Mississippi State Courts
General Civil Case Cover Sheet
[// GUIDANCE: Court clerks will commonly refer to this document as the “Civil Case Filing Form.” It must accompany every new complaint or petition filed in a Mississippi Circuit, County, or Chancery Court.]

SECTION A · COURT & BASIC CASE INFORMATION
1. Court: ☐ Circuit Court ☐ County Court ☐ Chancery Court
2. County of Filing: ____
3. Judicial District (if applicable): __
4. Civil Action Number: ___ (Assigned by Clerk)
5. Style of Case: _____ v. ______
6. Filing Date: _ / _ / ___ (mm/dd/yyyy)

SECTION B · CASE CATEGORY / NATURE-OF-SUIT DESIGNATION
[// GUIDANCE: Select ONLY ONE primary category and check all sub-categories that apply. These codes track the Mississippi Administrative Office of Courts (AOC) uniform case-type codes. Confirm the most current list on the AOC website before filing.]

A. Contract / Business Disputes
 ☐ 0201 Account & Demand
 ☐ 0205 Breach of Contract (General)
 ☐ 0210 Insurance Coverage / Bad Faith
 ☐ 0215 Commercial/Business Tort

B. Real Property
 ☐ 0401 Eminent Domain / Condemnation
 ☐ 0405 Quiet Title / Ejectment
 ☐ 0410 Boundary / Easement Dispute
 ☐ 0415 Landlord–Tenant (Civil)

C. Torts
 ☐ 0601 Personal Injury – Automobile
 ☐ 0605 Personal Injury – Premises Liability
 ☐ 0610 Product Liability
 ☐ 0615 Wrongful Death
 ☐ 0620 Medical Malpractice
 ☐ 0625 Other Professional Negligence

D. Domestic Relations (Chancery Only)
 ☐ 0801 Divorce – Irreconcilable Differences
 ☐ 0805 Divorce – Fault Grounds
 ☐ 0810 Child Custody / Visitation
 ☐ 0815 Child Support / UIFSA
 ☐ 0820 Adoption / Termination of Parental Rights

E. Civil Appeals / Reviews
 ☐ 1001 Administrative Agency Appeal
 ☐ 1005 Justice / Municipal Court Appeal
 ☐ 1010 Election Contest

F. Miscellaneous Civil
 ☐ 1201 Declaratory Judgment
 ☐ 1205 Injunction / TRO
 ☐ 1210 Other Civil (Specify): ______

SECTION C · RELIEF DEMANDED & JURY ELECTION
1. Monetary Relief Sought: ☐ None ☐ Under $75,000 ☐ $75,000–$500,000 ☐ Over $500,000
2. Non-Monetary Relief Sought: ☐ Declaratory ☐ Injunctive ☐ Other: ________
3. Jury Demand: ☐ Yes ☐ No  If “Yes,” jury fee paid: ☐ Yes ☐ No

SECTION D · PLAINTIFF INFORMATION
Primary Plaintiff’s Name: _______
Individual ☐  Entity ☐ (Type): __
Address: _________
Phone: (_) ____ Email: ________
If additional plaintiffs, attach “Schedule 1 – Additional Plaintiffs.”

SECTION E · DEFENDANT INFORMATION
Primary Defendant’s Name: ______
Individual ☐  Entity ☐ (Type): ___
Address (if known): ________
Phone: (__) ____ Email: ______
If additional defendants, attach “Schedule 2 – Additional Defendants.”

SECTION F · ATTORNEY OR PRO SE FILER
1. Filing Party Is: ☐ Represented by Counsel  ☐ Appearing Pro Se
2. Attorney of Record (if any): ______
 MS Bar No.: ___ Firm: ____
 Address: __________
 Phone: (__) ___ Fax: (_) __
 Email (mandatory for MEC-registered users): ________

SECTION G · RELATED OR COMPANION CASES
1. Do related cases exist in any Mississippi state or federal court? ☐ Yes ☐ No
2. If “Yes,” list case name(s), number(s), and court(s):

[// GUIDANCE: “Related” means arising out of the same transaction/occurrence, involving identical parties, or requiring consolidation for efficient adjudication.]

SECTION H · ESTIMATED TRIAL INFORMATION
1. Estimated Length of Trial: _ Days
2. Anticipated Number of Expert Witnesses: _
3. Case Complexity: ☐ Routine ☐ Moderate ☐ Complex (multistate, class, etc.)

SECTION I · MANDATORY FILER CERTIFICATIONS
By signing below, the undersigned certifies that:
(a) The information provided on this Cover Sheet is complete and accurate to the best of my knowledge, information, and belief;
(b) This Cover Sheet is submitted in compliance with the Mississippi Rules of Civil Procedure and all applicable local rules;
(c) A copy of this Cover Sheet will be served on all parties together with the initial pleading as required.

Signature: ______ Date: / _ /
 Print Name: ______
 Title (Attorney / Pro Se): ____

SECTION J · CLERK’S OFFICE USE ONLY
☐ Filing Accepted ☐ Filing Rejected (see reason below)
Docket Fee Received: $ _ Receipt #: __
Jury Fee Received:  $ _ Receipt #: __
Assigned Judge: ________
Clerk / Deputy Signature: ____ Date: ______

APPENDICES & GUIDANCE NOTES
[// GUIDANCE: Delete any appendix that is not used.]

• Schedule 1 – Additional Plaintiffs
• Schedule 2 – Additional Defendants
• Schedule 3 – Fee Schedule Reference Sheet
[// GUIDANCE: Insert the current clerk filing-fee table obtained directly from the circuit or chancery clerk. Filing fees are governed by Mississippi statute and local orders; amounts vary by court type and county. Provide citation only if certain of accuracy.]

FILING REQUIREMENTS CHECKLIST
[// GUIDANCE: Attach this optional checklist to assist filing staff.]
☐ Original pleading + Cover Sheet + required copies
☐ Correct filing fee (cashier’s check or other accepted form)
☐ Summons prepared for each defendant (if applicable)
☐ Certificate of Service attached to pleading
☐ Electronic filing (MEC) users have uploaded Cover Sheet as separate lead document
☐ Confidential information redacted per Rule 8.

DISCLAIMER
This template is provided for general informational purposes and does not constitute legal advice. Practitioners must verify all information, codes, and fee amounts against the most current Mississippi statutes, court rules, and local administrative orders before filing.