OREGON CIRCUIT COURT

GENERAL CIVIL CASE COVER SHEET

(Must be filed contemporaneously with the initiating pleading; see Oregon Uniform Trial Court Rules and applicable Supplemental Local Rules)

[// GUIDANCE: This template is drafted for use in all Oregon Circuit Courts. Confirm whether your county has adopted a local version before filing. Place the completed Cover Sheet on top of the first document submitted for filing so the clerk can stamp the case number and collect the correct filing fee.]

I. COURT & PARTY IDENTIFICATION

1. Court: Circuit Court of the State of Oregon for the County of [COUNTY]
2. Case No.: ___________________ (Court use only)
3. Caption: [PLAINTIFF/PETITIONER] v. [DEFENDANT/RESPONDENT]
4. Filing Party Type (check one): ☐ Plaintiff/Petitioner  ☐ Defendant/Respondent  ☐ Third-Party  ☐ Other: __________

II. ATTORNEY / SELF-REPRESENTED INFORMATION

[// GUIDANCE: At least one email address is required if the case will be eFiled. Update service contacts in the Odyssey File & Serve system immediately after filing.]

III. CASE CATEGORY & STATISTICAL INFORMATION

(Check the single case category that best describes the principal claim for relief. Use a second Cover Sheet only if multiple, unrelated causes of action are asserted.)

A. TORT
☐ Motor Vehicle
☐ Premises Liability
☐ General Negligence
☐ Product Liability
☐ Medical Malpractice
☐ Professional Malpractice (Non-Medical)
☐ Intentional Tort (Assault, Defamation, etc.)
☐ Wrongful Death

B. CONTRACT
☐ Breach of Contract (General)
☐ Debt Collection / Account Stated
☐ Construction / Contractor Dispute
☐ Employment (Non-Statutory)
☐ Insurance Coverage / Bad Faith
☐ Commercial / Franchise

C. REAL PROPERTY
☐ Foreclosure (Judicial)
☐ Quiet Title / Declaratory Relief
☐ Partition
☐ Landlord–Tenant (Circuit Court)
☐ Condemnation / Eminent Domain

D. STATUTORY / OTHER CIVIL
☐ Consumer Protection (e.g., UDAP)
☐ Securities / Investor Fraud
☐ Civil Rights (State or Federal)
☐ RICO / O.R.S. Chapter 166
☐ Habeas Corpus / Mandamus
☐ Administrative Review (APA)
☐ Declaratory Judgment (Non-Contract)

E. COMPLEX BUSINESS / COMMERCIAL
☐ Complex Case (anticipated > 250 hrs discovery or multi-state parties)
☐ Electronic Discovery Substantial

IV. RELIEF SOUGHT

1. Monetary Relief (select one):
   ☐ $10,000 or less    (Fee Category: Small Civil)
   ☐ Greater than $10,000 but not exceeding $50,000 (Fee Category: Limited Civil)
   ☐ Greater than $50,000         (Fee Category: Unlimited Civil)
   ☐ Non-Monetary Relief Only (injunction, declaratory, etc.)

2. Jury Demand:         ☐ Yes  ☐ No

3. Amount of Attorney Fees Claimed by Statute/Contract: $ ___________
4. Punitive Damages Alleged:   ☐ Yes  ☐ No

[// GUIDANCE:
• ORCP 18 A prohibits stating a specific dollar amount for general damages (e.g., pain & suffering). If seeking such damages, write “Prayer exceeds $10,000” in the complaint and disclose the precise figure only in this Cover Sheet to assist the clerk with fee assessment.
• This Cover Sheet is not served on the jury.]

V. RELATED OR PRIOR CASES

1. Are there any pending or concluded cases in Oregon that:
   (a) arise out of the same transaction/occurrence,
   (b) involve the same parties, or
   (c) may otherwise be subject to consolidation?
   ☐ No   ☐ Yes → Case No(s). _____________ County: _____________
2. Is any party a debtor in a pending bankruptcy case?  ☐ No   ☐ Yes (District/Case No. __________)

VI. FILING FEE WORKSHEET

* [// GUIDANCE: Verify fees at time of filing; amounts change periodically by statute or Chief Justice Order. Overpayment delays processing, under-payment risks dismissal.]

VII. CERTIFICATION

I certify that:
1. The information provided in this Civil Case Cover Sheet is complete and accurate to the best of my knowledge;
2. I have reviewed the applicable Uniform Trial Court Rules, Oregon Rules of Civil Procedure, Oregon Revised Statutes Chapter 21 (Fees), and the Supplemental Local Rules for the above-named county; and
3. I have tendered the correct filing fee or a proper fee waiver/deferral application.

VIII. CLERK’S OFFICE USE ONLY

[// GUIDANCE:
1. E-Filing Users – Upload the Cover Sheet as a “Case Information Statement” or equivalent document category in Odyssey File & Serve; select “lead document” so it appears first in the envelope.
2. Paper Filers – Use white, letter-sized paper; do not staple. The clerk will barcode and scan.
3. Retain a conformed copy for service and for your records. Failure to submit a properly completed Cover Sheet may result in delayed issuance of summons or rejection of filing.]