New Hampshire Civil Cover Sheet

STATE OF NEW HAMPSHIRE — JUDICIAL BRANCH

CIVIL COVER SHEET — SUPERIOR COURT

Official Form Reference: NHJB Superior Court Civil Cover Sheet
Authority: N.H. Super. Ct. R. 170; RSA 490:26-a; N.H. Super. Ct. R. 201

SECTION 1: COURT DESIGNATION

State of New Hampshire — Judicial Branch

☐ Superior Court
☐ Circuit Court — District Division

County of: [________________________________]

Court Location: [________________________________]

Case Number: [________________________________] (Assigned by Clerk)

SECTION 2: CASE CAPTION

THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH

☐ SUPERIOR COURT              ☐ CIRCUIT COURT — DISTRICT DIVISION
COUNTY OF _________________________
COURT LOCATION: _________________________

________________________________________,
                    Plaintiff / Petitioner,

        v.                                          Case No.: _______________

________________________________________,
                    Defendant / Respondent.

CIVIL COVER SHEET

SECTION 3: PARTY INFORMATION

Plaintiff(s) / Petitioner(s)

Additional Plaintiff(s): ☐ See attached list (Total number of plaintiffs: [____])

Defendant(s) / Respondent(s)

Additional Defendant(s): ☐ See attached list (Total number of defendants: [____])

SECTION 4: ATTORNEY / SELF-REPRESENTED PARTY INFORMATION

☐ Attorney Representation

☐ Self-Represented (Pro Se) Party

SECTION 5: CASE TYPE / NHJB CODE

Select the primary case type per NHJB classification. Enter the applicable NHJB case type code.

NHJB Case Type Code: [________________________________]

Type of Action (description): [________________________________]

A. Tort / Personal Injury

• ☐ Motor Vehicle — Personal Injury (RSA 508:4 — 3-year SOL)
• ☐ Motor Vehicle — Property Damage
• ☐ Motor Vehicle — Wrongful Death (RSA 556:12)
• ☐ Premises Liability
• ☐ Products Liability (RSA 507-D:1 et seq.)
• ☐ Medical Malpractice (RSA 507-C:1 et seq.; requires screening panel)
• ☐ Legal Malpractice
• ☐ Other Professional Malpractice
• ☐ Wrongful Death — Other (RSA 556:12)
• ☐ Defamation / Libel / Slander
• ☐ Intentional Tort
• ☐ Other Personal Injury: [________________________________]

B. Contract / Commercial

• ☐ Goods / UCC (RSA 382-A)
• ☐ Services / Labor Contract
• ☐ Commercial / Business Contract
• ☐ Insurance Coverage / Bad Faith
• ☐ Lease / Rental Agreement
• ☐ Consumer Protection (RSA 358-A)
• ☐ Construction Contract
• ☐ Employment Contract / Noncompete
• ☐ Other Contract: [________________________________]

C. Real Property

• ☐ Quiet Title / Boundary / Easement
• ☐ Tax Deed Challenge (RSA 80:76)
• ☐ Foreclosure — Judicial
• ☐ Mortgage Dispute
• ☐ Landlord/Tenant — Non-Small Claims (RSA 540:1 et seq.)
• ☐ Partition
• ☐ Condemnation / Eminent Domain (RSA 498-A:1 et seq.)
• ☐ Other Real Property: [________________________________]

D. Equity / Injunctive / Declaratory

• ☐ Declaratory Judgment (RSA 491:22)
• ☐ Temporary Restraining Order / Preliminary Injunction
• ☐ Permanent Injunction
• ☐ Specific Performance
• ☐ Accounting
• ☐ Other Equity: [________________________________]

E. Employment

• ☐ Wrongful Termination
• ☐ Wage / Hour Dispute (RSA 275:43 et seq.)
• ☐ Employment Discrimination (RSA 354-A)
• ☐ Workers' Compensation Appeal (RSA 281-A)
• ☐ Noncompete / Trade Secret
• ☐ Other Employment: [________________________________]

F. Administrative / Statutory / Appeals

• ☐ Administrative Agency Appeal (RSA 541:6)
• ☐ Zoning / Planning Board Appeal (RSA 677:4)
• ☐ Tax Abatement Appeal (RSA 76:16-a)
• ☐ Post-Judgment / Enforcement
• ☐ Petition for Writ of Habeas Corpus
• ☐ Mandamus / Certiorari
• ☐ Other Statutory Action: [________________________________]

