General Civil Case Cover Sheet

MONTANA DISTRICT COURT

GENERAL CIVIL CASE COVER SHEET

SECTION I. CAPTION & COURT INFORMATION

1. Judicial District: [_____ Judicial District]
2. County: [________ County]
3. Court File No.: [To be assigned by Clerk]
4. Style of Case: [Plaintiff(s) v. Defendant(s)]
   • Plaintiff(s): [Full Legal Name(s)]
   • Defendant(s): [Full Legal Name(s)]

SECTION II. CASE CATEGORY

A. TORT
☐ PI/PD/WD – Auto
☐ PI/PD/WD – Premises Liability
☐ PI/PD/WD – Products Liability
☐ Medical Malpractice
☐ Defamation / Privacy
☐ Intentional Tort (specify): [___]
☐ Other Tort (specify): [___]

B. CONTRACT
☐ Debt Collection
☐ Employment (non-discrimination)
☐ Insurance Coverage / Bad Faith
☐ Construction / Lien Enforcement
☐ Consumer Protection
☐ Other Contract (specify): [___]

C. REAL PROPERTY
☐ Quiet Title / Boundary
☐ Foreclosure
☐ Eminent Domain / Condemnation
☐ Landlord/Tenant – Residential
☐ Landlord/Tenant – Commercial
☐ Easement / Right-of-Way
☐ Other Real Property (specify): [___]

D. CIVIL RIGHTS / EMPLOYMENT
☐ Discrimination (Title VII / MHRA)
☐ Constitutional Claim (state or federal)
☐ Whistleblower / Retaliation
☐ Other Civil Rights (specify): [___]

E. OTHER STATUTORY / ADMINISTRATIVE
☐ Judicial Review – Agency Decision
☐ Declaratory Judgment
☐ Writ (Mandamus / Prohibition / Certiorari)
☐ Name Change
☐ Structured Settlement Approval
☐ Election Challenge
☐ Other Statutory (specify): [___]

F. PROBATE / MENTAL HEALTH (District Court jurisdiction only)
☐ Formal Probate / Estate Administration
☐ Informal Probate
☐ Guardianship
☐ Conservatorship
☐ Other Probate (specify): [___]

G. OTHER
☐ [Specify unlisted civil matter]

SECTION III. AMOUNT IN CONTROVERSY

1. Monetary Relief Sought (exclusive of fees, costs, or interest): $[___]
2. Non-Monetary Relief Sought: [Injunctive / Declaratory / Other]
3. Does this case exceed the $10,000 threshold for mandatory arbitration under § 25-35-103, MCA?
   ☐ Yes  ☐ No  ☐ Not Applicable

SECTION IV. RELATED CASES

1. Are there any related cases presently or previously filed in any Montana court?
   ☐ Yes  ☐ No
   If Yes, provide:
   • Case No.: [___]
   • Court & Judge: [___]
   • Nature of Relationship: [Common parties / Same transaction-occurrence / Consolidation requested]

SECTION V. PARTY & COUNSEL INFORMATION

A. PLAINTIFF(S)
• Name: [___]
• Address: [___]
• Phone / Email: ☐ / [_____@_____]

Attorney for Plaintiff (if any):
• Firm Name: [___]
• Lead Counsel: [Bar No. _______]
• Address / Phone / Email: [___]

B. DEFENDANT(S)
• Name: [___]
• Address: [___]
• Phone / Email: ☐ / [_____@_____]

Attorney for Defendant (if any):
• Firm Name: [___]
• Lead Counsel: [Bar No. _______]
• Address / Phone / Email: [___]

SECTION VI. JURY DEMAND

☐ Plaintiff demands trial by jury.
☐ Defendant demands trial by jury.
☐ No jury trial demanded at this time.

SECTION VII. FEE SCHEDULE & PAYMENT INFORMATION

1. Filing Fee Category (check one):
   ☐ Standard Civil Filing Fee
   ☐ Probate Filing Fee
   ☐ Petition / Application Fee
   ☐ Other (specify): [___]

2. Amount Tendered: $[___]

3. Payment Method: ☐ Cash  ☐ Check No. ☐  ☐ Money Order  ☐ Waiver / IFP Application Attached

SECTION VIII. SERVICE AND CONTACT

Primary e-mail address for electronic service under M. R. Civ. P. 5(b): [___________@_____]
Secondary e-mail (optional): [___________@_____]
☐ Parties agree to accept service by e-mail pursuant to M. R. Civ. P. 5(b)(2)(E).
☐ Parties do not consent to e-mail service at this time.

SECTION IX. CERTIFICATION

I certify that:

1. I have read this cover sheet;
2. I have provided accurate information to the best of my knowledge, information, and belief, formed after a reasonable inquiry; and
3. I understand that failure to provide truthful, complete, or timely information may subject me to sanctions under M. R. Civ. P. 11.

Date: [___]

Signature: ___________________________________
(Print Name): [___]
☐ Plaintiff  ☐ Plaintiff’s Attorney  ☐ Defendant  ☐ Defendant’s Attorney

SECTION X. CLERK’S OFFICE USE ONLY (Do Not Write Below This Line)

1. Date Filed: _______________
2. Filing Fee Received: $_____________  ☐ Yes ☐ No
3. Clerk Initials: ___________
4. Case Number Assigned: ________________________
5. Initial Judge Assignment: ______________________