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CIVIL COVER SHEET

(Oregon Circuit Court worksheet)

[// GUIDANCE: Oregon circuit courts may have county supplements (UTCR/SLR overlays, arbitration tracks, or business court designations). Confirm the required form and coding before filing.]

1. CAPTION

text
IN THE CIRCUIT COURT OF THE STATE OF OREGON
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(s): [NAME / ADDRESS / PHONE / EMAIL]
Defendant(s): [NAME / ADDRESS / PHONE / EMAIL]
Additional parties: attach list if needed.

3. ATTORNEY OR SELF-REPRESENTED PARTY

Name / Bar No.: [ATTORNEY NAME], OR Bar [NUMBER]
Firm: [LAW FIRM NAME]
Address: [STREET, CITY, STATE ZIP]
Phone/Email: [PHONE] | [EMAIL]
☐ Self-represented (Pro Se)

4. CASE CATEGORY (OREGON WORKSHEET – SELECT PRIMARY)

Civil (non-domestic)
☐ Contract / Business / Commercial
☐ Real Property / Foreclosure / Quiet Title
☐ Tort (auto/premises/product/other injury or property damage)
☐ Employment / Wage / Restrictive Covenant
☐ Other Civil (describe): [TEXT]
Housing
☐ Landlord/Tenant (FED/eviction)
☐ Post-foreclosure holdover / possession
Small Claims
☐ Small Claims
Domestic Relations
☐ Dissolution / Legal Separation / Custody/Parenting
☐ Support (spousal/child)
☐ Other Domestic Relations: [TEXT]
Probate / Protective Proceedings
☐ Probate / Estate
☐ Guardianship / Conservatorship / Protective Proceeding
Other (if not captured above): [DESCRIBE]
[// GUIDANCE: Use the official Oregon case type/statistical coding that applies in your county; some courts require a single primary code.]

5. AMOUNT IN CONTROVERSY

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

6. JURY DEMAND

☐ Jury requested
☐ Non-jury

7. RELATED CASES

Related case numbers/courts: [LIST OR "NONE"]
Prior appeals/arbitrations: [LIST OR "NONE"]

8. SERVICE & SPECIAL NOTES

Service addresses and method (sheriff/process server/certified mail): [DETAILS]
Interpreter or accommodation needed: [YES/NO - LANGUAGE/ACCOMMODATION]

9. SIGNATURE

text
Date: [DATE]

____________________________________
[ATTORNEY NAME], OR Bar [NUMBER] / Pro Se
Attorney for [PLAINTIFF/DEFENDANT]

10. CERTIFICATION (WORKSHEET)

text
I certify the information above is accurate for completing the Oregon Circuit Court General Civil Case Cover Sheet and any required county/UTCR/SLR supplements.

____________________________________
[NAME], OR Bar [NUMBER] / Pro Se
[// GUIDANCE: Confirm county supplements (e.g., arbitration track selection, business court designation, confidential minor name handling) and mirror any required certification language on the official form.]

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