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.
CL-0891-2201
(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 the other county civil categories.
IV.
Remedies Sought. Place an “X” in the appropriate box. 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” in the appropriate box.
VII.
Related Cases. Place an “X” in the appropriate box.
VIII.
Is Jury Trial Demanded In Complaint? Check the appropriate box 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 General Practice and
Judicial Administration 2.425.
IX.
Sexual Abuse. Place an "X" on the appropriate line.
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Form 1.997 Civil Cover Sheet: The civil cover (LAURA E. ROTH Clerk of the Circuit Court, Volusia County Florida)

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Completed 13 April 2022

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