General Civil Case Cover Sheet

TEXAS GENERAL CIVIL CASE INFORMATION SHEET

(Cover Sheet for Original Petitions Filed in Texas District or County Courts)

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]

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

☐ 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

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]

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

IMPORTANT FILING NOTES

1. 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.
2. 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.
3. 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.