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CIVIL COVER SHEET WORKSHEET

(Connecticut Superior Court – JD-CV-1 shadow worksheet)

[// GUIDANCE: Use this to gather data before completing JD-CV-1 and JD-CV-1c. Return Date must be a Tuesday.]

1. CAPTION & COURT INFO

text
STATE OF CONNECTICUT SUPERIOR COURT www.jud.ct.gov

Judicial District of [JD NAME] / GA No. [GA #] / Housing Session at [LOCATION]
Court Address: [COURT STREET, CITY, ZIP]

Return Date (Tuesday): [DATE] Docket No.: [ASSIGNED BY COURT]
Case Type Code (JD-CV-1c): Major [LETTER] / Minor [NUMBER]

[PLAINTIFF NAME], Plaintiff
v.
[DEFENDANT NAME], Defendant

Number of Plaintiffs: [#] Number of Defendants: [#]

2. PARTY INFORMATION

  • Plaintiff(s): [NAME / ADDRESS / PHONE / EMAIL]
  • Defendant(s): [NAME / ADDRESS / PHONE / EMAIL]
  • Additional parties: attach list if needed.

3. ATTORNEY OR SELF-REPRESENTED PARTY

  • Name / Juris No.: [ATTORNEY NAME], Juris No. [NUMBER] (or “Self-represented”)
  • Firm: [LAW FIRM NAME]
  • Address: [STREET, CITY, STATE ZIP]
  • Phone: [PHONE]
  • Email: [EMAIL]
  • Attorney for: [PLAINTIFF/DEFENDANT]
  • ☐ Self-represented party

4. CASE TYPE (CHECK PRIMARY)

[// GUIDANCE: Enter the JD-CV-1c code above. Check a major category and note the minor description if useful.]
- ☐ Contract / Business / Commercial
- ☐ Property – foreclosure
- ☐ Property – other (quiet title, ejectment, landlord/tenant)
- ☐ Tort – motor vehicle
- ☐ Tort – premises liability
- ☐ Tort – other personal injury/property damage
- ☐ Medical / Professional Liability
- ☐ Products Liability
- ☐ Statutory / Administrative / Other Civil
- ☐ Housing (if filed in Housing Session)
- ☐ Other Civil: [DESCRIBE / CODE]

5. AMOUNT IN CONTROVERSY

  • Monetary relief: $[AMOUNT] (exclusive of fees/costs)
  • Non-monetary / equitable relief: [DESCRIBE]

6. JURY DEMAND

  • ☐ Jury requested
  • ☐ Non-jury
    [// GUIDANCE: If jury is claimed, do so at commencement consistent with JD-CV-1 instructions.]

7. RELATED CASES

  • Related case numbers/courts: [LIST OR "NONE"]
  • Prior appeals/arbitrations: [LIST OR "NONE"]

8. SERVICE & SPECIAL NOTES

  • Service to be made by: ☐ State Marshal ☐ Other proper officer ☐ Other
  • Service addresses and method: [DETAILS]
  • Out-of-state or special service instructions (e.g., 52-59b, corporate/LLC agent): [DETAILS]
  • Interpreter or accommodation needed: [YES/NO - LANGUAGE/ACCOMMODATION]

9. SIGNATURE (JD-CV-1 style)

text
Date: [DATE]

____________________________________
[ATTORNEY NAME], Juris No. [NUMBER] / Self-represented
Address: [STREET, CITY, STATE ZIP]
Phone: [PHONE] Email: [EMAIL]
Attorney for [PLAINTIFF/DEFENDANT]
[// GUIDANCE: File using the official JD-CV-1 and attach the correct JD-CV-1c code. Verify Tuesday return date and proper service by a state marshal or other authorized officer.]

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