General Civil Case Cover Sheet

STATE OF UTAH

DISTRICT COURT CIVIL CASE COVER SHEET

(For All Civil Actions Except Probate and Domestic Relations Cases)

Required Filing: This Cover Sheet must be filed as the lead document when commencing any civil action in Utah District Court, or attached to any first-appearance filing (e.g., removal, transfer). See Utah R. Civ. P. Rule 26(c) (requiring tier designation in the caption). Retain a conformed copy for your records.

I. COURT INFORMATION

1. Court:

☐ District Court
☐ Justice Court

2. Judicial District: [________________________________] Judicial District

3. County: [________________________________] County

4. Court Address: [________________________________]

5. Assigned Judge / Commissioner (if known): [________________________________]

6. Case Number (Clerk Use Only): [________________________________]

7. Filing Date (Clerk Use Only): [__/__/____]

II. CASE INFORMATION

A. Type of Filing

☐ Complaint
☐ Petition
☐ Appeal from Justice Court
☐ Appeal from Administrative Agency
☐ Transfer from Another Court
☐ Counterclaim (filed separately)
☐ Cross-Claim
☐ Third-Party Complaint
☐ Other: [________________________________]

B. Discovery Tier Designation (Utah R. Civ. P. Rule 26(c))

Instructions: Under Rule 26(c) of the Utah Rules of Civil Procedure, the filing party must designate the appropriate discovery tier in the caption of the first pleading. The tier determines discovery limitations including the number of fact witness depositions, expert witness depositions, interrogatories, and requests for production.

☐ Tier 1 — Claims for relief that total $50,000 or less, including all damages of every kind

• Fact witness depositions: 3 hours total
• Expert witness depositions: 3 hours total
• Interrogatories: 0

☐ Tier 2 — Claims for relief that total more than $50,000 but less than $300,000, or claims for non-monetary relief (including injunctive and declaratory relief)

• Fact witness depositions: 30 hours total
• Expert witness depositions: 15 hours total
• Interrogatories: 10

☐ Tier 3 — Claims for relief that total $300,000 or more

• Fact witness depositions: No limit (subject to proportionality)
• Expert witness depositions: No limit (subject to proportionality)
• Interrogatories: 20

☐ No Monetary Damages Claimed (defaults to Tier 2 unless otherwise ordered)

Amount in Controversy (if monetary): $[________________________________]

C. Jury Demand

☐ Jury trial demanded at this time
☐ No jury trial demanded at this time

Note: Under Utah R. Civ. P. Rule 38, a party must serve a written jury demand no later than 14 days after the last pleading directed to the issue is served, or the right to a jury trial may be waived.

D. Estimated Trial Length

[____] days (estimate)

E. Relief Sought (check all that apply)

☐ Monetary damages
☐ Non-monetary / equitable relief
☐ Declaratory judgment
☐ Injunctive relief (temporary restraining order, preliminary injunction, permanent injunction)
☐ Specific performance
☐ Extraordinary relief (habeas corpus, mandamus, etc.) (Utah R. Civ. P. Rule 65B)
☐ Other: [________________________________]

III. PARTY INFORMATION

A. Plaintiff(s) / Petitioner(s)

☐ Additional plaintiffs listed on attached addendum.

B. Defendant(s) / Respondent(s)

☐ Additional defendants listed on attached addendum.

C. Plaintiff's Attorney

D. Self-Represented Party Information (if applicable)

E. Service Contact for Each Party (if different from above)

[________________________________]

IV. NATURE OF SUIT / CASE CATEGORY

Instructions: Check ONE primary category and the applicable sub-category. Accurate case coding is required for proper docketing, fee calculation, and judicial assignment. See the Utah State Courts Case Category listing.

