General Civil Case Cover Sheet

OHIO STATE COURTS

GENERAL CIVIL CASE COVER SHEET

I. DOCUMENT HEADER

Court: [COURT OF COMMON PLEAS / MUNICIPAL COURT / COUNTY COURT] – [COUNTY] COUNTY, OHIO
Division (if any): [GENERAL / CIVIL / OTHER]
Case No.: _________________________________ (Clerk’s Office to assign)
Judge: _________________________________ (Clerk’s Office to assign)

II. CAPTION & PARTY IDENTIFICATION

Plaintiff(s):

1. _________________________________
   Address: _________________________________
   Phone: _________________________________
   E-Mail: _________________________________

[Add additional Plaintiffs as needed]

Defendant(s):

1. _________________________________
   Address: _________________________________
   Phone: _________________________________
   E-Mail: _________________________________

[Add additional Defendants as needed]

III. ATTORNEY OF RECORD

Lead Counsel for Plaintiff ☐ / Defendant ☐

• Name: _________________________________ (Ohio Bar No. __________)
• Firm: _________________________________
• Address: _________________________________
• Phone: _________________________________
• E-Mail (mandatory for e-filing courts): _________________________________

IV. CASE CATEGORY SELECTION

Check ONE primary category that best describes this case. Secondary issues may be indicated in Section V.

TORT
☐ Personal Injury
☐ Product Liability
☐ Medical/Professional Malpractice
☐ Wrongful Death
☐ Intentional Tort
☐ Property Damage (Non-Auto)
☐ Automobile Accident

CONTRACT
☐ Consumer/Business Contract
☐ Employment Contract
☐ Insurance Coverage/Bad Faith
☐ Real Estate Contract
☐ Other Contract (specify): ____________________

OTHER CIVIL
☐ Foreclosure – Residential
☐ Foreclosure – Commercial
☐ Administrative Appeal (R.C. Chapter 2506, Unemployment Comp., BTA, etc.)
☐ Quiet Title / Partition
☐ Declaratory Judgment / Injunction
☐ Trust / Probate-Related Civil Action
☐ Class Action
☐ Civil RICO
☐ Foreign Judgment Domestication
☐ Other Civil (describe): _________________________________

V. RELATED CASES, PRIOR FILINGS & COMPANION MATTERS

1. Has this matter, or a substantially similar matter, been previously filed in an Ohio state or federal court?
    ☐ No  ☐ Yes – Case No.: ______________ Court: ______________

2. Are there companion, derivative, or consolidated cases pending?
    ☐ No  ☐ Yes (list): _________________________________

3. Is this filing a refiled or amended complaint?
    ☐ Original Filing  ☐ Refile (prior Case No.: ______________)

VI. DEMAND FOR JURY TRIAL / BENCH TRIAL

☐ Jury Demand Endorsed Hereon pursuant to Ohio Civ.R. 38(B) – Fee Paid (if applicable)
☐ Bench Trial Requested
☐ Jury Previously Demanded by Another Party (date: __________)

VII. SERVICE INFORMATION

1. Primary Method Requested:
    ☐ Certified Mail ☐ Personal / Residence Service ☐ Publication ☐ Waiver of Service (Civ.R. 4.7)

2. For each Defendant, provide full address or, where unknown, the facts supporting alternative service in an accompanying affidavit.

VIII. FILING FEES & COST DEPOSIT CALCULATION

Statutory Filing Fee (Complaint / Petition): $ [AMOUNT]
Additional Parties (> 1 Defendant): $ [AMOUNT] × [NUMBER] = $ [AMOUNT]
Jury Demand Fee (if requested): $ [AMOUNT]
Special Proceedings Surcharge (e.g., Foreclosure, Administrative Appeal): $ [AMOUNT]

TOTAL COST DEPOSIT SUBMITTED: $ [AMOUNT]

IX. CERTIFICATION

I certify that to the best of my knowledge, information, and belief, formed after an inquiry reasonable under the circumstances:

1. This filing is not being presented for any improper purpose;
2. The claims, defenses, and other legal contentions are warranted by existing law;
3. The factual contentions have evidentiary support; and
4. All information provided on this Cover Sheet is accurate and complete.

Date: ______________________

Signature: _________________________________
Name: _________________________________
Ohio Bar No.: ___________
Counsel for ☐ Plaintiff ☐ Defendant

X. CLERK’S OFFICE USE ONLY

• Date Filed: ____________________
• Receipt No.: ____________________
• Amount Paid: $ ________________
• Case Code Entered: _____________
• Initials: ________

OPTIONAL ATTACHMENTS

A. Additional Party Schedule (if more than four parties)
B. Continuation Page for Case Description / Prayer for Relief
C. Affidavit for Alternative Service
D. Request for Confidential Address under Safe at Home Program

PRACTICAL CHECKLIST (Do Not File)

☐ Verify correct court and division
☐ Confirm venue and jurisdiction are proper
☐ Attach complaint or other initiating pleading
☐ Include summons forms for each named defendant
☐ Provide self-addressed stamped envelopes where required
☐ Confirm e-filing vs. paper filing protocol
☐ Cross-check party names for consistency across all documents
☐ Retain proof of cost deposit and timestamped copy for your records