Fillable VA Cover Sheet For Filing Civil Actions CC-1416 Cover Sheet for Civil Actions

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VA Cover Sheet For Filing Civil Actions CC-1416 Cover Sheet for Civil Actions

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U.S.A. forms for City of Lynchburg, VA - Department of Information Technology

BROWSE CITY OF LYNCHBURG, VA - DEPARTMENT OF INFORMATION TECHNOLOGY (VA) FORMS

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COVER SHEET FOR FILING CIVIL ACTIONS Case No. ...............................................................................

COMMONWEALTH OF VIRGINIA (CLERK’S OFFICE USE ONLY)

................................................................................................................................................................................................................................. Circuit Court

................................................................................................................................... v./In re: .........................................................................................................................

PLAINTIFF(S) DEFENDANT(S)

................................................................................................................................... .........................................................................................................................

I, the undersigned [ ] plaintiff [ ] defendant [ ] attorney for [ ] plaintiff [ ] defendant hereby notify the Clerk of Court that I am filing

the following civil action. (Please indicate by checking box that most closely identifies the claim being asserted or relief sought.)

GENERAL CIVIL

Subsequent Actions

[ ] Claim Impleading Third Party Defendant

[ ] Monetary Damages

[ ] No Monetary Damages

[ ] Counterclaim

[ ] Monetary Damages

[ ] No Monetary Damages

[ ] Cross Claim

[ ] Interpleader

[ ] Reinstatement (other than divorce or

driving privileges)

[ ] Removal of Case to Federal Court

Business & Contract

[ ] Attachment

[ ] Confessed Judgment

[ ] Contract Action

[ ] Contract Specific Performance

[ ] Detinue

[ ] Garnishment

Property

[ ] Annexation

[ ] Condemnation

[ ] Ejectment

[ ] Encumber/Sell Real Estate

[ ] Enforce Vendor’s Lien

[ ] Escheatment

[ ] Establish Boundaries

[ ] Landlord/Tenant

[ ] Unlawful Detainer

[ ] Mechanics Lien

[ ] Partition

[ ] Quiet Title

[ ] Termination of Mineral Rights

Tort

[ ] Asbestos Litigation

[ ] Compromise Settlement

[ ] Intentional Tort

[ ] Medical Malpractice

[ ] Motor Vehicle Tort

[ ] Product Liability

[ ] Wrongful Death

[ ] Other General Tort Liability

ADMINISTRATIVE LAW

[ ] Appeal/Judicial Review of Decision of

(select one)

[ ] ABC Board

[ ] Board of Zoning

[ ] Compensation Board

[ ] DMV License Suspension

[ ] Employee Grievance Decision

[ ] Employment Commission

[ ] Local Government

[ ] Marine Resources Commission

[ ] School Boa

[ ] Voter Registration

[ ] Other Administrative Appeal

DOMESTIC/FAMILY

[ ] Adoption

[ ] Adoption – Foreign

[ ] Adult Protection

[ ] Annulment

[ ] Annulment – Counterclaim/Responsive

Pleading

[ ] Child Abuse and Neglect – Unfounded

Complaint

[ ] Civil Contempt

[ ] Divorce (select one)

[ ] Complaint – Contested*

[ ] Complaint – Uncontested*

[ ] Counterclaim/Responsive Pleading

[ ] Reinstatement –

Custody/Visitation/Support/Equitable

Distribution

[ ] Separate Maintenance

[ ] Separate Maintenance Counterclaim

WRITS

[ ] Certiorari

[ ] Habeas Corpus

[ ] Mandamus

[ ] Prohibition

[ ] Quo Warranto

PROBATE/WILLS AND TRUSTS

[ ] Accounting

[ ] Aid and Guidance

[ ] Appointment (select one)

[ ] Guardian/Conservator

[ ] Standby Guardian/Conservator

[ ] Custodian/Successor Custodian (UTMA)

[ ] Trust (select one)

[ ] Impress/Declare/Create

[ ] Reformation

[ ] Will (select one)

[ ] Construe

[ ] Contested

MISCELLANEOUS

[ ] Amend Death Certificate

[ ] Appointment (select one)

[ ] Church Trustee

[ ] Conservator of Peace

[ ] Marriage Celebrant

[ ] Approval of Transfer of Structured

Settlement

[ ] Bond Forfeiture Appeal

[ ] Declaratory Judgment

[ ] Declare Death

[ ] Driving Privileges (select one)

[ ] Reinstatement pursuant to § 46.2-427

[ ] Restoration – Habitual Offender or 3

Offense

[ ] Expungement

[ ] Firearms Rights – Restoration

[ ] Forfeiture of Property or Money

[ ] Freedom of Information

[ ] Injunction

[ ] Interdiction

[ ] Interrogatory

[ ] Judgment

Lien-Bill to Enforce

[ ] Law Enforcement/Public Official Petition

[ ] Name Change

[ ] Referendum Elections

[ ] Sever Order

[ ] Taxes (select one)

[ ] Correct Erroneous State/Local

[ ] Delinquent

[ ] Vehicle Confiscation

[ ] Voting Rights – Restoration

[ ] Other (please specify)

......................................

...............................................................................

....................................................................... _____________________________________________________________________

DATE [ ] PLAINTIFF [ ] DEFENDANT [ ] ATTORNEY FOR [ ] PLAINTIFF

[ ] DEFENDANT

................................................................................................................................................

PRINT NAME

................................................................................................................................................

ADDRESS/TELEPHONE NUMBER OF SIGNATOR

................................................................................................................................................

