Indiana State Court

General Civil Case Cover Sheet

(Template – For Use in All 92 Indiana Counties)

[// GUIDANCE: This template is modeled on current Indiana statewide e-filing and trial-court practice requirements. Always confirm county-specific formatting, electronic filing conventions, and the latest fee schedule before filing.]

1. Caption / Court Identification

2. Parties & Counsel

2.1 Plaintiff(s)

[Add rows as necessary]

2.2 Defendant(s)

[// GUIDANCE: If any party is pro se, insert “Self-Represented” under Attorney column.]

3. Filing Basis

Check ONE:
☐ Original Filing     
☐ Reopened Case (Post-Judgment)  
☐ Subsequent / Post-Disposition Filing

4. Case Category & Code (Indiana Administrative Rule 8 & Case Type Chart)

Mark the single most appropriate category:

Tort
☐ CT – Civil Tort (e.g., negligence, personal injury)
☐ EV – Eviction
☐ TP – Tort-Other/Property Damage

Contract / Commercial
☐ CC – Collection
☐ MF – Mortgage Foreclosure
☐ PL – Civil Plenary (contract dispute > $6,000)
☐ SC – Small Claim (≤ $6,000)

Domestic Relations (non-confidential)
☐ DN – Domestic Relations w/o Children
☐ DC – Domestic Relations w/ Children
☐ RS – Reciprocal Support

Other Civil
☐ MI – Miscellaneous Civil
☐ PO – Protection Order
☐ AD – Adoption
☐ MH – Mental Health Commitment
☐ XP – Expungement

[// GUIDANCE: List is condensed to the most frequently used civil codes. Insert additional two-letter codes from the “Indiana Case Type Chart” when necessary.]

5. Amount in Controversy (if Monetary Relief Sought)

Total damages claimed: $[____] (exclusive of interest, costs, and attorney fees)

Jury Trial Demanded?  ☐ Yes  ☐ No

6. Related & Companion Cases

1. Prior / pending cases involving the same parties or related claims:
   Case No. [___] Court [__] Status [____]
2. Protective order, criminal, or juvenile matters associated with this civil action?
   ☐ Yes  ☐ No  If Yes, describe: [_______]

7. Filing Fees & Financial Information

*If a fee-waiver (pauper) petition is submitted, attach Form 31-A or local equivalent.
†Certified mail rate; Sheriff’s service varies by county.

[// GUIDANCE: Confirm current figures in Indiana Code §§ 33-37-4 & 33-37-5 and the county clerk’s publicly posted schedule.]

8. Attorney Certification & Signature

I certify that:
1. The information contained in this Cover Sheet is true and correct to the best of my knowledge;
2. This filing complies with the provisions of Trial Rule 5(G) regarding exclusion of confidential information; and
3. A copy of this Cover Sheet will be served on all parties contemporaneously with the initial pleading.

9. Clerk’s Office Use Only

Filing Checklist

☐ Civil Complaint / Petition (separate pleading)
☐ Appearance Form (Indiana Rules of Trial Procedure, Form #49)
☐ Summons(es)
☐ Proposed Order (if required)
☐ This Civil Case Cover Sheet
☐ Filing Fee OR Fee‐Waiver Petition
☐ Confidential Information Sheet (if applicable)

[// GUIDANCE: Many Indiana counties require e-filers to upload documents in a specific envelope order. Confirm local e-filing protocol, especially for motions for protective order or records under Administrative Rule 9(G).]

Important Notices

1. Purpose: This Cover Sheet assists the Clerk in assigning the correct case-type code, assessing statutory fees, and ensuring compliance with Indiana Administrative Rule 8.
2. Confidential Data: Do not include Social Security numbers, full account numbers, or any information restricted by Admin. Rule 9.
3. Service: The filing party is responsible for effecting service of process in conformity with Trial Rules 4–4.17.
4. Updates: Fee amounts and case-type codes are subject to legislative change. Always verify current law before filing.

[// GUIDANCE: This template is provided for drafting convenience and does not constitute legal advice. Adapt as necessary for county-specific rules, specialized dockets (e.g., Commercial Court), and updated statutory requirements.]