Civil Case Cover Sheet - Kentucky (AOC-104 Worksheet)

CIVIL CASE COVER SHEET WORKSHEET

Kentucky AOC-104 -- District Court / Circuit Court

FILING REQUIREMENT: Pursuant to Kentucky Supreme Court Administrative Orders 2019-17 and 2021-04, a Civil Case Cover Sheet (Form AOC-104) must accompany every initial civil filing in Kentucky District Court and Circuit Court. The official AOC-104 form is available at https://www.kycourts.gov/Legal-Forms/ and through the Kentucky eFiling system. This worksheet is designed to gather all required information before completing the official form or the eFiling portal.

1. COURT AND CASE CAPTION

COMMONWEALTH OF KENTUCKY
COURT OF JUSTICE

☐ DISTRICT COURT          ☐ CIRCUIT COURT

COUNTY OF [________________________________]

CIVIL CASE COVER SHEET (AOC-104) -- WORKSHEET

Case No.: [________________________________] (Assigned by Clerk)

[________________________________],
     Plaintiff(s) / Petitioner(s),

v.

[________________________________],
     Defendant(s) / Respondent(s).

2. FILING INFORMATION

COURT SELECTION NOTE: Under KRS 23A.010, Circuit Court has general jurisdiction over civil matters. Under KRS 24A.120, District Court has jurisdiction over civil cases involving $5,000 or less in controversy (exclusive of interest and costs), forcible entry and detainer, and small claims ($2,500 or less). Ensure the case is filed in the correct court.

3. PARTY INFORMATION

A. Plaintiff(s) / Petitioner(s)

☐ Additional plaintiffs/petitioners -- attach continuation sheet.

B. Defendant(s) / Respondent(s)

☐ Additional defendants/respondents -- attach continuation sheet.

4. ATTORNEY OR SELF-REPRESENTED PARTY

5. CASE TYPE CLASSIFICATION

Select ONE primary case type that most accurately describes the case. If multiple claims are involved, select the category you consider most important.

(Place an "X" next to the ONE applicable category -- per AOC-104 instructions)

A. DOMESTIC RELATIONS / FAMILY LAW

☐ DR -- Dissolution of Marriage (with or without children)
☐ CU -- Custody / Visitation
☐ CS -- Child Support
☐ AD -- Adoption
☐ PA -- Paternity
☐ DV -- Domestic Violence / Protective Orders (KRS 403.715 et seq.)
☐ DF -- Other Domestic/Family

B. TORT (INJURY)

☐ AU -- Automobile / Motor Vehicle Accident
☐ MM -- Medical Malpractice
☐ MO -- Other Malpractice (Legal, Accounting, etc.)
☐ PI -- Other Personal Injury
☐ PD -- Property Damage
☐ PR -- Products Liability
☐ WD -- Wrongful Death
☐ DF -- Defamation (Libel / Slander)
☐ AB -- Assault / Battery
☐ OT -- Other Tort

C. CONTRACT / COMMERCIAL

☐ CC -- Breach of Contract
☐ IN -- Insurance Coverage Dispute
☐ ND -- Negotiable Instruments / Debt Collection
☐ CL -- Consumer Litigation
☐ BK -- Business / Corporate Dispute
☐ CP -- Construction / Surety
☐ OC -- Other Contract

D. REAL PROPERTY

☐ FE -- Forcible Entry and Detainer (Eviction) (KRS 383.210 et seq.)
☐ FC -- Foreclosure
☐ QT -- Quiet Title
☐ CD -- Condemnation / Eminent Domain
☐ LL -- Landlord-Tenant (Non-Eviction)
☐ RP -- Other Real Property

E. PROBATE / ESTATE

☐ PW -- Probate of Will
☐ AE -- Administration of Estate
☐ GU -- Guardianship
☐ CO -- Conservatorship
☐ TR -- Trust
☐ PE -- Other Probate/Estate

