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.]