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CIVIL COVER SHEET

(Pennsylvania Court of Common Pleas)

[// GUIDANCE: Use this as a data-capture worksheet before entering information into the official PDF or e-filing portal. Confirm local county additions (Philadelphia uses a different uniform cover sheet).]

1. CAPTION

text
Court of Common Pleas of [COUNTY] County, Pennsylvania

[PLAINTIFF NAME], : CIVIL ACTION - [LAW/COMMERCE]
Plaintiff : DOCKET NO.: [TBD BY CLERK]
v. :
[DEFENDANT NAME], :
Defendant :

2. CASE TYPE (CHECK ONE PRIMARY)

☐ Contract
☐ Mortgage Foreclosure: Residential Commercial
☐ Judgment / Confession of Judgment
☐ Tort (General)
Motor Vehicle Premises Liability Products Liability Personal Injury Property Damage
☐ Medical / Professional Liability
☐ Business / Commercial / UCC
☐ Real Property (quiet title, ejectment, tax sale)
☐ Employment (discrimination, wage, restrictive covenant)
☐ Other Civil: [DESCRIBE]

3. JURY DEMAND

☐ Jury trial demanded
☐ Non-jury

4. FILING STATUS

☐ Initial filing
☐ Transfer from another county
☐ Appeal from magisterial district court
☐ Petition to Open/Strike Judgment
If arbitration-eligible (42 Pa.C.S. 7361), note county dollar threshold: $[THRESHOLD]

5. PARTY INFORMATION

Plaintiff name/address: [DETAILS]
Defendant name/address: [DETAILS]
Additional parties (attach list if needed).

6. ATTORNEY OR SELF-REPRESENTED PARTY

Attorney Name / PA Bar ID: [NAME], PA ID [NUMBER]
Firm: [LAW FIRM NAME]
Address: [STREET, CITY, STATE ZIP]
Phone/Email: [PHONE] | [EMAIL]
☐ Self-represented (pro se)

7. RELATED CASES / CONSOLIDATION

Related docket numbers (if any): [LIST OR "NONE"]
Prior arbitrations or appeals: [LIST OR "NONE"]
Requested consolidation/coordination: [YES/NO e" DETAILS]

8. MINOR OR INCAPACITATED PARTY

☐ Case involves a minor or incapacitated person (consider initials / sealing where required).

9. AMOUNT IN CONTROVERSY

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

10. SIGNATURE

text
Date: [DATE]

____________________________________
[ATTORNEY NAME], PA ID [NUMBER] / Pro Se
Attorney for [PLAINTIFF/DEFENDANT]
[// GUIDANCE: Confirm whether county requires additional arbitration cover sheet, case type code, commerce program designation, or complex litigation marking.]

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