General Civil Case Cover Sheet

Colorado State Courts

General Civil Case Cover Sheet

(Prepared for Use in Colorado District & County Courts)

I. DOCUMENT HEADER

1. Court & Case Caption
   a. Court: District / County Court of Colorado
   b. County: [COUNTY]
   c. Court Address: [COURT STREET, CITY, ZIP]
   d. Telephone: [COURT PHONE]

2. Parties
   • Plaintiff(s): [PLAINTIFF FULL LEGAL NAME]
   • Defendant(s): [DEFENDANT FULL LEGAL NAME]

3. Attorney for Filing Party (if any)
   • Name: [ATTORNEY NAME] (Atty. Reg. No. [BAR NO.])
   • Firm: [LAW FIRM NAME]
   • Address: [FIRM ADDRESS]
   • Phone: [PHONE] | Fax: [FAX] | E-Mail: [EMAIL]

4. Case Number: ________________________
   (Clerk’s office to complete upon filing)

II. STATISTICAL INFORMATION & CASE CATEGORIZATION

Check ONE primary category and ONE sub-category that best describes the principal claim for relief:

A. Torts
☐ Auto Personal Injury   ☐ Premises Liability
☐ Medical Malpractice   ☐ Intentional Tort
☐ Product Liability    ☐ Other Tort _______________

B. Contracts
☐ Commercial   ☐ Consumer Credit
☐ Construction  ☐ Insurance
☐ Landlord–Tenant ☐ Other Contract _______________

C. Real Property
☐ Quiet Title   ☐ Foreclosure
☐ Eminent Domain ☐ Boundary / Easement
☐ Mechanic’s Lien ☐ Other Real Property _________

D. Civil Rights
☐ Employment   ☐ Discrimination
☐ § 1983     ☐ Other Civil Rights _____________

E. Other Civil
☐ Declaratory Judgment ☐ Injunctive Relief Only
☐ Rule 106 Review   ☐ Other Statutory ____________

III. AMOUNT IN CONTROVERSY & PROCEDURAL TRACK SELECTION

1. Monetary Relief Sought:
   • Actual Damages: $ [AMOUNT]
   • Punitive/Exemplary: $ [AMOUNT OR “N/A”]
   • Non-Monetary Relief: [INJUNCTIVE / DECLARATORY / OTHER]

2. C.R.C.P. 16.1 Simplified Procedure
   Pursuant to C.R.C.P. 16.1(a):
   ☐ This case is subject to Simplified Procedure (total damages ≤ $100,000, exclusive of interest & costs).
   ☐ This case is excluded because:
   ☐ Damages exceed $100,000.
   ☐ Party requests jury of six and files written notice per Rule 16.1(d).
   ☐ Other statutory exception (identify): ________________________.

3. Jury Demand
   ☐ Jury of 6   ☐ Jury of 12   ☐ No Jury Demanded

IV. RELATED MATTERS & CONSOLIDATION

1. Identify any related Colorado state or federal cases (by caption, court, and case number):
   _______________________________________________________________

2. ☐ Motion to consolidate will be filed.

V. FILING FEE CALCULATION & PAYMENT INFORMATION

1. Statutory Filing Fee (see C.R.S. § 13-32-101 and Colorado Judicial Branch “Schedule of Fees”):
   • District Court Civil Complaint > $15,000   $ 235.00
   • District Court Civil Complaint ≤ $15,000   $ 85.00
   • County Court Complaint > $15,000     $ 97.00
   • County Court Complaint ≤ $15,000     $ 55.00

2. Method of Payment
   ☐ Cash  ☐ Check  ☐ Money Order  ☐ Credit Card (if accepted)

3. Fee Waiver / Deferral
   ☐ Motion for Waiver of Filing Fee (JDF 205) attached.

VI. SERVICE OF PROCESS INFORMATION

1. Primary Address for Each Defendant for Service:
   • Defendant 1: [ADDRESS]
   • Defendant 2: [ADDRESS]
   [Add additional lines as required]

2. Preferred Manner of Service (check all that apply):
   ☐ Personal  ☐ Waiver & Acceptance  ☐ Certified Mail

VII. CERTIFICATION & SIGNATURE

I, [ATTORNEY / PRO SE PARTY NAME], certify under C.R.C.P. 11 that the information provided on this Civil Case Cover Sheet is complete and accurate to the best of my knowledge. I further certify that this document, along with all required filing fees or fee-waiver documentation, is being filed contemporaneously with the Complaint or initial pleading as required by C.R.C.P. 3(c).

Date: [MM/DD/YYYY]

_________________________________________
Signature

☐ Attorney for Plaintiff  ☐ Pro Se Plaintiff

Print Name: __________________________________
Address: ______________________________________
Phone: _______________________________________
E-Mail: _______________________________________

VIII. CLERK’S OFFICE USE ONLY (Do Not Complete)

• Filing Fee Paid   ☐ YES ☐ NO  Amount: $__________
• Fee Waived / Deferred ☐ YES ☐ NO  Order Date: __________
• Case Category Entered: _______________________
• Case Number Assigned: ________________________
• Initial Division / Room: _______________________

[// GUIDANCE FOR PRACTITIONERS]

1. Attach this cover sheet as the first page behind the caption page of the Complaint.
2. File one cover sheet per new civil action; do not file separate sheets for each party.
3. If additional space is needed for party names or addresses, attach “Exhibit A – Supplemental Party Information” and reference it in the caption.
4. For e-filings via ICCES (Colorado Courts E-Filing), select the correct case class and subclass to ensure automated fee assessment.
5. Retain proof of payment and a time-stamped copy of this sheet for your records; some divisions require production at initial case management.

(End of Template)