General Civil Case Cover Sheet

IDAHO STATE COURTS

GENERAL CIVIL CASE COVER SHEET

(Idaho R. Civ. P. 3(c))

I. COURT & CASE IDENTIFICATION

1. Judicial District: ☐
2. County: ☐
3. Court Division (check one): [___] District Court ☐ Magistrate Division
4. Case No.: [Clerk to assign]
5. Related/Companion Case No(s). (if any): ☐

II. PARTY INFORMATION

A. PLAINTIFF(S) / PETITIONER(S)

1. Legal Name(s): ☐
2. Contact Person/Title (if business entity): ☐
3. Primary Address: [Street, City, State, Zip]
4. Phone: ☐ Email: ☐
5. Attorney of Record: [Name, Firm, Idaho Bar No.]
6. Attorney Contact Info: [Address | Phone | Email]

B. DEFENDANT(S) / RESPONDENT(S)

1. Legal Name(s): ☐
2. Contact Person/Title (if business entity): ☐
3. Primary Address: [Street, City, State, Zip]
4. Phone: ☐ Email: ☐
5. Attorney (if known): [Name, Firm, Idaho Bar No.]

III. FILING TYPE

☐ Original Filing  ☐ Re-Opened Case  ☐ Post-Judgment Motion  ☐ Appeal / Judicial Review

If Post-Judgment: Original Case No. ☐ Date of Original Judgment: ☐

IV. CASE CATEGORY (check one primary category and one sub-category)

A. TORT
☐ Motor Vehicle ☐ Premises Liability ☐ Product Liability ☐ Medical Malpractice
☐ Wrongful Death ☐ Intentional Tort ☐ Other Tort (describe): ☐

B. CONTRACT
☐ Buyer Plaintiff ☐ Debt Collection ☐ Employment ☐ Insurance
☐ Real Estate Contract ☐ UCC/Commercial ☐ Other Contract (describe): ☐

C. REAL PROPERTY
☐ Eminent Domain ☐ Foreclosure ☐ Quiet Title ☐ Landlord/Tenant (Eviction)
☐ Trespass/Nuisance ☐ Partition ☐ Other Real Property (describe): ☐

D. CIVIL APPEAL / REVIEW
☐ Administrative Agency ☐ City/County Decision ☐ Small Claims Appeal ☐ Other Review

E. OTHER CIVIL
☐ Declaratory Judgment ☐ Habeas Corpus ☐ Forfeiture ☐ Writ of Mandate/Prohibition
☐ Foreign Judgment Domestication ☐ Minor Settlement ☐ Post-Conviction Relief
☐ Other (describe): ☐

F. PROBATE / GUARDIANSHIP / TRUST
☐ Guardianship ☐ Conservatorship ☐ Decedent Estate ☐ Trust
☐ Small Estate ☐ Other Probate (describe): ☐

V. RELIEF REQUESTED (check all that apply)

☐ Monetary Damages  Amount Claimed: $[\_\_\_]
☐ Non-Monetary / Equitable Relief  (specify): ☐
☐ Attorney Fees  ☐ Costs  ☐ Jury Trial Demand  ☐ Other: ☐

VI. FEE CALCULATION WORKSHEET

VII. SERVICE INFORMATION

1. Primary Method of Service Anticipated: ☐ Personal ☐ Certified Mail ☐ Publication ☐ Waiver/Acceptance
2. Expected Service Deadline (I.R.C.P. 4(b)): [mm/dd/yyyy]
3. Special Service Instructions / Foreign Service Needed: ☐

VIII. ATTORNEY OR SELF-REPRESENTED PARTY CERTIFICATION

I certify that:

1. The information provided in this Cover Sheet is accurate to the best of my knowledge;
2. This filing complies with Idaho Court Administrative Rules regarding redaction of personal data; and
3. Filing fees shown above are tendered concurrently or an appropriate fee waiver/deferral motion accompanies this filing.

Date: [mm/dd/yyyy]  Signature: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Printed Name: [Name]  Idaho Bar No. (if attorney): ☐

IX. CLERK’S OFFICE USE ONLY

• Verified fee amount: $\_\_\_\_\_\_\_\_\_ Receipt No.: \_\_\_\_\_\_\_\_\_
• Case assigned to Judge: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
• Initials of Clerk: \_\_\_\_ Date Entered: \_\_\_\_/\_\_\_\_/\_\_\_\_\_\_\_\_

End of Idaho General Civil Case Cover Sheet Template