STATE OF MICHIGAN

[COUNTY] ____ COURT

GENERAL CIVIL CASE COVER SHEET

(SCAO-Compliant Draft – Rev. [MM/DD/YYYY])

[// GUIDANCE: This template is designed to mirror the structure and informational content of the State Court Administrative Office (“SCAO”)-approved Civil Case Cover Sheet/Case Inventory Addendum currently required under Michigan Court Rules. Practitioners must confirm the most recent SCAO form number, revision date, and filing protocol with the clerk of the specific court before use, as local administrative orders occasionally substitute a “Case Inventory Addendum” for the traditional cover sheet.]

I. DOCUMENT HEADER

1. Court Information
   a. Court Type (check one):
   ☐ Circuit Court  ☐ District Court
   b. Judicial Circuit/District: [_]  c. County: [_]
   d. Court Address: [______]
   e. Court Telephone: ([]) [-____]

2. Caption / Parties
   a. Case No.: [Assigned by Clerk]
   b. Judge: [Assigned by Clerk]
   c. Plaintiff(s): [Name(s) & full contact information]
   d. Defendant(s): [Name(s) & full contact information]

3. Filing Counsel / Self-Represented Litigant
   • Name: [____] Bar No.: P-[_]
   • Firm: [___]
   • Address: [______]
   • Telephone: ([]) [-_] • E-Mail: [________]

4. Related Case Information (if any)
   • Prior/companion case number(s): [____]
   • Judge previously assigned: [___]
   • Explanation of relationship: [_________]

II. DEFINITIONS

For purposes of this Cover Sheet only:
“Court” = the Michigan trial court identified above.
“Party”/“Parties” = all persons or entities listed in Section I.
“Case Type Code” = the two-letter alpha code prescribed by SCAO for categorizing civil actions (e.g., ‘NF’ for No-Fault Automobile, ‘NO’ for Other Civil).
[// GUIDANCE: The current SCAO Case Type Code chart is available at courts.michigan.gov. Always verify codes immediately prior to filing.]

III. OPERATIVE PROVISIONS

1. Case Classification
   a. Case Type Code: [_] (attach additional sheets if multiple codes apply)
   b. Short Case Description: [1-2 sentence synopsis of claims]
   c. Estimated Monetary Relief Sought (if any): $[_]
   d. Non-Monetary Relief Sought (check all that apply):
   ☐ Declaratory ☐ Injunctive ☐ Other: [____]

2. Jury Demand
   ☐ Yes  ☐ No

3. Filing Fee Calculation
   Court Level | Statutory Base Fee | Track Fee (if any)* | Total
   ------------|---------------------|----------------------|---------
   Circuit | $175 | $[] | $[]
   District | $[] | N/A | $[]
   * MCL 600.2529 (Circuit) / MCL 600.8371 (District)
   ** e.g., MCR 2.403 case-evaluation fee or local ADR surcharge
   [// GUIDANCE: Insert “N/A” where a component does not apply to the selected court or case track.]

4. Service of Process
   ☐ Summons form(s) attached  ☐ Alternative service requested

IV. REPRESENTATIONS & WARRANTIES

The undersigned attorney/party certifies:
1. All information provided herein is true, correct, and complete to the best of the signer’s knowledge, information, and belief, formed after reasonable inquiry.
2. The selected Case Type Code accurately reflects the principal subject matter of the complaint or petition.
3. The required filing fee has been tendered or an appropriate fee-waiver request is contemporaneously submitted.

V. COVENANTS & RESTRICTIONS

The filer agrees to:
1. Promptly notify the Court and all Parties of any changes to the information supplied on this Cover Sheet.
2. Supplement this Cover Sheet if additional Parties are added or if the nature of the claims materially changes.

VI. DEFAULT & REMEDIES

Failure to comply with the above representations and covenants may result in:
1. Striking of pleadings, dismissal without prejudice, or other sanctions authorized by MCR 2.115 and MCR 1.109(E).
2. Monetary penalties under MCR 1.109(E)(6) for the filing of documents containing materially false information.

VII. RISK ALLOCATION

[Intentionally Omitted – Not applicable to procedural filing documents.]

VIII. DISPUTE RESOLUTION

Governing procedural rules: Michigan Court Rules (“MCR”), local administrative orders of the filing Court, and any case-specific scheduling or discovery orders subsequently entered.

IX. GENERAL PROVISIONS

1. Amendments – This Cover Sheet may be amended only by filing an updated version and serving all Parties in accordance with MCR 2.107.
2. Integration – This document is intended solely as an administrative filing aid and does not supplement or modify the substantive pleadings.
3. Electronic Signatures – Permitted pursuant to MCR 1.109(E)(4) and the local e-filing standards of the Court.

X. EXECUTION BLOCK

(If self-represented)
| ______
[NAME], Pro Se | [MM/DD/YYYY] |

Notary and/or witness signatures are NOT required for this Cover Sheet under current Michigan Court Rules. Verify any local exceptions.

ATTACHMENT 1 – CASE TYPE CODE QUICK REFERENCE (Abbreviated)

[// GUIDANCE: This abbreviated table is provided for convenience only. Always consult the full SCAO Case Type Code chart to ensure proper selection.]

FILING CHECKLIST

☐ Complaint / Petition
☐ Summons (Circuit: MC 01; District: DC 01)
☐ This Civil Case Cover Sheet (or current SCAO “Case Inventory Addendum”)
☐ Filing Fee (per Section III.3) or Fee-Waiver Application (SCAO Form MC 20)
☐ Additional Local Forms (if any)

FINAL PRACTICE NOTE

Failure to submit a fully completed Cover Sheet may delay case initiation or result in administrative rejection. Confirm acceptance criteria with the clerk’s office prior to filing—especially when e-filing—because electronic portals frequently mandate entry of the Case Type Code before the system will generate a case number.