TEXAS GENERAL CIVIL CASE INFORMATION SHEET
(Cover Sheet for Original Petitions Filed in Texas District or County Courts)
[// GUIDANCE: This form is designed to comply with Tex. R. Civ. P. 78a, which requires a Civil Case Information Sheet (“CCIS”) to accompany most original petitions. It consolidates all currently-promulgated statewide categories while leaving space for county-specific additions. Replace every bracketed [PLACEHOLDER] with the appropriate information before filing. Do not file these guidance comments with the clerk.]
SECTION 1 COURT & CLERK USE ONLY
1.1 Cause No.: [CLERK TO ASSIGN]
1.2 Court: [th Judicial District Court / County Court at Law No. ___ of ___ County, Texas]
1.3 Date Filed: [MM/DD/YYYY]
1.4 Filing Code: NEW SUIT
SECTION 2 STYLE OF THE CASE
2.1 Complete case caption (exactly as it appears on the petition):
[PLAINTIFF/PETITIONER] v. [DEFENDANT/RESPONDENT]
SECTION 3 PARTIES
3.1 Plaintiff(s)/Petitioner(s):
a. Name: [FULL LEGAL NAME]
b. Address: [STREET, CITY, STATE ZIP]
c. Phone: [(###) ###-####] Email: [EMAIL]
3.2 Defendant(s)/Respondent(s):
a. Name: [FULL LEGAL NAME]
b. Service Address / Registered Agent: [STREET, CITY, STATE ZIP]
c. Phone (if known): [PHONE]
[// GUIDANCE: List additional parties on a continuation sheet if necessary.]
SECTION 4 PERSON COMPLETING THIS SHEET
4.1 Name: [COMPLETER’S NAME]
4.2 State Bar No.: [SBN] (if attorney) 4.3 Role: ☐ Attorney ☐ Self-Represented Party
4.4 Firm / Agency (if any): [FIRM NAME]
4.5 Address: [STREET, CITY, STATE ZIP]
4.6 Phone: [(###) ###-####] Fax: [(###) ###-####]
4.7 Email: [EMAIL]
SECTION 5 CASE CATEGORY
[// GUIDANCE: Check ONE primary category and ONE subcategory ONLY, per Tex. R. Civ. P. 78a.]
☐ A. Contract / Debt
☐ A-1 Consumer/DTPA
☐ A-2 Debt/Contract (non-consumer)
☐ A-3 Fraud / Misrepresentation
☐ A-4 Breach of Fiduciary Duty
☐ A-5 Other Contract/Debt
☐ B. Injury or Damage
☐ B-1 Motor Vehicle Accident
☐ B-2 Premises Liability
☐ B-3 Product Liability
☐ B-4 Medical Malpractice
☐ B-5 Other Personal Injury / Wrongful Death
☐ C. Real Property
☐ C-1 Eminent Domain / Condemnation
☐ C-2 Partition
☐ C-3 Quiet Title / Trespass-to-Try-Title
☐ C-4 Foreclosure
☐ C-5 Other Real Property
☐ D. Employment
☐ D-1 Discrimination / Retaliation
☐ D-2 Workers’ Compensation
☐ D-3 Other Employment
☐ E. Other Civil
☐ E-1 Administrative Appeal
☐ E-2 Expunction / Nondisclosure
☐ E-3 Seizure / Forfeiture
☐ E-4 Mandamus / Habeas Corpus
☐ E-5 Other (describe): [TEXT]
SECTION 6 RELIEF REQUESTED
(Select the applicable monetary or non-monetary relief sought.)
☐ 1. Monetary Relief of $250,000 or less
☐ 2. Monetary Relief over $250,000 but not more than $1,000,000
☐ 3. Monetary Relief over $1,000,000
☐ 4. Non-Monetary Relief (e.g., injunction, declaratory judgment)
SECTION 7 JURY DEMAND
☐ A jury is requested by: ☐ Plaintiff ☐ Defendant ☐ Not requested at this time
[// GUIDANCE: A statutory jury fee must be paid under Tex. Gov’t Code § 51.604 to perfect a jury demand.]
SECTION 8 FILING FEES (ESTIMATE)
Base Filing Fee: $ [AMOUNT PER LOCAL SCHEDULE]
Service Fee (per defendant): $ [AMOUNT] × [# DEFENDANTS] = $ [SUBTOTAL]
Jury Fee (if demanded): $ 40.00
Other Fees (e.g., issuance of citation, copies): $ [ESTIMATE]
TOTAL ESTIMATED FEES DUE: $ [SUM]
[// GUIDANCE: Verify the latest clerk’s fee schedule for the county of filing; amounts vary.]
SECTION 9 SIGNATURE & CERTIFICATION
I certify that the information provided in this Civil Case Information Sheet is true and correct to the best of my knowledge and that I have complied with Tex. R. Civ. P. 78a.
Signature: ______ Date: __/_/20
Printed Name: [NAME] Title/Role: [ATTORNEY / PRO SE]
SECTION 10 OPTIONAL COUNTY-SPECIFIC ADDENDA
[// GUIDANCE: Some clerks require supplemental data (e.g., local code numbers, e-service contacts). Insert additional pages here if directed by the chosen county’s filing instructions.]
IMPORTANT FILING NOTES
- Electronic Filing. Most Texas civil filings must be made through the eFileTexas.gov system. When filed electronically, the e-filing portal will capture many data points directly; nonetheless, attaching this CCIS remains prudent unless the specific clerk’s office has formally waived the requirement.
- Confidential Information. Do not include sensitive data (e.g., SSNs, driver-license numbers, bank accounts) on this sheet. Redact such data from all filed documents pursuant to Tex. R. Civ. P. 21c.
- Updates. Periodically confirm that no statewide or county-level amendments to Tex. R. Civ. P. 78a or fee schedules have taken effect since the date on which this template was last reviewed.
[// GUIDANCE: The foregoing template is court-ready once all placeholders are completed and county-specific fee data are confirmed. Retain a copy with the client file and upload a PDF version (text-searchable) through the e-filing envelope labeled “Civil Case Information Sheet.”]