West Virginia Civil Case Information Statement (SCA-C-100) — Fillable Counterpart
WEST VIRGINIA CIVIL CASE INFORMATION STATEMENT
SCA-C-100 — Civil Cases Other than Domestic Relations
Use this document to collect and format the information requested by current West Virginia Judiciary Form SCA-C-100. A completed Civil Case Information Statement must accompany most civil actions filed in circuit court. Transfer the information to the current official form for filing.
I. Case Style
In the Circuit Court of: [________________________________] County, West Virginia
| Field | Information |
|---|---|
| Plaintiff(s) | [________________________________] |
| Plaintiff's phone | [________________________________] |
| Defendant(s) | [________________________________] |
| Defendant's name | [________________________________] |
| Defendant's street address | [________________________________] |
| Defendant's city, state, ZIP code | [________________________________] |
| Defendant's phone | [________________________________] |
| Days to answer | [________________________________] |
| Type of service | [________________________________] |
| Case number | [________________________________] |
| Judge | [________________________________] |
II. Type of Case
Select the category shown on the official form.
☐ General Civil
☐ Mass Litigation (as defined in T.C.R. 26.04(a))
- ☐ Asbestos
- ☐ FELA Asbestos
- ☐ Other: [________________________________]
☐ Habeas Corpus/Other Extraordinary Writ
☐ Other: [________________________________]
☐ Adoption
☐ Administrative Agency Appeal
☐ Civil Appeal from Magistrate Court
☐ Miscellaneous Civil Petition
☐ Mental Hygiene
☐ Guardianship
☐ Medical Malpractice
III. Jury Demand and Trial Readiness
Jury demand: ☐ Yes ☐ No
Case will be ready for trial by (month/year): [____]/[________]
IV. Special Accommodations
Do you, any of your clients, or any witnesses in this case require special accommodations?
☐ Yes ☐ No
If yes, specify:
☐ Wheelchair-accessible hearing room and other facilities
☐ Reader or other auxiliary aid for the visually impaired
☐ Interpreter or other auxiliary aid for the deaf and hard of hearing
☐ Spokesperson or other auxiliary aid for the speech impaired
☐ Foreign-language interpreter — language: [________________________________]
☐ Other: [________________________________]
Attorney or Self-Represented Filer
| Field | Information |
|---|---|
| Attorney name | [________________________________] |
| Firm | [________________________________] |
| Address | [________________________________] |
| Telephone | [________________________________] |
Representing:
☐ Plaintiff
☐ Defendant
☐ Cross-Defendant
☐ Cross-Complainant
☐ Third-Party Plaintiff
☐ Third-Party Defendant
☐ Proceeding Without an Attorney
Complaint Copies and Signature
Original and [____] copies of complaint enclosed/attached.
| Date | Signature |
|---|---|
| [__/__/____] | [________________________________] |
Defendant(s) Continuation Page
Plaintiff: [________________________________], et al.
Defendant: [________________________________], et al.
Case number: [________________________________]
Complete one row for each additional defendant. The official continuation page provides space for seven defendants.
| Defendant's name | Street address | City, state, ZIP code | Phone | Days to answer | Type of service |
|---|---|---|---|---|---|
| [________________________________] | [________________________________] | [________________________________] | [________________________________] | [____] | [________________________________] |
| [________________________________] | [________________________________] | [________________________________] | [________________________________] | [____] | [________________________________] |
| [________________________________] | [________________________________] | [________________________________] | [________________________________] | [____] | [________________________________] |
| [________________________________] | [________________________________] | [________________________________] | [________________________________] | [____] | [________________________________] |
| [________________________________] | [________________________________] | [________________________________] | [________________________________] | [____] | [________________________________] |
| [________________________________] | [________________________________] | [________________________________] | [________________________________] | [____] | [________________________________] |
| [________________________________] | [________________________________] | [________________________________] | [________________________________] | [____] | [________________________________] |
Final Transfer Check
☐ Obtain the current official SCA-C-100 linked below and transfer every applicable entry.
☐ Match the case-type choice and any accommodation request to the official form.
☐ Confirm the represented-party role, complaint-copy count, date, and signature.
☐ Attach the official continuation page if additional defendants need entries.
Official Sources
- West Virginia Judiciary, Form SCA-C-100: https://www.courtswv.gov/node/592
- Current official PDF: https://www.courtswv.gov/sites/default/pubfilesmnt/2026-04/SCA-C-100.pdf
- West Virginia Judiciary, Court Rules: https://www.courtswv.gov/legal-community/court-rules
About this template
- Last updated
- October 23, 2026
- Citations checked
- October 23, 2026
- Jurisdiction
- West Virginia
- Category
- Litigation & Court Documents
Legal authority
- West Virginia Judiciary Form SCA-C-100, Civil Case Information Statement (Civil Cases Other than Domestic Relations), revised 04/2020
- West Virginia Judiciary Court Rules page (completed Civil Case Information Statement must accompany most civil actions filed in circuit court)
These are the filings that drive a lawsuit through the system: complaints, answers, motions, briefs, discovery requests and responses, and post-judgment papers. Each has its own format requirements under federal and state procedural rules, and each has a deadline that cannot be missed without consequences. Clean, procedurally correct filings move a case forward; sloppy ones invite motions to strike, amended responses, and avoidable delays.
Not legal advice
This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Checked against the law it cites
A reviewer verified this template's legal citations against the official source on October 23, 2026.
West Virginia Judiciary Form SCA-C-100, Civil Case Information Statement (Civil Cases Other than Domestic Relations), revised 04/2020 (checked October 23, 2026): "CIVIL CASE INFORMATION STATEMENT (Civil Cases Other than Domestic Relations)"
West Virginia Judiciary Court Rules page (completed Civil Case Information Statement must accompany most civil actions filed in circuit court) (checked October 23, 2026): "A completed case information statement must accompany most civil actions filed in circuit court."
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