PHILADELPHIA CIVIL COVER SHEET

(Court of Common Pleas ƒ?" Trial Division)

[// GUIDANCE: Philadelphia uses its own cover sheet. Confirm current local rules and e-filing (FJD) requirements.]

1. CAPTION

text
COURT OF COMMON PLEAS OF PHILADELPHIA COUNTY
TRIAL DIVISION – CIVIL

[PLAINTIFF NAME], Term: [YEAR] No.: [TBD BY CLERK]
Plaintiff Program: ☐ Arbitration ☐ Major Jury ☐ Non-Jury ☐ Commerce
v.
[DEFENDANT NAME], Control No.: [E-FILING CONTROL #]
Defendant

2. PROGRAM SELECTION (CHECK ONE)

• ☐ Arbitration (amount in controversy ≤ $50,000)
• ☐ Major Jury (>$50,000 or jury demand)
• ☐ Non-Jury (equity/bench)
• ☐ Commerce Program (business/commercial; attach Commerce Program cover sheet if required)

3. CASE TYPE (PRIMARY)

• ☐ Contract / Business / Commercial
• ☐ Real Property (quiet title, ejectment, foreclosure, landlord/tenant)
• ☐ Tort (motor vehicle, premises, products, other PI/PD)
• ☐ Medical / Professional Liability
• ☐ Employment (discrimination, wage, restrictive covenant)
• ☐ Construction
• ☐ Other Civil: [DESCRIBE]

4. AMOUNT IN CONTROVERSY

• $[AMOUNT] exclusive of fees/costs/interest; ☐ Punitive damages requested? ☐ Yes ☐ No
• Non-monetary relief (injunction/declaratory): [DESCRIBE]

5. JURY DEMAND

• ☐ Jury requested
• ☐ Non-jury

6. PARTY INFORMATION

• Plaintiff(s): [NAME / ADDRESS / PHONE / EMAIL]
• Defendant(s): [NAME / ADDRESS / PHONE / EMAIL]
• Additional parties: attach list if needed.

7. ATTORNEY OR SELF-REPRESENTED PARTY

• Attorney Name / PA ID: [NAME], PA ID [NUMBER]
• Firm: [LAW FIRM NAME]
• Address: [STREET, CITY, STATE ZIP]
• Phone/Email: [PHONE] | [EMAIL]
• ☐ Self-represented (Pro Se)

8. RELATED CASES / COORDINATION

• Related Philadelphia case numbers (if any): [LIST OR "NONE"]
• Prior arbitration/appeal: [DETAILS OR "NONE"]
• Coordination or consolidation requested: [YES/NO – EXPLAIN]

9. SERVICE & SPECIAL NOTES

• Service addresses/method: [DETAILS; SHERIFF/PROCESS SERVER]
• Interpreter or accommodation needed: [YES/NO – LANGUAGE/ACCOMMODATION]
• Sealing/initials for minors: [YES/NO]

10. SIGNATURE

text
Date: [DATE]

____________________________________
[ATTORNEY NAME], PA ID [NUMBER] / Pro Se
Attorney for [PLAINTIFF/DEFENDANT]
[// GUIDANCE: If filing in Commerce Program, complete the Commerce Program cover sheet and classifications per local rules. Confirm current filing fees and any mandatory ADR notices.]