RHODE ISLAND STATE COURTS
GENERAL CIVIL CASE COVER SHEET
(To be filed with all new civil complaints pursuant to Rhode Island court rules)
[// GUIDANCE: This template conforms to current Rhode Island Superior Court practice. Practitioners should confirm no local rules or administrative orders have altered the required form before filing.]
I. COURT & CAPTION INFORMATION
| Court: | [SELECT: Providence/Bristol • Kent • Washington • Newport] Superior Court |
| Division/County: | [DIVISION] |
| Case No.: | (Clerk’s Office Use Only) |
| Case Filing Date: | [MM/DD/YYYY] |
Plaintiff(s):
1. [PLAINTIFF NAME] — □ Individual □ Corporation/LLC □ Other [SPECIFY]
2. [ADD ADDITIONAL PLAINTIFFS AS NECESSARY]
Defendant(s):
1. [DEFENDANT NAME] — □ Individual □ Corporation/LLC □ Other [SPECIFY]
2. [ADD ADDITIONAL DEFENDANTS AS NECESSARY]
II. ATTORNEY / SELF-REPRESENTED PARTY INFORMATION
| Lead Counsel / Pro Se | |
|---|---|
| Name: | [ATTORNEY NAME] |
| RI Bar No.: | [BAR NO.] |
| Firm / Office: | [FIRM NAME] |
| Address: | [STREET] [CITY, STATE ZIP] |
| Telephone: | [(XXX) XXX-XXXX] |
| E-Mail: | [EMAIL] |
[// GUIDANCE: Each additional counsel must file a separate entry of appearance if required by local rule.]
III. CASE TYPE / NATURE OF SUIT
(Check ONE primary category and ONE sub-category that best describes the principal cause of action)
| CODE | GENERAL CATEGORY | SUB-CATEGORY (check one) |
|---|---|---|
| A | CONTRACT | □ Buyer/Seller □ Employment □ Insurance □ Uniform Commercial Code □ Other Contract |
| B | PROPERTY | □ Real Property - Title □ Real Property - Foreclosure □ Partition □ Condemnation □ Landlord/Tenant |
| C | TORT | □ Motor Vehicle □ Premises Liability □ Intentional Tort □ Products Liability □ Other Tort |
| D | PROFESSIONAL MALPRACTICE | □ Medical □ Legal □ Dental □ Other Professional |
| E | OTHER CIVIL | □ Declaratory/Injunctive Relief □ Administrative Appeal □ Civil Rights □ Tax □ Post-Judgment |
| F | MASS TORT / CLASS ACTION | □ Mass Tort □ Class Action |
| G | MISCELLANEOUS | □ Foreign Judgment Domestication □ Arbitration Award Confirmation/Vacatur □ Extraordinary Writ |
[// GUIDANCE: If multiple causes exist, select the single category that will drive the majority of judicial resources.]
IV. RELIEF SOUGHT
-
Monetary Damages: □ Yes □ No
• Amount in Controversy (exclusive of interest & costs):
□ <$10,000 □ $10,000 – $75,000 □ >$75,000 -
Equitable/Declaratory Relief: □ Yes □ No
-
Jury Demand: □ Yes □ No
V. RELATED OR COMPANION CASES
| Prior/Existing Case No. | Court | Judge | Relationship |
|---|---|---|---|
| [CASE NO.] | [COURT] | [JUDGE] | [E.g., same parties, same facts] |
□ Check if additional related cases are listed on attachment.
[// GUIDANCE: Disclosure of related matters helps the clerk’s office comply with judicial-assignment rules and prevents inconsistent rulings.]
VI. FILING FEE CALCULATION
| Fee Component | Amount |
|---|---|
| Statutory Filing Fee | $[ ] |
| Technology/Automation Surcharge | $[ ] |
| Miscellaneous Assessments | $[ ] |
| Total Fee Tendered | $[ ] |
[// GUIDANCE: Current Superior Court base filing fee is $160, plus surcharges periodically adjusted by administrative order. Verify with the clerk on the filing date.]
VII. SERVICE INFORMATION
Plaintiff intends to serve process by:
□ Rhode Island Sheriff □ Certified Mail □ Acceptance by Counsel □ Other [SPECIFY]
VIII. CERTIFICATION & SIGNATURE
I certify that to the best of my knowledge, information, and belief, formed after an inquiry reasonable under the circumstances, this filing is not presented for any improper purpose, the claims are warranted by existing law or a non-frivolous argument for its extension, and the factual contentions have evidentiary support.
| Signature: | ________ |
| Name (print): | [ATTORNEY / PRO SE] |
| Date: | [MM/DD/YYYY] |
IX. CLERK’S OFFICE USE ONLY
Date Filed: __ Initials: _ Receipt #: ______ Fee Waiver □ Granted □ Denied
[// GUIDANCE: Maintain a clean copy for your records. The clerk will stamp and return an endorsed copy upon acceptance.]
END OF COVER SHEET