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GENERAL CIVIL CASE COVER SHEET WORKSHEET

(Superior Court of the District of Columbia – Civil Division, Civil Actions Branch)

[// GUIDANCE: Use this to gather data before completing the official DC General Civil Case Cover Sheet (filed with the Complaint under D.C. SCR-Civ. R. 3 and 5).]

1. CAPTION AND CASE INFO

text
SUPERIOR COURT OF THE DISTRICT OF COLUMBIA
Civil Division – Civil Actions Branch

GENERAL CIVIL CASE COVER SHEET (worksheet)
(To be filed contemporaneously with the Complaint – D.C. SCR-Civ. R. 3 & 5)

Case No.: [TBD BY CLERK] Date Filed: [DATE]

Plaintiff(s): [NAME(S)]
Defendant(s): [NAME(S)]

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 / Bar No.: [ATTORNEY NAME], DC Bar [NUMBER]
  • Firm: [LAW FIRM NAME]
  • Address: [STREET, CITY, STATE ZIP]
  • Phone/Email: [PHONE] | [EMAIL]
  • ☐ Self-represented (Pro Se)

4. CASE TYPE / NATURE OF ACTION (CHECK PRIMARY)

[// GUIDANCE: Use the official DC General Civil Case Information Sheet codes. Not for Landlord & Tenant or Small Claims (separate forms).]
- ☐ Contract
- ☐ Collection
- ☐ Real Property – quiet title/ejectment/other
- ☐ Torts – motor vehicle
- ☐ Torts – premises liability
- ☐ Torts – other personal injury/property damage
- ☐ Professional negligence (medical/legal/other)
- ☐ Products liability
- ☐ Statutory/Administrative/Constitutional or other civil
- ☐ Other Civil: [DESCRIBE / CODE]

5. RELIEF SOUGHT

  • Money damages: $[AMOUNT] (exclusive of fees/costs)
  • Injunctive relief: [DESCRIBE]
  • Declaratory or other equitable relief: [DESCRIBE]
  • Other relief: [DESCRIBE]

6. JURY DEMAND

  • ☐ Jury requested
  • ☐ Non-jury

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: [___] Special Process Server ☐ Other proper officer
  • Service addresses and method: [DETAILS]
  • Out-of-District or special service issues: [DETAILS]
  • Interpreter or accommodation needed: [YES/NO - LANGUAGE/ACCOMMODATION]

9. SIGNATURE

text
Date: [DATE]

____________________________________
[ATTORNEY NAME], DC Bar [NUMBER] / Pro Se
Attorney for [PLAINTIFF/DEFENDANT]
[// GUIDANCE: File the official DC General Civil Case Cover Sheet with the Complaint. Use division-specific forms for Landlord & Tenant, Small Claims, Probate, or Family Court matters.]

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