CIVIL CASE FILING COVER SHEET WORKSHEET

(Kansas Supreme Court Rule 123 – Judicial Council Civil Case Filing Cover Sheet shadow worksheet)

[// GUIDANCE: Use this to gather data before completing the official cover sheet. Information may be captured directly in e-filing instead of paper.]

1. CAPTION

text
IN THE DISTRICT COURT OF [COUNTY] COUNTY, KANSAS

[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], KS 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 (SELECT ONE – Judicial Council categories)

[// GUIDANCE: Use the current Kansas Judicial Council Civil Case Filing Cover Sheet list.]
- [ ] 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
- [ ] Other Civil: [DESCRIBE]

5. AMOUNT IN CONTROVERSY (WORKSHEET)

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

6. JURY DEMAND

• [ ] Jury requested
• [ ] Non-jury

7. RELATED CASES

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

8. 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]

9. CERTIFICATION & SIGNATURE

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I certify the information provided is accurate to the best of my knowledge for purposes of the Kansas Judicial Council Civil Case Filing Cover Sheet.

Date: [DATE]

____________________________________
[ATTORNEY NAME], KS Bar [NUMBER] / Pro Se
Attorney for [PARTY]
[// GUIDANCE: File the official Kansas Judicial Council Civil Case Filing Cover Sheet (or complete the e-filing equivalent) with the initial pleading per Kansas Supreme Court Rule 123.]