A. CONTRACT / COMMERCIAL

☐ 101 — Debt Collection
☐ 102 — Employment Contract
☐ 103 — Insurance Dispute / Coverage / Bad Faith
☐ 104 — Purchase / Sale of Goods and Services
☐ 105 — Construction Contract
☐ 106 — Breach of Warranty
☐ 107 — Promissory Note / Negotiable Instrument
☐ 108 — Other Contract: [________________________________]

B. TORT

☐ 201 — Personal Injury (Auto Accident)
☐ 202 — Personal Injury (Other)
☐ 203 — Property Damage
☐ 204 — Wrongful Death — Adult (Utah Code § 78B-3-106)
☐ 205 — Defamation / Libel / Slander
☐ 206 — Medical Malpractice (Utah Health Care Malpractice Act, Utah Code § 78B-3-401 et seq.)
☐ 207 — Legal Malpractice
☐ 208 — Products Liability (Utah Code § 78B-6-701 et seq.)
☐ 209 — Fraud / Misrepresentation
☐ 210 — Intentional Tort
☐ 211 — Other Tort: [________________________________]

C. PROPERTY / REAL ESTATE

☐ 301 — Unlawful Detainer / Eviction (Utah Code § 78B-6-801 et seq.)
☐ 302 — Quiet Title
☐ 303 — Foreclosure (Utah Code § 57-1-19 et seq. — Trust Deed Act)
☐ 304 — Easement / Boundary Dispute
☐ 305 — Partition
☐ 306 — Condemnation / Eminent Domain (Utah Code § 78B-6-501 et seq.)
☐ 307 — Water Rights (Utah Code § 73-1-1 et seq.)
☐ 308 — Mechanic's Lien (Utah Code § 38-1a-101 et seq.)
☐ 309 — Other Real Property: [________________________________]

D. CIVIL RIGHTS / STATUTORY

☐ 401 — Civil Rights (42 U.S.C. § 1983; Utah Anti-Discrimination Act, Utah Code § 34A-5-101 et seq.)
☐ 402 — Administrative Agency Appeal (Utah Code § 63G-4-401 et seq. — Utah Administrative Procedures Act)
☐ 403 — Tax Appeal
☐ 404 — Extraordinary Relief (Utah R. Civ. P. Rule 65B — Habeas Corpus, Mandamus, etc.)
☐ 405 — Open Records / GRAMA Appeal (Utah Code § 63G-2-101 et seq.)
☐ 406 — Other Statutory: [________________________________]

E. PROBATE / TRUST

☐ 501 — Guardianship (Utah Code § 75-5-101 et seq.)
☐ 502 — Conservatorship (Utah Code § 75-5-401 et seq.)
☐ 503 — Estate Probate (Utah Code § 75-3-101 et seq.)
☐ 504 — Trust Dispute
☐ 505 — Other Probate: [________________________________]

F. MISCELLANEOUS

☐ 601 — Interpleader
☐ 602 — Declaratory Judgment (Utah Code § 78B-1-101 et seq.)
☐ 603 — Petition to Compel / Confirm Arbitration (Utah Code § 78B-11-101 et seq. — Utah Uniform Arbitration Act)
☐ 604 — Foreign Judgment Registration
☐ 605 — Name Change (Utah Code § 42-1-1 et seq.)
☐ 606 — Miscellaneous Civil (specify): [________________________________]

V. FILING FEE SCHEDULE AND PAYMENT

A. Filing Fee Calculation

B. Fee Waiver Request

☐ A Motion to Waive Fees is filed simultaneously with this action pursuant to Utah Code § 78A-2-302.

C. Method of Payment

☐ Cash
☐ Check (payable to "Clerk of the Court")
☐ Credit / Debit Card
☐ E-Payment (for electronically filed cases)

Note: Verify the current fee schedule at https://www.utcourts.gov/en/legal-help/legal-help/procedures/fees.html before filing. Incorrect payment will delay docketing.

