General Civil Case Cover Sheet

MISSOURI CIRCUIT COURT
GENERAL CIVIL CASE COVER SHEET
[COUNTY] CIRCUIT COURT – [DIVISION]

Effective Date: [MM/DD/YYYY]

SECTION 1 – COURT USE ONLY
1.1 Case Number: ____________________________________ (clerk to assign)
1.2 Judge/Division: ___________________________________ (optional; clerk completes)

SECTION 2 – PARTY & ATTORNEY INFORMATION
2.1 PLAINTIFF(S)
 A. Name: [PLAINTIFF 1 FULL LEGAL NAME]
   Address: [STREET, CITY, STATE, ZIP]
   Telephone: [(###) ###-####]
   E-Mail (if applicable): [EMAIL]

B. Additional Plaintiffs? ☐ Yes ☐ No
  

2.2 DEFENDANT(S)
 A. Name: [DEFENDANT 1 FULL LEGAL NAME]
   Address: [STREET, CITY, STATE, ZIP]
   Telephone: [(###) ###-####]
   E-Mail (if applicable): [EMAIL]

B. Additional Defendants? ☐ Yes ☐ No
  

2.3 ATTORNEY FOR PLAINTIFF (Lead Counsel)
 Name/Firm: [ATTORNEY NAME, MO BAR NO.]
 Address: [STREET, CITY, STATE, ZIP]
 Telephone: [(###) ###-####] E-Mail: [EMAIL]
 Fax: [(###) ###-####]

2.4 ATTORNEY FOR DEFENDANT (If Known)
 Name/Firm: [ATTORNEY NAME, MO BAR NO.]
 Address: [STREET, CITY, STATE, ZIP]
 Telephone: [(###) ###-####] E-Mail: [EMAIL]

SECTION 3 – NATURE OF SUIT / CASE CATEGORY (CHECK ONE ONLY)
3.1 CONTRACT
 ☐ Breach of Contract ☐ Note/Negotiable Instrument ☐ Rent & Possession ☐ Unjust Enrichment/Quantum Meruit ☐ Other Contract (specify): _________________________________

3.2 TORT – PERSONAL INJURY/PROPERTY DAMAGE
 ☐ Automobile Accident ☐ Premises Liability ☐ Product Liability ☐ Medical Malpractice ☐ Wrongful Death ☐ Defamation ☐ Other Tort (specify): _________________________________

3.3 EQUITY / OTHER CIVIL ACTIONS
 ☐ Declaratory Judgment ☐ Injunction ☐ Quiet Title ☐ Specific Performance ☐ Replevin ☐ Other Equity (specify): _________________________________

3.4 SPECIAL STATUTORY PROCEEDINGS
 ☐ Mechanic’s Lien ☐ Condemnation/Eminent Domain ☐ Tax Sale Confirmation ☐ Sunshine Law/Open Records ☐ Other Statutory (specify): _________________________________

3.5 ASSOCIATE CIVIL / SMALL CLAIMS
 ☐ Associate Civil (Amount in Controversy ≤ $25,000)
 ☐ Small Claims (Amount in Controversy ≤ $5,000)

SECTION 4 – RELIEF SOUGHT
4.1 Monetary Damages Requested: $ [AMOUNT OR “To Be Determined”]
4.2 Non-Monetary Relief: ☐ Yes ☐ No
 If “Yes,” describe: [INJUNCTIVE RELIEF, DECLARATORY RELIEF, ETC.]

SECTION 5 – JURY TRIAL DEMAND
☐ Demand for Jury Trial is hereby made pursuant to Missouri Rules of Civil Procedure.
☐ No Jury Trial Demanded at this time.

SECTION 6 – RELATED, COMPA- NION, OR PREVIOUSLY-DISMISSED CASES
6.1 Are there any cases presently or previously related to this matter in any Missouri state court?
 ☐ Yes ☐ No
 If “Yes,” list Case No(s). and County/Division: _____________________________________________

SECTION 7 – SERVICE & PROCESS INFORMATION
7.1 Preferred Method of Service for Initial Petition:
 ☐ Summons by Sheriff ☐ Summons by Special Process Server (Name & #): _________________________
 ☐ Certified Mail ☐ Other (specify): ________________

SECTION 8 – FILING FEES & PAYMENT DATA
8.1 Base Filing Fee (Circuit Civil Petition): $ [BASE FEE]
8.2 Service Fee (per defendant or address): $ [SERVICE FEE] × [NUMBER] = $ [SUB-TOTAL]
8.3 Technology/Automation Surcharge: $ [TECH FEE]
8.4 Other Statutory Surcharges (e.g., Law Library, Sheriff Retirement): $ [OTHER FEES]
8.5 Total Fees Remitted with Filing: $ [TOTAL]

Payment Method: ☐ Check No. ________ ☐ Cash ☐ Credit Card ☐ eFiling ACH

SECTION 9 – ATTORNEY SIGNATURE & CERTIFICATION
I certify that the information provided on this Cover Sheet is complete and accurate to the best of my knowledge and that I have served or will serve opposing counsel/parties as required by Missouri Supreme Court Rules and any applicable local rules.

_____________________________ _________________________
[ATTORNEY SIGNATURE] Date

[PRINTED NAME], Mo. Bar No. __________
Counsel for [PLAINTIFF/DEFENDANT]

OPTIONAL ADDENDA
• Addendum 2.1 – Additional Plaintiffs
• Addendum 2.2 – Additional Defendants
• Exhibit A – Fee Calculation Worksheet
• Exhibit B – Special Process Server Nomination & Order