General Civil Case Cover Sheet

GENERAL CIVIL CASE COVER SHEET

State of Louisiana — District Courts

(Louisiana Civil Case Reporting Form per La. R.S. 13:4688 and La. Supreme Court Rule G, Section 13)

FILING REQUIREMENT NOTICE: Pursuant to La. R.S. 13:4688 and Louisiana Supreme Court General Administrative Rule, Part G, Section 13, a completed Civil Case Reporting Form must be submitted with the original petition filed in any civil action in Louisiana district court. This form must be completed by counsel for the petitioner, counsel's authorized representative, or by the self-represented litigant. Effective January 1, 2026, all attorneys must file electronically in Louisiana state district courts — fax and mail filing are no longer permitted for attorneys. In-person and court courier filing remain available.

I. COURT AND CASE CAPTION

STATE OF LOUISIANA

PARISH OF [________________________________]

[________________________________] JUDICIAL DISTRICT COURT

DIVISION [____]

II. FILER IDENTITY AND CAPACITY

☐ Attorney for Petitioner/Plaintiff
☐ Attorney for Defendant/Respondent (filing reconventional demand or cross-claim)
☐ Self-Represented Petitioner/Plaintiff
☐ Self-Represented Defendant/Respondent

III. PARTY INFORMATION

A. Petitioner(s) / Plaintiff(s)

(Attach additional pages if more than three petitioners/plaintiffs)

B. Defendant(s) / Respondent(s)

(Attach additional pages if more than three defendants/respondents)

IV. ATTORNEY INFORMATION

A. Attorney for Petitioner/Plaintiff

B. Attorney for Defendant/Respondent (if known at time of filing)

Note: Self-represented litigants should enter "Pro Se" in the Attorney Name field and provide their own contact information.

V. CASE TYPE CODES — SELECT ONE PRIMARY CLASSIFICATION

(Per La. Supreme Court Rule G, Section 13 and La. R.S. 13:4688. Check exactly one primary category that best describes the dominant claim in this proceeding.)

A. TORT / PERSONAL INJURY / PROPERTY DAMAGE

☐ T-01 — Motor Vehicle Accident (including motorcycle, truck, and pedestrian)
☐ T-02 — Premises Liability / Slip and Fall
☐ T-03 — Medical Malpractice (subject to La. R.S. 40:1231.1 et seq. Medical Malpractice Act)
☐ T-04 — Legal Malpractice
☐ T-05 — Products Liability (La. R.S. 9:2800.51 et seq.)
☐ T-06 — Wrongful Death (La. Civ. Code art. 2315.2)
☐ T-07 — Toxic Tort / Environmental
☐ T-08 — Maritime / Jones Act (state court jurisdiction)
☐ T-09 — Assault / Battery
☐ T-10 — Defamation / Libel / Slander
☐ T-11 — Other Tort / Delictual Action (Describe): [________________________________]

B. CONTRACT / BUSINESS

☐ C-01 — Breach of Contract (Written)
☐ C-02 — Breach of Contract (Oral)
☐ C-03 — Insurance Dispute / Coverage / Bad Faith
☐ C-04 — Consumer Credit / Lending
☐ C-05 — Construction Contract / Lien (Private Works Act — La. R.S. 9:4801 et seq.)
☐ C-06 — Commercial / U.C.C. (La. R.S. 10:1-101 et seq.)
☐ C-07 — Lease Dispute (Residential or Commercial)
☐ C-08 — Open Account / Account Stated
☐ C-09 — Other Contract (Describe): [________________________________]

C. REAL PROPERTY

☐ R-01 — Foreclosure (Executory Process — La. Code Civ. Proc. art. 2631 et seq.)
☐ R-02 — Foreclosure (Ordinary Process)
☐ R-03 — Boundary Dispute (La. Civ. Code art. 784 et seq.)
☐ R-04 — Possession / Possessory Action (La. Code Civ. Proc. art. 3655 et seq.)
☐ R-05 — Petitory Action / Title Dispute (La. Code Civ. Proc. art. 3651 et seq.)
☐ R-06 — Expropriation / Eminent Domain
☐ R-07 — Eviction / Rule to Show Cause (La. Code Civ. Proc. art. 4701 et seq.)
☐ R-08 — Concursus Proceeding
☐ R-09 — Other Real Property (Describe): [________________________________]

D. SUCCESSION / PROBATE / TRUST

☐ S-01 — Succession — Testate (La. Code Civ. Proc. art. 2811 et seq.)
☐ S-02 — Succession — Intestate (La. Code Civ. Proc. art. 2811 et seq.)
☐ S-03 — Interdiction (La. Code Civ. Proc. art. 4541 et seq.)
☐ S-04 — Tutorship / Curatorship (La. Civ. Code art. 246 et seq.)
☐ S-05 — Trust Administration
☐ S-06 — Custody of Minor's Property
☐ S-07 — Other Succession / Probate (Describe): [________________________________]

