(e.g., John Smith v. All American Insurance Co; In re Mary Ann Jones; In the Matter of the Estate of George Jackson)
A civil case information sheet must be completed and submitted when an original petition or application is filed to initiate a new civil, family law, probate, or mental
health case or when a post-judgment petition for modification or motion for enforcement is filed in a family law case. The information should be the best available at
the time of filing.
1. Contact information for person completing case information sheet:
Names of parties in case:
Person or entity completing sheet is:
Name:
_____________________________
Address:
_____________________________
City/State/Zip:
_____________________________
Signature:
_____________________________
Email:
____________________________
Telephone:
____________________________
Fax:
____________________________
State Bar No:
____________________________
Plaintiff(s)/Petitioner(s):
_________________________________
_________________________________
Defendant(s)/Respondent(s):
_________________________________
_________________________________
_________________________________
[Attach additional page as necessary to list all parties]
Attorney for Plaintiff/Petitioner
Pro Se Plaintiff/Petitioner
Title IV-D Agency
Other: _________________________
Additional Parties in Child Support Case:
Custodial Parent:
_________________________________
Non-Custodial Parent:
_________________________________
Presumed Father:
_________________________________
2. Indicate case type, or identify the most important issue in the case (select only 1):
Post-judgment Actions
(non-Title IV-D)
Debt/Contract
Consumer/DTPA
Debt/Contract
Fraud/Misrepresentation
Other Debt/Contract:
____________________
Foreclosure
Home Equity—Expedited
Other Foreclosure
Franchise
Insurance
Landlord/Tenant
Non-Competition
Partnership
Other Contract:
______________________
Assault/Battery
Construction
Defamation
Malpractice
Accounting
Legal
Medical
Other Professional
Liability:
_______________
Motor Vehicle Accident
Premises
Product Liability
Asbestos/Silica
Other Product Liability
List Product:
_________________
Other Injury or Damage:
_________________
Eminent Domain/
Condemnation
Partition
Quiet Title
Trespass to Try Title
Other Property:
____________________
Annulment
Declare Marriage Void
Divorce
With Children
No Children
Enforcement
Modification—Custody
Modification—Other
Enforcement/Modification
Paternity
Reciprocals (UIFSA)
Support Order
Related to Criminal
Matters
Parent-Child Relationship
Expunction
Judgment Nisi
Non-Disclosure
Seizure/Forfeiture
Writ of Habeas Corpus
Pre-indictment
Other: _______________
Enforce Foreign
Judgment
Habeas Corpus
Name Change
Protective Order
Removal of Disabilities
of Minority
Other:
Adoption/Adoption with
Termination
Child Protection
Child Support
Custody or Visitation
Gestational Parenting
Grandparent Access
Parentage/Paternity
Termination of Parental
Rights
Other Parent-Child:
_____________________
Discrimination
Retaliation
Termination
Workers’ Compensation
Other Employment:
______________________
Administrative Appeal
Antitrust/Unfair
Competition
Code Violations
Foreign Judgment
Intellectual Property
Lawyer Discipline
Perpetuate Testimony
Securities/Stock
Tortious Interference
Other: _______________
Tax Appraisal
Tax Delinquency
Other Tax
Probate/Wills/Intestate Administration
Dependent Administration
Independent Administration
Other Estate Proceedings
Guardianship—Adult
Guardianship—Minor
Mental Health
Other: ____________________
3. Indicate procedure or remedy, if applicable (may select more than 1):
Appeal from Municipal or Justice Court
Arbitration-related
Attachment
Bill of Review
Certiorari
Class Action
Declaratory Judgment
Garnishment
Interpleader
License
Mandamus
Post-judgment
Prejudgment Remedy
Protective Order
Receiver
Sequestration
Temporary Restraining Order/Injunction
Turnover
4. Indicate damages sought (do not select if it is a family law case):
Less than $100,000, including damages of any kind, penalties, costs, expenses, pre-judgment interest, and attorney fees
Less than $100,000 and non-monetary relief
Over $100, 000 but not more than $200,000
Over $200,000 but not more than $1,000,000
Over $1,000,000
CIVIL CASE INFORMATION SHEET
CAUSE NUMBER (FOR CLERK USE ONLY): _______________________________ COURT (FOR CLERK USE ONLY): ______________________
STYLED ___________________________________________________________________________________________________
click to sign
signature
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