General Civil Case Cover Sheet
JD–CV–___ (Proposed)
STATE OF CONNECTICUT
SUPERIOR COURT – GENERAL CIVIL CASE COVER SHEET
I. COURT & DOCKET INFORMATION
| Field | Entry |
|---|---|
| Judicial District / Geographic Area | [JUDICIAL DISTRICT OR G.A. NUMBER & NAME] |
| Address of Court | [COURTHOUSE STREET ADDRESS, CITY, ZIP] |
| Docket Number | (To be assigned by Clerk) |
| Return Date | [MM/DD/YYYY] |
II. PARTY INFORMATION
A. Plaintiff(s)
- Name: [PLAINTIFF FULL LEGAL NAME]
- Entity Type: [INDIVIDUAL / CORPORATION / LLC / ETC.]
- Address: [STREET, CITY, STATE, ZIP]
- Telephone / E-Mail: [(###) ###-####] / [EMAIL]
B. Defendant(s)
- Name: [DEFENDANT FULL LEGAL NAME]
- Entity Type: [INDIVIDUAL / CORPORATION / LLC / ETC.]
- Address: [STREET, CITY, STATE, ZIP]
- Telephone / E-Mail: [(###) ###-####] / [EMAIL]
III. CASE CLASSIFICATION
| Item | Entry |
|---|---|
| Major Case Type Code | [T – TORT / P – PROPERTY / M – MISC. / F – FAMILY / W – WRIT, ETC.] |
| Minor Case Type Code | [e.g., T12 – PREMISES LIABILITY; P01 – FORECLOSURE] |
| Short Title (per Practice Book § 10-21) | “[PLAINTIFF LAST NAME] v. [DEFENDANT LAST NAME]” |
| Claim for Jury | ☐ Yes ☐ No |
| Relief Sought (check all that apply) | ☐ Monetary Damages ☐ Equitable / Injunctive ☐ Declaratory ☐ Other: [DESCRIBE] |
IV. AMOUNT IN DEMAND
- ☐ Amount exceeds $15,000 (exclusive of interest and costs)
- ☐ Amount is $15,000 or less
- ☐ Non-monetary relief only
V. STATUTORY OR SPECIAL PROCEEDINGS (IF APPLICABLE)
| Statute / Rule Invoked | Description / Citation | ☐ Check if Applicable |
|---|---|---|
| prejudgment remedy | Conn. Gen. Stat. § 52-278a et seq. | [___] |
| expedited process | [INSERT] | [___] |
| administrative appeal | Conn. Gen. Stat. ch. 54 | [___] |
| other | [INSERT] | [___] |
VI. FILING FEE CALCULATION
| Fee Category | Amount (as of [DATE]) |
|---|---|
| Civil Entry Fee | $[360.00]* |
| Motion to Open/Jury Claim (if claimed) | $[125.00] |
| Additional Statutory Surcharges | $[10.00] |
| Total Due to Clerk at Filing | $[495.00] |
*Fee amounts reflect the Connecticut Judicial Branch schedule in effect [MONTH, YEAR]; verify current fees at the time of filing.
VII. ATTORNEY OR SELF-REPRESENTED APPEARANCE
| Field | Entry |
|---|---|
| Counsel / Pro Se | [ATTORNEY NAME / SELF-REPRESENTED] |
| Juris No. | [ATTORNEY JURIS NUMBER] |
| Firm Name | [LAW FIRM NAME] |
| Mailing Address | [STREET, CITY, STATE, ZIP] |
| Phone | [(###) ###-####] |
| E-mail (required by P.B. § 10-13) | [EMAIL ADDRESS] |
☐ I am entering an appearance for the Plaintiff(s).
☐ I am entering an appearance for the Defendant(s).
VIII. CERTIFICATION
I certify that a copy of this Civil Case Cover Sheet and the accompanying complaint or other initiating pleading was or will be served in compliance with Connecticut Practice Book §§ 10-12 and 10-13.
| Signature | Date | Printed Name |
|---|---|---|
| _______________________________ | ___________ | __________________________ |
IX. CLERK’S OFFICE USE ONLY
| Data Entry Verified By | Date | Fee Paid | Receipt No. |
|---|---|---|---|
| _______________________ | ______ | $________ | __________ |
END OF TEMPLATE
About This Template
These are the filings that drive a lawsuit through the system: complaints, answers, motions, briefs, discovery requests and responses, and post-judgment papers. Each has its own format requirements under federal and state procedural rules, and each has a deadline that cannot be missed without consequences. Clean, procedurally correct filings move a case forward; sloppy ones invite motions to strike, amended responses, and avoidable delays.
Important Notice
This template is provided for informational purposes. It is not legal advice. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Last updated: April 2026