E. FAMILY LAW (CIVIL)

☐ F-01 — Divorce (La. Civ. Code art. 102)
☐ F-02 — Divorce (La. Civ. Code art. 103)
☐ F-03 — Child Custody / Visitation (La. R.S. 9:335 et seq.)
☐ F-04 — Child Support / Spousal Support
☐ F-05 — Protective Order (La. R.S. 46:2131 et seq.)
☐ F-06 — Community Property Partition (La. R.S. 9:2801)
☐ F-07 — UIFSA / Interstate Support (La. R.S. 13:1651 et seq.)
☐ F-08 — Paternity / Filiation
☐ F-09 — Adoption (La. Ch.C. art. 1170 et seq.)
☐ F-10 — Other Family Law (Describe): [________________________________]

F. WORKERS' COMPENSATION

☐ W-01 — Disputed Claim for Compensation (La. R.S. 23:1021 et seq.)
☐ W-02 — Medical Treatment Dispute
☐ W-03 — Penalties and Attorney Fees
☐ W-04 — Other Workers' Compensation (Describe): [________________________________]

G. OTHER CIVIL

☐ O-01 — Employment / Labor Dispute
☐ O-02 — Class Action (La. Code Civ. Proc. art. 591 et seq.)
☐ O-03 — Declaratory Judgment (La. Code Civ. Proc. art. 1871 et seq.)
☐ O-04 — Injunctive Relief (La. Code Civ. Proc. art. 3601 et seq.)
☐ O-05 — Administrative / Judicial Review
☐ O-06 — Election Contest
☐ O-07 — Quo Warranto
☐ O-08 — Foreign Judgment Domestication (La. R.S. 13:4241 et seq.)
☐ O-09 — Small Claims Appeal
☐ O-10 — Miscellaneous Civil (Describe): [________________________________]

VI. MANNER OF FILING

☐ Initial Petition / Complaint
☐ Reconventional Demand (Counterclaim)
☐ Cross-Claim
☐ Third-Party Demand (La. Code Civ. Proc. art. 1111)
☐ Intervention (La. Code Civ. Proc. art. 1091)
☐ Supplemental / Amending Petition
☐ Other (Describe): [________________________________]

VII. AMOUNT IN CONTROVERSY

(Per La. Code Civ. Proc. art. 893, in suits for personal injury the petition shall not specify the monetary amount of damages sought. Indicate the applicable range below.)

☐ Under $5,000
☐ $5,001 – $10,000
☐ $10,001 – $25,000
☐ $25,001 – $50,000
☐ $50,001 – $75,000
☐ Over $75,000
☐ Non-monetary relief only
☐ Amount not determinable at this time

Exact amount claimed (if liquidated and permitted by law): $ [________________________________]

VIII. RELIEF SOUGHT

(Check all that apply)

☐ Monetary Damages (Compensatory)
☐ Monetary Damages (Punitive — where authorized, e.g., La. Civ. Code art. 2315.4)
☐ Specific Performance
☐ Injunctive Relief (Temporary Restraining Order / Preliminary Injunction / Permanent Injunction)
☐ Declaratory Judgment
☐ Judicial Review / Administrative Appeal
☐ Writ of Mandamus / Quo Warranto
☐ Other (Describe): [________________________________]

IX. JURY DEMAND

☐ Jury trial requested and jury bond tendered (La. Code Civ. Proc. art. 1733)
☐ Jury trial NOT requested at this time

Practice Note: Under La. Code Civ. Proc. art. 1733, a party must file a written jury demand and post a jury bond not later than the time for filing an answer or responsive pleading. The bond amount is set by the court but shall not be less than the amount prescribed by local rule.

X. SERVICE OF PROCESS INFORMATION

A. Method of Service Requested

☐ Personal Service by Sheriff (La. Code Civ. Proc. art. 1231 et seq.)
☐ Domiciliary Service (La. Code Civ. Proc. art. 1234)
☐ Long-Arm Service (La. R.S. 13:3201 et seq.)
☐ Service by Certified Mail (where authorized)
☐ Service by Private Process Server (where authorized by local rule)
☐ Service by Publication (La. Code Civ. Proc. art. 1261 et seq.)
☐ Waiver of Service
☐ Other (Describe): [________________________________]

B. Number of Defendants to Be Served: [____]

C. Service Address(es)

XI. RELATED OR COMPANION CASES

1. Are there any related, previously filed, or companion cases involving the same parties, issues, or property in any Louisiana court?

☐ Yes ☐ No

2. If "Yes," provide the following:

3. Is consolidation being requested? ☐ Yes ☐ No

XII. FILING FEES

(Filing fees are governed by La. R.S. 13:841 et seq. and vary by parish. Confirm current amounts with the Clerk of Court before tendering payment.)

Method of Payment:
☐ Cash ☐ Check ☐ Money Order ☐ Credit/Debit Card ☐ E-Payment ☐ In Forma Pauperis (IFP — La. Code Civ. Proc. art. 5181 et seq.)

Note: If filing IFP, attach verified pauper affidavit and order. The court may defer, waive, or require partial payment of fees.

XIII. ELECTRONIC FILING COMPLIANCE

(Effective January 1, 2026, per Louisiana Supreme Court order, attorneys are required to file electronically in all state district courts.)

