General Civil Case Cover Sheet

IOWA DISTRICT COURT

GENERAL CIVIL CASE COVER SHEET
(Iowa R. Civ. P. 1.301 & Iowa E-Filing Rules § 3.1)

1. COURT & CASE IDENTIFICATION

1.1 County: [COUNTY]
1.2 Judicial District #: [JUDICIAL DISTRICT]
1.3 Case No.: [To be assigned by Clerk]
1.4 Date of Filing: [MM/DD/YYYY]

2. PARTY & ATTORNEY INFORMATION

3. NATURE OF SUIT

Place an “X” in ONE primary category and in all applicable sub-categories.

A. Tort
☐ Personal Injury - Motor Vehicle
☐ Personal Injury - Premises Liability
☐ Personal Injury - Medical Malpractice
☐ Wrongful Death
☐ Defamation
☐ Other Tort: ___________________________

B. Contract
☐ Breach of Written Contract
☐ Breach of Oral Contract
☐ Consumer Credit/Collection
☐ Insurance Coverage
☐ Other Contract: ________________________

C. Real Property
☐ Foreclosure (Residential)
☐ Foreclosure (Commercial)
☐ Quiet Title / Ejectment
☐ Boundary / Easement Dispute
☐ Mechanic’s Lien Enforcement
☐ Other Real Property: _______________

D. Equity / Other Civil
☐ Declaratory Judgment
☐ Injunction / Temporary Restraining Order
☐ Administrative Review (Chapter 17A)
☐ Replevin / Detinue
☐ Habeas Corpus
☐ Other Equity: _______________________

E. Miscellaneous
☐ Foreign Judgment Domestication
☐ Structured Settlement Approval
☐ Forfeiture
☐ Confession of Judgment
☐ Post-Judgment Relief
☐ Other: ______________________________

4. AMOUNT IN CONTROVERSY (if money damages sought)

☐ $0 – $5,000
☐ $5,001 – $30,000
☐ $30,001 – $75,000
☐ Over $75,000
Exact amount claimed (if known): $[AMOUNT]

5. RELIEF REQUESTED (check all that apply)

☐ Monetary Judgment
☐ Injunctive Relief
☐ Declaratory Relief
☐ Specific Performance
☐ Other: ______________________________

6. JURY DEMAND

☐ Jury trial demanded in the Petition (Iowa R. Civ. P. 1.902)
☐ No jury demand at this time

7. RELATED PENDING OR CLOSED IOWA CASES

List case numbers and counties of any cases involving substantially the same parties or issues:
[LIST / “None”]

8. ESTIMATED TRIAL LENGTH

☐ 1 day ☐ 2–3 days ☐ 4–7 days ☐ More than 7 days
Specify: [ESTIMATE]

9. FILING FEE CALCULATION

Statutory docket fee paid pursuant to Iowa Code § 602.8105(1): $[FEE]
☐ Motion fee(s) included (if applicable)
Method of payment: ☐ EFT ☐ Check ☐ Other: ____________

10. CERTIFICATION & SIGNATURE

I certify that the information provided on this Civil Case Cover Sheet is complete and accurate to the best of my knowledge and that this filing complies with Iowa Court Rules concerning personal privacy in court filings.

FILING INSTRUCTIONS (DO NOT FILE WITH THE COURT)

1. Review for completeness; incomplete cover sheets may delay docketing.
2. Save as a separate PDF titled “Cover Sheet.”
3. Upload as the first document in your e-filing envelope.
4. Retain the original executed document in your file for potential audit.