CIVIL CASE INFORMATION SHEET WORKSHEET

(Idaho District Court – Rule 3(d)(1) shadow worksheet)

[// GUIDANCE: Use this to gather data before completing the official Idaho Civil Case Information Sheet. File the official form with the complaint/petition per I.R.C.P. 3(d)(1).]

1. CAPTION

text
IN THE DISTRICT COURT OF THE [JUDICIAL DISTRICT] JUDICIAL DISTRICT
OF THE STATE OF IDAHO, IN AND FOR THE COUNTY OF [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], ID Bar [NUMBER] (or “Pro Se”)
• 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: Match the categories used on the Idaho Civil Case Information Sheet; adjust to local form codes if needed.]
- [ ] Contract / Debt / Collection
- [ ] Real Property (quiet title, foreclosure, landlord/tenant)
- [ ] Tort – motor vehicle
- [ ] Tort – other personal injury/property damage
- [ ] Professional negligence
- [ ] Products liability
- [ ] Employment (discrimination, wage, restrictive covenant)
- [ ] Administrative/Agency appeal
- [ ] Declaratory judgment / Injunctive relief
- [ ] Other Civil: [DESCRIBE]

5. ORIGIN

• [ ] Original Proceeding
• [ ] Transferred from another county/district
• [ ] 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. CONFIDENTIAL PARTY INFORMATION (DO NOT SERVE; FOR CONFIDENTIAL SHEET)

• Party identifiers (SSN, DOB, driver’s license): [ENTER ON CONFIDENTIAL SHEET ONLY]
• Minor names or protected information: [ENTER ON CONFIDENTIAL SHEET ONLY]

11. SIGNATURE

text
Date: [DATE]

____________________________________
[ATTORNEY NAME], ID Bar [NUMBER] / Pro Se
Attorney for [PARTY]
[// GUIDANCE: File the official Idaho Civil Case Information Sheet with your complaint per I.R.C.P. 3(d)(1). Submit confidential identifiers on the confidential case information sheet; do not serve confidential data on other parties.]