G. Miscellaneous Civil Petition

• ☐ Name Change (RSA 547:3-l)
• ☐ Civil Rights (RSA 354-A; 42 U.S.C. § 1983)
• ☐ Receivership
• ☐ Trust Litigation
• ☐ Other Civil: [________________________________]

SECTION 6: DAMAGES / RELIEF SOUGHT

A. Claimed Damages Range

☐ Up to $25,000
☐ $25,001 to $50,000
☐ $50,001 to $75,000
☐ $75,001 to $150,000
☐ $150,001 to $500,000
☐ Over $500,000

Specific monetary demand (if applicable): $[________________________________]

B. Type of Relief Sought

☐ Compensatory damages
☐ Punitive / exemplary damages
☐ Consequential damages
☐ Injunctive relief
☐ Declaratory relief
☐ Specific performance
☐ Attorney's fees and costs
☐ Pre-judgment interest
☐ Other: [________________________________]

Note: New Hampshire's Structured Settlement Protection Act (RSA 408-G) governs the transfer of structured settlement payment rights and requires court approval of any transfer. Parties seeking a structured settlement should consult counsel regarding tax treatment and approval procedures.

SECTION 7: JURY DEMAND

Per N.H. Super. Ct. R. 38, either party may demand a jury trial by endorsing the demand on the writ or filing a written demand. The right to jury trial may be waived if not properly demanded.

☐ Jury trial demanded by Plaintiff / Petitioner
☐ Jury trial demanded by Defendant / Respondent
☐ Jury trial not demanded (bench trial)

SECTION 8: RELATED CASES

Are there any related pending or previously filed cases in any New Hampshire court?

☐ No
☐ Yes — Provide details below:

SECTION 9: ALTERNATIVE DISPUTE RESOLUTION (ADR)

Per RSA 490-E and N.H. Super. Ct. R. 170, courts may refer civil cases to mediation or other ADR processes. The $10 mediation/arbitration surcharge (RSA 490-E:4) is included in the filing fee.

A. Mediation

☐ Parties agree to mediation
☐ Court-directed mediation requested
☐ Mediation not appropriate — Basis: [________________________________]

B. Arbitration

☐ Parties agree to binding arbitration
☐ Non-binding arbitration requested
☐ Arbitration not appropriate

C. Other ADR

☐ Early neutral evaluation requested
☐ Summary jury trial
☐ Other ADR mechanism: [________________________________]

SECTION 10: SPECIAL REQUIREMENTS AND DESIGNATIONS

A. Medical Malpractice Screening Panel

☐ This case involves medical malpractice and has been submitted to the Screening Panel per RSA 507-C:1 et seq.
☐ Screening Panel case number: [________________________________]
☐ Screening Panel decision received: [__/__/____]

Note: Per RSA 507-C:2, all medical malpractice claims must first be submitted to a screening panel before or contemporaneous with filing suit.

B. Products Liability Pre-Filing

☐ This case involves products liability (RSA 507-D:1 et seq.)
☐ Three-year statute of limitations applies (RSA 507-D:2)

C. Consumer Protection Act Claims

☐ UDAP claim under RSA 358-A included
☐ Pre-suit demand letter sent (RSA 358-A:10-a)

D. Emergency / Expedited Matters

☐ Emergency TRO / Preliminary Injunction sought (N.H. Super. Ct. R. 161)
☐ Expedited proceedings requested — Basis: [________________________________]

E. Accessibility / Accommodations

☐ Interpreter needed — Language: [________________________________]
☐ ADA accommodation needed — Describe: [________________________________]
☐ Hearing assistance required

SECTION 11: SERVICE OF PROCESS

Per RSA 510:2 and N.H. Super. Ct. R. 4, service must be made by an authorized person. Sheriffs and their deputies serve civil process.

Method of service to be used:

☐ Sheriff / Deputy Sheriff (RSA 104:13)
☐ Certified Mail, Return Receipt Requested (RSA 510:2-a, where authorized)
☐ Service on Registered Agent (corporate defendants; RSA 293-A:5.04)
☐ Secretary of State — Long Arm Service (RSA 510:4)
☐ Publication (RSA 510:5; court order required)
☐ Acceptance of Service / Waiver
☐ Other: [________________________________]

Service address for each defendant:

SECTION 12: FILING FEE INFORMATION

Per N.H. Super. Ct. R. 201 and RSA 490:26-a (Fee Schedule effective July 1, 2025):

Note: The $25 surcharge (RSA 490:26-a) is exempt for actions relating to children, domestic violence, small claims, landlord/tenant, and stalking.