☐ This filing is submitted electronically through the approved e-filing portal
☐ This filing is submitted in person (self-represented litigant or permitted exception)
☐ This filing is submitted via court courier (where authorized)

E-Filing Confirmation Number (if applicable): [________________________________]

Important: Pursuant to the Louisiana Supreme Court's December 22, 2025 order (effective January 1, 2026), fax and mail filings are no longer accepted in Louisiana state district courts for civil or criminal matters. Attorneys must file electronically, in person, or through a court courier.

XIV. CERTIFICATION AND SIGNATURE

I, the undersigned attorney or self-represented litigant, certify that:

1. The information provided on this Civil Case Reporting Form is true and correct to the best of my knowledge, information, and belief formed after reasonable inquiry;

2. I have complied with all Louisiana Code of Civil Procedure pleading requirements, including the obligation under La. Code Civ. Proc. art. 863 to make factual contentions and legal arguments in good faith and after reasonable inquiry;

3. I understand that this form is required for docket administration and statistical reporting purposes pursuant to La. R.S. 13:4688 and La. Supreme Court Rule G, Section 13;

4. I understand that failure to fully and accurately complete this form may result in delays in the processing of this filing and/or sanctions authorized by law; and

5. A copy of this form will be served upon all parties concurrently with the initiating pleading.

XV. CLERK'S OFFICE USE ONLY

(Do not write below this line)

XVI. ATTACHMENTS CHECKLIST

☐ Original Petition / Complaint
☐ Verification or Affidavit (if required)
☐ Exhibits / Schedules
☐ Proposed Orders
☐ Citation(s) / Summons(es)
☐ Lis Pendens (if applicable — La. Code Civ. Proc. art. 3751 et seq.)
☐ In Forma Pauperis Affidavit (if applicable)
☐ Medical Malpractice Review Panel Opinion (if applicable — La. R.S. 40:1231.8)
☐ Other: [________________________________]

XVII. PRACTICE TIPS FOR LOUISIANA CIVIL FILINGS

1. Venue: Verify venue requirements under La. Code Civ. Proc. art. 41 et seq. before selecting the parish and district court for filing.

2. Prescriptive Periods: Louisiana uses "prescription" rather than "statutes of limitation." For delictual (tort) causes of action accruing on or after July 1, 2024, the prescriptive period is two years under La. Civ. Code art. 3493.1 (enacted by Acts 2024, No. 423; former art. 3492's 1-year period was repealed). For causes accruing before July 1, 2024, the former 1-year period under repealed art. 3492 still applies. Contractual prescription is generally ten years (La. Civ. Code art. 3499).

3. Medical Malpractice: Claims against qualified healthcare providers must first be submitted to a medical review panel under the Louisiana Medical Malpractice Act (La. R.S. 40:1231.1 et seq.) before filing suit in district court.

4. Personal Injury Pleading: Under La. Code Civ. Proc. art. 893, petitions for personal injury damages shall not allege a specific monetary amount. Use the range categories in Section VII above.

5. Service Deadlines: Under La. R.S. 13:5107(D), service must be requested within 90 days after commencement of the action, or the action may be dismissed without prejudice.

6. Jury Demand Timing: A jury demand and bond must be filed no later than the time for filing an answer or responsive pleading (La. Code Civ. Proc. art. 1733). Failure to timely demand a jury constitutes a waiver.

7. Parish-Specific Requirements: Many parishes have adopted local rules that supplement statewide requirements. Always check with the Clerk of Court for any parish-specific addenda, supplemental forms, or local filing procedures before submission.

8. Electronic Filing: As of January 1, 2026, attorneys must file electronically in all Louisiana state district courts. Register with the approved e-filing portal and verify compliance with all digital formatting requirements.

XVIII. SOURCES AND REFERENCES

• Louisiana Revised Statutes, Title 13, Section 4688 — Civil Case Reporting Requirements
• Louisiana Supreme Court General Administrative Rules, Part G, Section 13 — Civil Case Reporting Form
• Louisiana Code of Civil Procedure, Articles 253, 863, 891, 893, 1091, 1111, 1231–1234, 1261, 1733, 2631, 3601, 3651, 3655, 3751, 4541, 4701, 5181
• Louisiana Civil Code, Articles 246, 784, 2315.2, 2315.4, 3493.1 (delictual prescription — 2 years, eff. 7/1/2024; replaces repealed art. 3492), 3499
• Louisiana Revised Statutes 9:2800.51 et seq. (Products Liability Act)
• Louisiana Revised Statutes 9:4801 et seq. (Private Works Act)
• Louisiana Revised Statutes 13:841–842 (Clerk of Court Fees)
• Louisiana Revised Statutes 13:3201 et seq. (Long-Arm Statute)
• Louisiana Revised Statutes 13:4241 et seq. (Uniform Enforcement of Foreign Judgments Act)
• Louisiana Revised Statutes 40:1231.1 et seq. (Medical Malpractice Act)
• Louisiana Supreme Court Order (December 22, 2025) — Electronic Filing Mandate
• Louisiana Supreme Court website: https://www.lasc.org
• Individual Parish Clerk of Court websites for local fee schedules and forms

End of Louisiana General Civil Case Cover Sheet Template