CIVIL COVER SHEET

(Washington Superior Court — Civil Case Information Cover Sheet intake)

[// GUIDANCE: This is an intake worksheet; mirror your county’s CICS. Confirm the case type code (SCOMIS) and any local cover sheet variant before filing.]

1. CAPTION

text
SUPERIOR COURT OF WASHINGTON
COUNTY OF [COUNTY]

[PLAINTIFF NAME], Plaintiff
v. Case No.: [TBD BY CLERK]
[DEFENDANT NAME], Defendant

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], WA Bar [NUMBER]
• Firm: [LAW FIRM NAME]
• Address: [STREET, CITY, STATE ZIP]
• Phone/Email: [PHONE] | [EMAIL]
• ☐ Self-represented (Pro Se)

4. CASE TYPE (CICS/SCOMIS) - SELECT PRIMARY

• Contract / Commercial (e.g., COL/COM codes)
• ☐ Debt / Collection / Contract
• ☐ Commercial / Business Dispute
• ☐ Insurance / Bad Faith
• ☐ Construction / Lien / Bond
• Property (e.g., PTR codes)
• ☐ Foreclosure
• ☐ Quiet Title / Boundary / Easement
• ☐ Landlord/Tenant / Unlawful Detainer / Ejectment
• Torts (e.g., TTO, TTH, TMV codes)
• ☐ Motor Vehicle
• ☐ Premises Liability
• ☐ Other Personal Injury / Property Damage
• ☐ Products Liability
• ☐ Professional Liability (medical/legal/other)
• Appeals / Review
• ☐ RALJ / Appeal from Court of Limited Jurisdiction
• ☐ Administrative Law Review
• Other Civil
• ☐ Declaratory / Injunctive / Other Civil: [DESCRIBE]
• Local case category/code (SCOMIS / county CICS): [CODE/TEXT]
  [// GUIDANCE: Probate/guardianship and domestic matters often use separate cover sheets—use the required form for those filings.]

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], WA Bar [NUMBER] / Pro Se
Attorney for [PLAINTIFF/DEFENDANT]
[// GUIDANCE: Confirm any county supplements (e.g., arbitration track selection, business court designation, minor-name confidentiality).]