Payment method: ☐ Check ☐ Money Order ☐ Credit Card ☐ E-Filing Payment ☐ Fee waiver filed

☐ Motion for Waiver of Filing Fees is attached

SECTION 13: E-FILING INFORMATION

The New Hampshire Superior Court offers electronic filing through the NHJB E-Filing System.

☐ This filing is being submitted electronically through NHJB E-Filing
☐ This filing is being submitted on paper
☐ This filing is exempt from electronic filing — Basis: [________________________________]

SECTION 14: VENUE CERTIFICATION

Per RSA 507:9, civil actions shall be tried in the county where one of the parties lives or where the cause of action arose, unless otherwise provided by law.

☐ Plaintiff resides in this county
☐ Defendant resides in this county
☐ Cause of action arose in this county
☐ Other basis for venue: [________________________________]

SECTION 15: ATTORNEY / PARTY CERTIFICATION

I certify that:

1. The information provided in this Civil Cover Sheet is true and accurate to the best of my knowledge.
2. This action is not frivolous and is brought in good faith per N.H. Super. Ct. R. 15 (sanctions for frivolous actions).
3. I have complied with all applicable pre-filing requirements, including:
   - ☐ Medical malpractice screening panel (RSA 507-C), if applicable
   - ☐ Pre-suit demand letter for consumer protection claims (RSA 358-A:10-a), if applicable
   - ☐ Other pre-filing requirements: [________________________________]
4. The filing fee has been paid or a fee waiver application has been filed.
5. Venue is proper in this county.

SECTION 16: SIGNATURE

Date: [__/__/____]

____________________________________________
Signature

Printed Name: [________________________________]
New Hampshire Bar Number: [________________________________]
(or "Self-Represented Litigant")

Attorney for: ☐ Plaintiff(s) / Petitioner(s) ☐ Defendant(s) / Respondent(s)

Law Firm: [________________________________]
Address: [________________________________]
         [________________________________]
Telephone: [________________________________]
Email: [________________________________]

IMPORTANT NOTICES

Court Selection — Superior Court vs. Circuit Court: New Hampshire Superior Courts have original jurisdiction over civil actions. The Circuit Court — District Division handles small claims (RSA 503:1, up to $10,000), landlord/tenant proceedings, and certain other civil matters. Family Division and Probate Division matters require separate forms available from the NHJB.

Medical Malpractice Screening Panel: Per RSA 507-C:1 et seq., all medical injury claims must be submitted to a screening panel before trial. The panel hearing must occur within 11 months of filing. The panel's findings are admissible at trial but not conclusive.

Service of Process: Under RSA 510:2, civil process in New Hampshire is generally served by a sheriff or deputy sheriff. Service must be made at least 30 days before the return day of the writ (RSA 510:1). For corporate defendants, service may be made on the registered agent (RSA 293-A:5.04) or through the Secretary of State.

Statute of Limitations: New Hampshire limitation periods vary by cause of action. Common periods include: personal injury/property damage — 3 years (RSA 508:4); contract — 3 years (RSA 508:4); medical malpractice — 2 years from discovery (RSA 507-C:4); products liability — 3 years from injury (RSA 507-D:2).

Alternative Dispute Resolution: New Hampshire courts actively encourage ADR. Per RSA 490-E, a mediation and arbitration fund is maintained through a $10 surcharge on civil filing fees. Courts may order mandatory mediation in appropriate cases.

Damages Cap: New Hampshire does not impose a general cap on compensatory damages but does limit noneconomic damages in medical malpractice cases to $250,000 per RSA 507-C:7 (subject to exceptions).

Sources and References

• New Hampshire Superior Court Civil Forms: https://www.courts.nh.gov/our-courts/superior-court/forms/civil-forms
• Rules of the Superior Court of New Hampshire: https://www.courts.nh.gov/rules-superior-court-state-new-hampshire
• Superior Court Fee Schedule (Effective July 1, 2025): https://www.courts.nh.gov/sites/g/files/ehbemt471/files/documents/2021-06/filing_fees_superior.pdf
• RSA 490:26-a (Court Fees): https://law.justia.com/codes/new-hampshire/2023/title-li/chapter-490/section-490-26-a/
• RSA 490-E:4 (Mediation and Arbitration Fund): https://www.gencourt.state.nh.us/rsa/html/LI/490-E/490-E-4.htm
• New Hampshire Judicial Branch Forms and Fees: https://www.courts.nh.gov/resources/forms-and-fees
• NHJB Civil Procedures — Superior Court: https://www.courts.nh.gov/our-courts/superior-court/civil
• New Hampshire Revised Statutes Title LI (Courts): https://law.justia.com/codes/new-hampshire/title-li/