GENERAL CIVIL CASE COVER SHEET

(State Courts of Louisiana)

[// GUIDANCE: This template is formatted for use in all Louisiana District & Parish Courts. Confirm with the Clerk of Court for any parish-specific addenda before filing.]

I. COURT & DOCKET INFORMATION

II. PARTY & COUNSEL IDENTIFICATION

1. PLAINTIFF(S) / PETITIONER(S)
   • Name: [PLF NAME 1]
   • Address: [PLF ADDRESS 1]
   • Telephone: [ ] • E-Mail: [ ]
   • Attorney of Record: [ATTY NAME 1] (Bar Roll No. [####])
   Firm: [ ] Address: [ ] Tel: [ ] E-Mail: [ ]

2. DEFENDANT(S) / RESPONDENT(S)
   • Name: [DFT NAME 1]
   • Address: [DFT ADDRESS 1]
   • Telephone: [ ] • E-Mail: [ ]
   • Attorney of Record: [ATTY NAME 2] (Bar Roll No. [####])
   Firm: [ ] Address: [ ] Tel: [ ] E-Mail: [ ]

[// GUIDANCE: Insert additional party blocks as required. Number sequentially.]

III. CASE CATEGORY -- CHECK ONE (1) PRIMARY CLASSIFICATION

A. CONTRACT / BUSINESS
☐ 001 Insurance       ☐ 002 Commercial Contract
☐ 003 Consumer Credit   ☐ 004 Construction / Lien
☐ 005 Other Contract (Describe): [ ]

B. INJURY / DAMAGE
☐ 101 Auto Accident    ☐ 102 Premises Liability
☐ 103 Medical Malpractice ☐ 104 Products Liability
☐ 105 Toxic Tort / EPA   ☐ 106 Other Tort (Describe): [ ]

C. REAL PROPERTY
☐ 201 Foreclosure     ☐ 202 Boundary / Possession
☐ 203 Expropriation    ☐ 204 Title / Quiet Title
☐ 205 Other Real Property (Describe): [ ]

D. SUCCESSION / PROBATE / TRUST
☐ 301 Succession     ☐ 302 Interdiction / Tutorship
☐ 303 Trust Administration ☐ 304 Custody of Minor’s Property

E. FAMILY LAW (CIVIL)
☐ 401 Divorce       ☐ 402 Child Custody / Visitation
☐ 403 Support (Child/Spousal) ☐ 404 Protective Order
☐ 405 Community Property   ☐ 406 UIFSA / Interstate

F. OTHER CIVIL
☐ 501 Employment / Labor   ☐ 502 Class Action
☐ 503 Declaratory Judgment  ☐ 504 Administrative Review
☐ 505 Miscellaneous (Describe): [ ]

[// GUIDANCE: Selecting one primary category is mandatory for statistical reporting under Louisiana Supreme Court guidelines. Secondary categories may be noted in Section V.]

IV. RELIEF SOUGHT (Check all that apply)

☐ Monetary Judgment – Amount in Controversy: $ [_]
☐ Non-Monetary / Declaratory   ☐ Injunctive / Protective
☐ Judicial Review / Appeal    ☐ Other: [ ]

V. RELATED OR COMPANION CASES

1. Prior or pending cases involving the same parties, issues, or property:
   • Caption: [ ] • Docket No.: [ ] • Court: [ ]
2. Consolidation requested?   ☐ Yes  ☐ No

VI. JURY DEMAND

☐ Jury trial requested and fee tendered (see Section VIII)
☐ Jury trial NOT requested at this time

VII. CERTIFICATION & SIGNATURE

I, the undersigned attorney (or self-represented litigant), certify that:
1. The information provided herein is true and correct to the best of my knowledge, information, and belief;
2. I have complied with all Louisiana Code of Civil Procedure pleading requirements, including the obligation to make factual contentions and legal arguments in good faith; and
3. I understand that failure to fully and accurately complete this cover sheet may result in delays in the processing of this filing and/or other sanctions authorized by law.

Print Name: [ ] Bar Roll No.: [####]
Firm (if any): [ ]
Address: [ ]
Telephone: [ ] E-Mail: [ ]

VIII. FILING FEE CALCULATION WORKSHEET

[// GUIDANCE: Insert parish-specific fee schedule citations (e.g., Clerk of Court Rules; La. R.S. Title 13) only after verification. The completed worksheet should accompany the filing fee payment instrument.]

IX. CLERK’S OFFICE USE ONLY

Assigned Case Category Code: [ ]
Assigned Judge / Division: [ ]

ATTACHMENTS CHECKLIST (if applicable)

☐ Petition / Complaint
☐ Verification or Affidavit (if required)
☐ Exhibits / Schedules
☐ Proposed Orders
☐ Other: [ ]

[// GUIDANCE: Staple or electronically merge the completed Cover Sheet as the lead page of the filing packet. Do NOT substitute or omit any required parish-specific pages.]

End of Document