STATE OF ALASKA

[__] JUDICIAL DISTRICT

[SUPERIOR COURT ☐] [ DISTRICT COURT ☐ ]

GENERAL CIVIL CASE COVER SHEET

(Must be filed with every new civil complaint, petition, or appeal. See Alaska R. Civ. P. 3.)

[// GUIDANCE: This template is modeled on Alaska Court System Form CIV-125 but is fully editable for counsel-specific customization. Confirm the current official form requirements prior to filing.]

I. CASE INFORMATION

1. Caption: [Plaintiff(s) Full Legal Name] v. [Defendant(s) Full Legal Name]
2. Trial Court Case No.: _____ (to be completed by Clerk)
3. Type of Filing (check one):
    ☐ Complaint  ☐ Petition  ☐ Appeal  ☐ Other: ____
4. Case Track (Clerk use): ☐ Regular  ☐ Complex  ☐ Fast Track / Rule 26.1

II. PARTY INFORMATION

A. PLAINTIFF(S)
 1. Name: ______
 2. Status: ☐ Individual  ☐ Business Entity  ☐ Government
 3. Alaska Bar No. / Self-Represented I.D.: ___
 4. Mailing Address: ______
 5. Phone: ___ Email: ________

B. DEFENDANT(S)
 (Use “Addendum to Cover Sheet—Additional Parties” if needed)
 1. Name: ______
 2. Status: ☐ Individual  ☐ Business Entity  ☐ Government
 3. Mailing Address: _______
 4. Phone: ___ Email: ________

III. NATURE OF SUIT / CASE CATEGORY

(Check ONE primary and all secondary boxes that apply)

A. TORTS
 ☐ 110 Motor Vehicle (Personal Injury/Property)
 ☐ 120 Premises Liability
 ☐ 130 Product Liability
 ☐ 140 Professional Malpractice
 ☐ 150 Wrongful Death
 ☐ 199 Other Tort (specify): ________

B. CONTRACT / COMMERCIAL
 ☐ 210 Debt Collection
 ☐ 220 Insurance Coverage / Bad Faith
 ☐ 230 Construction / Lien Foreclosure
 ☐ 240 Uniform Commercial Code
 ☐ 299 Other Contract (specify): _____

C. REAL PROPERTY
 ☐ 310 Quiet Title / Ejectment
 ☐ 320 Foreclosure
 ☐ 330 Eminent Domain / Condemnation
 ☐ 399 Other Real Property (specify): _______

D. ADMINISTRATIVE / OTHER CIVIL
 ☐ 410 Administrative Appeal (Agency): _____
 ☐ 420 Declaratory Judgment / Injunctive Relief
 ☐ 430 Civil Rights - 42 U.S.C. § 1983
 ☐ 440 Habeas Corpus / Post-Conviction
 ☐ 499 Misc. Civil (specify): ________

[// GUIDANCE: Alaska’s official case-type codes vary by court location. Insert local codes where the bracket numbers appear above.]

IV. MONETARY DEMAND & RELIEF SOUGHT

1. Amount in Controversy: $ ____ (exclusive of interest & costs)
2. Non-Monetary Relief Requested (check all that apply):
    ☐ Declaratory  ☐ Injunctive  ☐ Specific Performance  ☐ Other: ______
3. Jury Demand: ☐ Yes  ☐ No  (If yes, first jury-trial fee must accompany filing; see fee schedule below.)

V. RELATED CASES / CONSOLIDATION

1. Are there any related or companion cases now pending in any Alaska court?
    ☐ No  ☐ Yes – Case No(s). _______
2. Is consolidation with another action anticipated?
    ☐ No  ☐ Yes – Explain: _________

VI. FILING FEES & STATUTORY EXEMPTIONS

1. Filing Fee Due (Based on Alaska Admin. R. 9): $ ____
2. Exemption / Waiver Claimed:
    ☐ Civil Protective Order ☐ Prisoner Non-Monetary ☐ Approved Fee Waiver (Form TF-920 attached) ☐ Other statutory exemption: _______

[// GUIDANCE: Alaska Admin. R. 9 sets the current civil filing fees. Verify amounts on the date of filing.]

VII. ATTORNEY / REPRESENTATIVE CONTACT

Lead Counsel for Plaintiff: ____ Alaska Bar No. _
Lead Counsel for Defendant (if known): ___ Bar No. __
Service Email Address (per Alaska R. Civ. P. 5.2): ___

VIII. CERTIFICATION & SIGNATURE

I certify that the information provided on this Cover Sheet is accurate to the best of my knowledge and belief, that this filing complies with Alaska R. Civ. P. 11, and that a copy of this Cover Sheet has been served on all parties or their counsel in accordance with Alaska R. Civ. P. 5.

Date: __  Signature: _____
Printed Name: ______
Title/Capacity: ☐ Attorney ☐ Self-Represented Litigant ☐ Other: _

ADDENDUM A – FEE SCHEDULE SNAPSHOT

(For practitioner convenience only. Always consult the most recent version of Alaska Admin. Rule 9 for definitive amounts.)

[// GUIDANCE: Replace figures above with the exact amounts in effect on the date of filing.]

ADDENDUM B – ADDITIONAL PARTIES

(Attach as many additional sheets as necessary to list all plaintiffs, defendants, and their addresses.)

FILING CHECKLIST

☐ Complaint / Petition signed & dated
☐ This Civil Case Cover Sheet completed & signed
☐ Filing fee paid OR Form TF-920 (Request for Exemption/Fee Waiver) attached
☐ Summons prepared for each defendant (CR-125)
☐ Service copies (one per party) provided
☐ Any required confidential information sheet filed separately (CIV-100)

[// GUIDANCE FOR PRACTITIONERS]
1. Electronic Filing: When e-filing, upload this Cover Sheet as the first page of the lead document; do not include it as an exhibit.
2. Venue: Verify that the selected judicial district is proper under AS 22.10.030 and Alaska R. Civ. P. 3(e).
3. Privacy: Redact Social Security numbers, financial account numbers, and minor children’s names per Alaska Admin. R. 37.5.
4. Updates: The Alaska Court System periodically revises case-type codes and filing fees. Always cross-check the most current Administrative Bulletin & fee schedule before filing.
5. Service: Serve a conformed copy of this Cover Sheet with the complaint to facilitate accurate docket coding by the defendant’s counsel.

© [Year] Prepared by [Law Firm / Attorney Name] – All rights reserved.
This template is provided for informational purposes and does not constitute legal advice. Consult the Alaska Rules of Court and local practices for specific filing requirements.