GENERAL CIVIL CASE COVER SHEET WORKSHEET
(New Hampshire Judicial Branch – Superior Court civil cover sheet shadow)
[// GUIDANCE: Use this to gather data before completing the official NH Superior Court Civil Case Cover Sheet for filing with the complaint.]
1. CAPTION
text
STATE OF NEW HAMPSHIRE – JUDICIAL BRANCH
[ ] SUPERIOR COURT [ ] CIRCUIT COURT – DISTRICT DIVISION
COUNTY OF [COUNTY] COURT LOCATION: [CITY]
Civil Case Cover Sheet – Worksheet
[PLAINTIFF/PETITIONER NAME], Plaintiff/Petitioner,
v. Case No.: [TBD BY CLERK]
[DEFENDANT/RESPONDENT NAME], Defendant/Respondent.
2. CASE TYPE / CODE
- Case type code (NHJB list): [CODE]
- Type of action (description): [TEXT]
3. DAMAGES / RELIEF
- Claimed damages range: [ ] Up to $25,000 [ ] $25,001–$75,000 [ ] Over $75,000
- Monetary relief detail: $[AMOUNT] (exclusive of fees/costs)
- Non-monetary / equitable relief: [DESCRIBE]
4. CASE CATEGORY (SELECT PRIMARY)
- Tort / Personal Injury
- [ ] Motor vehicle
- [ ] Premises liability
- [ ] Products liability
- [ ] Medical malpractice
- [ ] Wrongful death
- [ ] Other personal injury
- Contract / Commercial
- [ ] Goods / UCC
- [ ] Services / labor
- [ ] Lease / insurance / other contract
- Real Property
- [ ] Quiet title / boundary / easement
- [ ] Tax deed / foreclosure
- [ ] Landlord/tenant (non–small claims)
- Equity / Injunctive / Declaratory
- [ ] Injunction / declaratory relief
- [ ] Other equity
- Misc. Civil Petition / Post-Judgment
- [ ] Administrative appeal
- [ ] Post-judgment / enforcement
- [ ] Other Civil: [DESCRIBE]
5. JURY DEMAND
- [ ] Jury requested
- [ ] Non-jury
6. RELATED CASES
- [ ] Yes (list case number(s)/court(s)): [DETAILS]
- [ ] No
7. FEE / DEPOSIT REMINDER (worksheet)
- Base filing fee / jury deposit: [NOTE amount per current NHJB fee schedule]
8. PARTIES & COUNSEL
- Plaintiff/Petitioner(s): [NAME / ADDRESS / PHONE / EMAIL]
- Defendant/Respondent(s): [NAME / ADDRESS / PHONE / EMAIL]
- Additional parties: attach list if needed.
- Attorney: [NAME], NH Bar [NUMBER], Firm: [FIRM], Address: [ADDRESS], Phone: [PHONE], Email: [EMAIL]
- [ ] Self-represented party
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], NH Bar [NUMBER] / Pro Se
Attorney for [PARTY]
[// GUIDANCE: File the official NH Superior Court Civil Case Cover Sheet with the complaint, including the case type code, damages range, and proper court selection. Use the correct NHJB forms for District Division small claims or Family/Probate/Juvenile matters.]***