F. EMPLOYMENT

☐ ED -- Employment Discrimination
☐ WC -- Workers' Compensation (appeal)
☐ WG -- Wage and Hour / Unpaid Wages
☐ WR -- Wrongful Termination
☐ EO -- Other Employment

G. APPEALS

☐ AA -- Administrative Agency Appeal
☐ DA -- District Court Appeal

H. MISCELLANEOUS CIVIL

☐ DJ -- Declaratory Judgment
☐ IJ -- Injunction / Restraining Order
☐ SC -- Small Claims (District Court, $2,500 or less)
☐ TX -- Tax
☐ EX -- Extraordinary Writs (Mandamus, Prohibition, Habeas Corpus)
☐ FJ -- Registration of Foreign Judgment
☐ CF -- Civil Forfeiture
☐ MC -- Other Miscellaneous Civil

6. MONETARY RELIEF

A. Amount in Controversy

☐ $0 -- $2,500 (Small Claims jurisdiction, District Court)
☐ $2,501 -- $5,000 (District Court jurisdiction)
☐ $5,001 -- $30,000 (Circuit Court)
☐ $30,001 -- $75,000 (Circuit Court)
☐ $75,001 -- $250,000 (Circuit Court)
☐ Over $250,000 (Circuit Court)
☐ Amount unspecified / unliquidated damages

JURISDICTIONAL NOTE: Under KRS 24A.120, District Court has exclusive jurisdiction over civil actions involving $5,000 or less (exclusive of interest and costs). Circuit Court has jurisdiction over all other civil matters (KRS 23A.010). Ensure the amount in controversy is consistent with the court selected.

B. Specific Damages Claimed

C. Non-Monetary / Equitable Relief

☐ Injunctive relief: [________________________________]
☐ Declaratory judgment: [________________________________]
☐ Specific performance: [________________________________]
☐ Other equitable relief: [________________________________]

7. JURY DEMAND

☐ Jury trial requested -- Jury demand is made pursuant to CR 38.02. The applicable jury demand fee ☐ has been paid / ☐ will be paid at time of filing.

☐ Non-jury / Bench trial -- No jury demand is made at this time.

☐ Jury demand reserved -- Plaintiff/Petitioner reserves the right to demand a jury trial within the time permitted by CR 38.02.

PRACTICE NOTE: Under CR 38.02, a party must serve a written jury demand no later than the first pretrial conference or, if none is scheduled, at least 30 days before the first trial date. Failure to demand a jury within the prescribed time constitutes a waiver of the right to jury trial. The jury demand fee varies by court; check with the Clerk of Court.

8. RELATED CASES

Are there any related cases currently pending or previously filed in any Kentucky court?

☐ No related cases.

☐ Yes -- The following related case(s) are identified:

CONSOLIDATION NOTE: Related cases may be consolidated or coordinated under CR 42.01. Identify related cases to facilitate assignment to the same judge and avoid duplicative litigation.

9. SERVICE INFORMATION

A. Service Addresses for Each Defendant/Respondent

B. Special Service Considerations

☐ Defendant is a corporation -- service upon registered agent: [________________________________]

☐ Defendant is a government entity -- service requirements under KRS 44.085 or KRS 45.075 may apply.

☐ Defendant's address is unknown -- Warning Order Attorney may be required under CR 4.06.

☐ Defendant is out of state -- long-arm jurisdiction under KRS 454.210 applies.

☐ Secretary of State service required under applicable statute.

10. ACCESSIBILITY AND ACCOMMODATION

☐ Interpreter needed: ☐ Yes ☐ No

• If yes, language: [________________________________]

☐ ADA accommodation needed: ☐ Yes ☐ No

• If yes, describe: [________________________________]

11. CERTIFICATION AND SIGNATURE

I certify that the information provided in this Civil Case Cover Sheet Worksheet
is accurate and complete to the best of my knowledge. I understand that this
worksheet is used to complete the official Kentucky AOC-104 Civil Case Cover
Sheet required by Kentucky Supreme Court Administrative Orders 2019-17 and
2021-04.