EMAIL ADDRESS OF SIGNATOR (OPTIONAL)

*“Contested” divorce means any of the following matters are in

dispute: grounds of divorce, spousal support and maintenance,

child custody and/or visitation, child support, property distribution

or debt allocation. An “Uncontested” divorce is filed on no fault

grounds and none of the above issues are in dispute.

[ ] Damages in the amount of $

................................................................

are claimed.

FORM CC-1416 (MASTER) PAGE ONE 07/16

Clear All Data

Civil Action Type Codes

(Clerk’s Office Use Only)

Accounting

............................................................................. ACCT

Adoption

................................................................................. ADOP

Adoption – Foreign

............................................................ FORA

Adult Protection

.................................................................... PROT

Aid and Guidance

.................................................................... AID

Amend Death Certificate

.................................................... ADC

Annexation

........................................................................... ANEX

Annulment

............................................................................ ANUL

Annulment – Counterclaim/Responsive Pleading

... ACRP

Appeal/Judicial Review

ABC Board

...................................................................... ABC

Board of Zoning

......................................................... ZONE

Compensation Board

.............................................. ACOM

DMV License Suspension

.............................................. JR

Employment Commission

......................................... EMP

Employment Grievance Decision

........................... GRV

Local Government

.................................................... GOVT

Marine Resources

........................................................ MAR

School Board

....................................................................... JR

Voter Registration

..................................................... AVOT

Other Administrative Appeal

................................ AAPL

Appointment

Conservator of Peace

.................................................... COP

Church Trustee

............................................................ AOCT

Custodian/Successor Custodian (UTMA)

....... UTMA

Guardian/Conservator

............................................... APPT

Marriage Celebrant

................................................... ROMC

Standby Guardian/Conservator

............................ STND

Approval of Transfer of Structured Settlement

............... SS

Asbestos Litigation

.................................................................... AL

Attachment

................................................................................. ATT

Bond Forfeiture Appeal

........................................................ BFA

Child Abuse and Neglect – Unfounded Complaint

.. CAN

Civil Contempt

.................................................................... CCON

Claim Impleading Third Party Defendant –

Monetary Damages/No Monetary Damages

........... CTP

Complaint – (Miscellaneous)

........................................... COM

Compromise Settlement

.................................................. COMP

Condemnation

..................................................................... COND

Confessed Judgment

.................................................................. CJ

Contract Action

.................................................................... CNTR

Contract Specific Performance

....................................... PERF

Counterclaim – Monetary Damages/No Monetary

Damages

.................................................................................... CC

Cross Claim

........................................................................... CROS

Declaratory Judgment

....................................................... DECL

Declare Death

...................................................................... DDTH

Detinue

........................................................................................ DET

Divorce

Complaint – Contested/Uncontested

....................... DIV

Counterclaim/Responsive Pleading

.................... DCRP

Reinstatement – Custody/Visitation/Support/

Equitable Distribution

............................................. CVS

Driving Privileges

Reinstatement pursuant to § 46.2-427

................ DRIV

Restoration – Habitual Offender or

Offense .......................................................................... REST

Ejectment

............................................................................. EJET

Encumber/Sell Real Estate

................................................ RE

Enforce Vendor’s Lien

................................................ VEND

Escheatment

.......................................................................... ESC

Establish Boundaries

...................................................... ESTB

Expungement

.................................................................... XPUN

Forfeiture of Property or Money

............................... FORF

Freedom of Information

.................................................... FOI

Garnishment

..................................................................... GARN

Injunction

................................................................................. INJ

Intentional Tort

.................................................................. ITOR

Interdiction

......................................................................... INTD

Interpleader

......................................................................... INTP

Interrogatory

....................................................................... INTR

Judgment Lien – Bill to Enforce

................................ LIEN

Landlord/Tenant

..................................................................... LT

Law Enforcement/Public Official Petition

................ LEP

Mechanics Lien

.............................................................. MECH

Medical Malpractice

........................................................ MED

Motor Vehicle Tort

............................................................. MV

Name Change

......................................................................... NC

Other General Tort Liability

...................................... GTOR

Partition

............................................................................... PART

Permit, Unconstitutional Grant/Denial by Locality LUC

Petition – (Miscellaneous)

............................................... PET

Product Liability

............................................................. PROD

Quiet Title

................................................................................. QT

Referendum Elections

.................................................... ELEC

Reinstatement (Other than divorce or driving

privileges)

....................................................................... REIN

Removal of Case to Federal Court

............................. REM

Restore Firearms Rights – Felony

............................ RFRF

Restore Firearms Rights – Review

........................... RFRR

Separate Maintenance

........................................................ SEP

Separate Maintenance – Counterclaim/Responsive

Pleading

.......................................................................... SCRP

Sever Order

........................................................................ SEVR

Taxes

Correct Erroneous State/Local

......................... CTAX

Delinquent

............................................................... DTAX

Termination of Mineral Rights

..................................... MIN

Trust – Impress/Declare/Create

................................. TRST

Trust – Reformation

....................................................... REFT

Uniform Foreign Country Money Judgments

....... RFCJ

Unlawful Detainer

................................................................ UD

Vehicle Confiscation

........................................................ VEH

Voting Rights – Restoration

....................................... VOTE

Will Construction

............................................................ CNST

Will Contested

.................................................................. WILL

Writs

Certiorari

........................................................................ WC

Habeas Corpus

.......................................................... WHC

Mandamus

.................................................................... WM

Prohibition

...................................................................... WP

Quo Warranto

......................................................... WQW

Wrongful Death

.................................................................... WD

FORM CC-1416 (MASTER) PAGE TWO 07/16

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Completed 13 July 2020

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