FLORIDA GENERAL CIVIL CASE COVER SHEET

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

[// GUIDANCE: This template tracks the mandatory civil cover sheet promulgated by the Supreme Court of Florida (Rule 1.997, Fla. R. Civ. P.). It is formatted for easy completion in Microsoft Word or a compatible word-processing program. All bracketed, highlighted text must be customized before filing. Remove all guidance comments prior to submission.]

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: ______

[// GUIDANCE: Florida’s e-Filing Portal requires at least one e-mail address for service under Fla. R. Jud. Admin. 2.516.]

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) ___________

[// GUIDANCE: If the action falls under Fla. R. Civ. P. 1.201 (Complex Litigation), also mark Section VI.]

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

[// GUIDANCE: A “Yes” selection requires simultaneous filing of a Motion to Designate as Complex and payment of the additional filing fee, if applicable. See Fla. R. Civ. P. 1.201(a) & (e).]

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: $ _______
   [// GUIDANCE: Circuit-civil filing fees are governed by § 28.241(1)(a), Fla. Stat. (base fee up to $400, plus service charges). County-civil fees follow § 34.041, Fla. Stat. Verify with the Clerk’s current schedule.]

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]