PETITION COVER SHEET WORKSHEET

(Iowa District Court – Rule 1.301(2) shadow worksheet)

[// GUIDANCE: Use this to gather data before completing the official (electronic) petition cover sheet in eFile. File the official cover sheet with the petition except in excluded case types.]

1. CAPTION

text
IN THE IOWA DISTRICT COURT FOR [COUNTY] COUNTY

[PLAINTIFF/PETITIONER NAME], Plaintiff/Petitioner,
v. Case No.: [TBD BY CLERK]
[DEFENDANT/RESPONDENT NAME], Defendant/Respondent.

2. PARTY INFORMATION

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

3. ATTORNEY OR SELF-REPRESENTED PARTY

• Name / Bar No.: [ATTORNEY NAME], IA Bar [NUMBER]
• Firm: [LAW FIRM NAME]
• Address: [STREET, CITY, STATE ZIP]
• Phone/Email: [PHONE] | [EMAIL]
• Attorney for: [PLAINTIFF/PETITIONER/DEFENDANT/RESPONDENT]
• [ ] Self-represented party

4. CASE TYPE (CHECK PRIMARY)

[// GUIDANCE: Select the primary category used on the Iowa Petition Cover Sheet; adjust to your local code list as needed.]
- [ ] Civil Law – Contract/Business/Commercial
- [ ] Civil Law – Tort (personal injury/property damage)
- [ ] Civil Law – Real Property (quiet title, foreclosure, landlord/tenant)
- [ ] Civil Law – Other
- [ ] Domestic Relations / Other Equity
- [ ] Other (describe): [TEXT]

5. PROCEEDING ORIGIN

• [ ] Original Proceeding
• [ ] Transferred from another county
• [ ] Other: [DESCRIBE]

6. AMOUNT IN CONTROVERSY (WORKSHEET)

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

7. JURY DEMAND

• [ ] Jury requested
• [ ] Non-jury

8. RELATED CASES

• [ ] Yes (list case number(s)/court(s)): [DETAILS]
• [ ] No

9. SERVICE & SPECIAL NOTES (WORKSHEET)

• Service addresses and method (sheriff/process server/certified mail): [DETAILS]
• Interpreter needed: [YES/NO] – Language: [SPECIFY]
• Accommodation needed (ADA/disability): [YES/NO] – Describe: [SPECIFY]

10. SIGNATURE

text
Date: [DATE]

____________________________________
[ATTORNEY NAME], IA Bar [NUMBER] / Pro Se
Attorney for [PARTY]
[// GUIDANCE: File the official Iowa electronic petition cover sheet with the petition per Iowa R. Civ. P. 1.301(2); small claims, probate, and mental health commitments are excluded.]