VI. RELATED CASES

1. Are there any related cases pending in any Utah state or federal court?

☐ Yes ☐ No

If "Yes," provide the following:

2. Has this case been previously filed in or removed from any Utah state or federal court?

☐ Yes ☐ No

If "Yes," provide details: [________________________________]

VII. ATTORNEY CERTIFICATION AND SIGNATURE

I certify that:

(i) The information provided in this Cover Sheet is accurate to the best of my knowledge, information, and belief;

(ii) This case has not been previously filed in, or removed from, any Utah state or federal court, except as disclosed above;

(iii) I have complied with UCJA Rule 3-111, Utah R. Jud. Admin., regarding personal identifying information, and have not included Social Security numbers, financial account numbers, driver license numbers, dates of birth (except year of birth if relevant), or names of minor children in publicly filed documents;

(iv) The discovery tier designation is made in good faith and accurately reflects the nature and amount of the claims asserted; and

(v) I have verified and enclosed the correct filing fee.

Signature: ________________________________________

Printed Name: [________________________________]

Utah State Bar No.: [________________________________]

Date: [__/__/____]

VIII. FILING REQUIREMENTS CHECKLIST

Before submitting this Cover Sheet and initiating pleading, confirm completion of all applicable items:

☐ Complaint / Petition is signed and dated, with the discovery tier designation in the caption

☐ This Civil Case Cover Sheet is completed and signed

☐ Filing fee(s) are enclosed or paid electronically (verify current fee schedule)

☐ Summons form(s) are prepared (if applicable)

☐ Required statutory pre-filing certifications are attached:

• ☐ Medical malpractice: Certificate of compliance with pre-litigation panel review (Utah Code § 78B-3-416)
• ☐ Government entity claims: Notice of claim compliance (Utah Governmental Immunity Act, Utah Code § 63G-7-401)
• ☐ Construction defect: Pre-litigation notice (Utah Code § 78B-4-501 et seq.)

☐ Personal identifying information has been redacted per UCJA Rule 3-111

☐ Additional party addendum is attached (if more than 3 plaintiffs or defendants)

☐ Electronic filing complies with UCJA Rule 4-202.09

☐ Copy retained for filing party's records

IX. CLERK'S USE ONLY — DO NOT WRITE BELOW THIS LINE

IMPORTANT NOTICES

1. Public Record. Documents filed with the court are public records unless classified as private, protected, or sealed under UCJA Rule 4-202.02. Sensitive information should be redacted or filed under seal.

2. Personal Identifying Information. Pursuant to UCJA Rule 3-111, do NOT include Social Security numbers, full dates of birth, financial account numbers, driver license numbers, or names of minor children in publicly filed documents. Use redacted or abbreviated versions where necessary.

3. Discovery Tier Impact. The tier designation affects the scope of permissible discovery, including depositions, interrogatories, and document requests. An incorrect tier designation may be challenged by motion under Utah R. Civ. P. Rule 26(c)(5).

4. Fee Schedule Changes. Filing fees are established by Utah Code § 78A-2-301 and are subject to legislative amendment. Always confirm the current fee schedule before filing.

5. Electronic Filing. Utah state courts require electronic filing for represented parties. Pro se litigants may file in paper. See https://www.utcourts.gov/howto/filing/ for e-filing instructions.

Sources and References

• Utah Rules of Civil Procedure (URCP): Utah Courts
• URCP Rule 26 – General Provisions Governing Disclosure and Discovery: Utah Courts
• URCP Rule 10 – Form of Pleadings and Other Papers
• URCP Rule 38 – Jury Trial of Right
• Utah Code § 78A-2-301 – Court Filing Fees: Utah Legislature
• Utah Code § 78A-5-102 – District Court Jurisdiction: Utah Legislature
• UCJA Rule 3-111 – Personal Identifying Information
• UCJA Rule 4-202.02 – Records Classification: Utah Courts
• UCJA Rule 4-202.09 – Electronic Filing
• Utah District Court Cover Sheet Form: Utah Courts
• Utah Courts – Filing Fees: Utah Courts
• Utah Courts – Filing Information: Utah Courts