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

Effective Date: [MM/DD/YYYY]

[// GUIDANCE: This template tracks the currently published Missouri “Civil Case Filing Information Sheet” (often referenced by clerks as the “CCF Sheet”). Confirm with the clerk of the specific circuit that no local form has superseded or supplemented the statewide version.]

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
   [// GUIDANCE: Attach “Addendum 2.1” for additional parties.]

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
   [// GUIDANCE: Attach “Addendum 2.2” for additional parties.]

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)

[// GUIDANCE: Filing in the wrong category can delay service and incur additional fees. Verify with the clerk when the claim straddles monetary thresholds.]

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.

[// GUIDANCE: A jury demand must ordinarily be filed not later than ten (10) days after service of the last pleading directed to the issue, unless local rule provides otherwise.]

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): _______

[// GUIDANCE: If using a special process server, attach the motion/nomination and proposed order as required by local rule.]

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

[// GUIDANCE: Missouri filing fees vary by circuit, case type, and number of parties to be served. Verify the current schedule under §§ 483.500–483.565 RSMo or the local court’s published fee chart before tendering payment.]

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

[// GUIDANCE: File this Cover Sheet contemporaneously with the originating Petition/Complaint. An incomplete or incorrect Cover Sheet may result in rejection of the filing or delay in issuance of summons.]