Date: [__/__/____]

________________________________________
[________________________________]
Kentucky Bar No. [________________________________] / Pro Se
Attorney for [________________________________]

[________________________________]
[________________________________]
[________________________________], Kentucky [________]
Telephone: (____) ____-________
Email: [________________________________]

PRACTICE TIPS AND GUIDANCE

Filing the AOC-104

1. Official Form Required. This worksheet does not replace the official AOC-104 form. The official form must be filed with the initial pleading (complaint, petition, or other initiating document). eFiling users will enter cover sheet information directly into the eFiling portal. Paper filers must complete and attach the printed AOC-104.

2. One Case Type Only. The AOC-104 requires selection of a single primary case type. If the case involves multiple claims, select the category you consider most important. This classification affects case assignment and statistical reporting.

3. eFiling. Kentucky courts use the Kentucky eFiling system. Attorneys filing through the eFiling portal will be prompted to enter cover sheet information electronically. Visit https://ehelp.kycourts.net/rules-for-efiling/ for eFiling rules and instructions.

Jurisdictional Considerations

4. District vs. Circuit Court. District Court handles civil cases of $5,000 or less and small claims of $2,500 or less (KRS 24A.120). Circuit Court has general jurisdiction over all other civil matters (KRS 23A.010). Verify jurisdictional amount before filing.

5. Venue. Under KRS 452.400 et seq., venue generally lies in the county where the defendant resides, where the cause of action arose, or where the property in dispute is located. Improper venue may be grounds for transfer or dismissal.

6. Forcible Entry and Detainer. Eviction cases are filed in District Court under KRS 383.210 et seq. A separate type of cover sheet information may be required. The filing fee and procedures are distinct from standard civil actions.

Jury Demand

7. Timing. Under CR 38.02, the jury demand must be served no later than the first pretrial conference or, absent a pretrial conference, 30 days before trial. Failure to timely demand a jury constitutes waiver.

8. Fee. A jury demand fee is required in addition to the standard filing fee. The amount varies; check with the Clerk of Court for the current fee schedule.

Special Case Types

9. Domestic Relations. Dissolution of marriage, custody, child support, and other family law matters have their own procedural requirements under KRS Chapter 403. Certain counties may have Family Court divisions with specialized procedures.

10. Probate/Estate. Probate matters are governed by KRS Chapters 394-395. These cases may be assigned to a specific probate division in larger counties.

11. Administrative Appeals. Appeals from administrative agencies are filed in Circuit Court under KRS 13B.140. The appeal must be filed within 30 days of the final agency order.

Filing Fees

12. Current Fees. Filing fees vary by case type and court level. Check the current fee schedule at https://www.kycourts.gov or contact the Clerk of Court. Common fees include:
    - Circuit Court civil filing fee
    - District Court civil filing fee
    - Small claims filing fee
    - Jury demand fee (additional)
    - Indigency / In Forma Pauperis (IFP) waiver available under CR 3

Record Retention

13. Document Copies. Maintain a file-stamped copy of the AOC-104 and the initial pleading with your case file. For eFiled documents, retain the electronic filing confirmation.

SOURCES AND REFERENCES

• Kentucky AOC-104 Civil Case Cover Sheet (Official Form): https://www.kycourts.gov/Legal-Forms/Legal%20Forms/104.pdf
• Kentucky Supreme Court Administrative Order 2019-17: https://www.kycourts.gov/Courts/Supreme-Court/Supreme%20Court%20Orders/201917.pdf
• Kentucky eFiling Rules: https://ehelp.kycourts.net/rules-for-efiling/
• Kentucky Legal Forms: https://www.kycourts.gov/Legal-Forms/Pages/default.aspx
• Kentucky Rules of Civil Procedure: https://www.kycourts.gov
• Kentucky Circuit Clerk's Manual (February 2026): https://www.kycourts.gov/Courts/County-Information/Documents/ClerksManual.pdf