General Civil Case Cover Sheet

FLORIDA GENERAL CIVIL CASE COVER SHEET

(Adapted Template – Fla. R. Civ. P. 1.997)

I. DOCUMENT HEADER

IN THE CIRCUIT COURT OF THE ☐ JUDICIAL CIRCUIT
IN AND FOR [___] COUNTY, FLORIDA

Case No.: ___________________________
Division: ___________________________

Plaintiff(s): [PLAINTIFF NAME(S)]
v.
Defendant(s): [DEFENDANT NAME(S)]

______________________________________________________________________________

CIVIL COVER SHEET
______________________________________________________________________________

II. PLAINTIFF INFORMATION

1. Plaintiff(s) (check one):
   ☐ An individual ☐ A business entity ☐ Other: __________

2. Plaintiff’s attorney or self-represented party:
   Name: _________________________ Florida Bar No.: ______________
   Firm: _________________________
   Address: ____________________________________________
   Telephone: (____) _______________
   E-Mail: _____________________________________________

III. DEFENDANT INFORMATION

1. Defendant(s) (check one):
   ☐ An individual ☐ A business entity ☐ Other: __________

2. If more than two defendants, attach additional sheet with identical fields.

IV. TYPE OF CASE (Check only ONE)

A. Condominium
B. Contracts and Indebtedness
C. Eminent Domain
D. Auto Negligence
E. Negligence – Other
☐ Business Governance
☐ Business Torts
☐ Environmental/Toxic Tort
☐ Third-Party Indemnification
☐ Construction Defect
☐ Mass Tort
☐ Negligent Security
☐ Nursing Home Negligence
☐ Premises Liability – Commercial
☐ Premises Liability – Residential
F. Products Liability
G. Real Property/Mortgage Foreclosure
☐ Residential ≤ $50,000
☐ Residential > $50,000 ≤ $250,000
☐ Residential > $250,000
☐ Commercial
☐ Other real property actions
H. Professional Malpractice
☐ Business
☐ Medical
☐ Other professional malpractice
I. Other Civil – (specify) _________________________________________

V. REMEDIES SOUGHT (Check all that apply)

☐ Monetary Amount demanded $ _____________
☐ Non-Monetary Declaratory or Injunctive Relief
☐ Both Monetary and Non-Monetary Relief

VI. COMPLEX BUSINESS LITIGATION

Does this case involve complex litigation as defined in Fla. R. Civ. P. 1.201?
☐ Yes – move to the complex business division if available.
☐ No

VII. RELATED CASE INFORMATION

Is this case related to any pending or previously concluded civil or family case(s) in this circuit or any other Florida court?
☐ Yes
☐ No

If “Yes,” list all related case numbers, style, filing dates, and nature of relationship on an attached “Exhibit A – Related Cases.”

VIII. FEE SCHEDULE & INDIGENCY

1. Total filing fee tendered: $ _____________

2. Indigency status:
   ☐ Application for Determination of Civil Indigent Status attached (Form 1.982).

IX. CERTIFICATION AND SIGNATURE

I, the undersigned attorney or self-represented litigant, hereby certify that: (1) I have examined this cover sheet; (2) the information is true and correct to the best of my knowledge and belief; and (3) I have disclosed all related or prior pending actions as required by Fla. R. Civ. P. 1.110(b).

Date: _________________________

Signature: _________________________________________
Printed Name: ______________________________________
Florida Bar No. (if any): _____________________________

FILING INSTRUCTIONS [// GUIDANCE]

1. This cover sheet must be filed with the initial pleading (complaint, petition, or notice of removal) in every civil action pursuant to Fla. R. Civ. P. 1.997.
2. File electronically via the Florida Courts E-Filing Portal or in paper format if exempt.
3. The clerk will assign a case number and division; leave those fields blank if unknown.
4. Keep a copy of the filed cover sheet for service on all parties.
5. Failure to file a fully completed cover sheet may result in rejection of the pleading or delayed processing.

[END OF TEMPLATE]