CIVIL COVER SHEET WORKSHEET

(Florida Form 1.997 shadow worksheet)

[// GUIDANCE: Use this to gather data before completing the official Form 1.997.]

1. CAPTION

text
In the [ ] CIRCUIT / [ ] COUNTY Court of the [__] Judicial Circuit,
In and for [COUNTY] County, Florida

[PLAINTIFF NAME], Plaintiff,
v. Case No.: [TBD BY CLERK]
[DEFENDANT NAME], Defendant.

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], FL Bar [NUMBER]
• Firm: [LAW FIRM NAME]
• Address: [STREET, CITY, STATE ZIP]
• Phone/Email: [PHONE] | [EMAIL]
• Attorney for: [PLAINTIFF/DEFENDANT]
• [ ] Self-represented (Pro Se)

4. AMOUNT OF CLAIM (CHECK RANGE)

• [ ] $8,000 or less
• [ ] $8,001-$30,000
• [ ] $30,001-$50,000
• [ ] $50,001-$75,000
• [ ] $75,001-$100,000
• [ ] Over $100,000

5. CASE TYPE (FORM 1.997 CATEGORIES) - CHECK PRIMARY

[// GUIDANCE: Use the official Form 1.997 list; select the applicable category/subcategory.]
- Circuit Civil
- [ ] Condominium
- [ ] Contracts and indebtedness
- [ ] Eminent domain
- [ ] Auto negligence
- [ ] Negligence - other
- [ ] Business governance
- [ ] Business torts
- [ ] Environmental / Toxic tort
- [ ] Third-party indemnification
- [ ] Construction defect
- [ ] Mass tort
- [ ] Real property / mortgage foreclosure - homestead
- [ ] Real property / mortgage foreclosure - non-homestead residential
- [ ] Real property / mortgage foreclosure - other (commercial)
- [ ] Professional malpractice - other
- [ ] Other Circuit Civil: [DESCRIBE]
- County Civil
- [ ] Civil (non-small claims)
- [ ] Real property / mortgage foreclosure
- [ ] Other County Civil: [DESCRIBE]
[// GUIDANCE: Family and probate matters use different cover sheets; small claims has separate rules.]

6. AMOUNT IN CONTROVERSY (DETAIL)

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

7. JURY DEMAND

• [ ] Jury requested
• [ ] Non-jury

8. RELATED CASES

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

9. SERVICE & SPECIAL NOTES

• Service addresses and method (sheriff/process server/certified mail): [DETAILS]
• Interpreter or accommodation needed: [YES/NO - LANGUAGE/ACCOMMODATION]
• Does this case involve allegations of sexual abuse? [YES/NO]

10. CERTIFICATION & SIGNATURE

text
I certify the information provided is accurate and that I have complied with Florida Rule of General Practice and Judicial Administration 2.425.

Date: [DATE]

____________________________________
[ATTORNEY NAME], FL Bar [NUMBER] / Pro Se
Attorney for [PLAINTIFF/DEFENDANT]
[// GUIDANCE: File the official Form 1.997 Civil Cover Sheet with the initial complaint (unless exempt).]