Fill and Sign the Ca Civil Form

SHORT TITLE:       CASE NUMBER       CIVIL CASE COVER SHEET ADDENDUM AND STATEMENT OF LOCATION (CERTIFICATE OF GROUNDS FOR ASSIGNMENT TO COURTHOUSE LOCATION) This form is required pursuant to LASC Local Rule 2.0 in all new civil case filings in the Los Angeles Superior Court. Item I. Check the types of hearing and fill in the estimated length of hearing expected for this case: JURY TRIAL? YES CLASS ACTION? YES LIMITED CASE? YES TIME ESTIMATED FOR TRIAL       HOURS/ DAYS Item II. Select the correct district and courthouse location (4 steps – If you checked “Limited Case”, skip to Item III, Pg.4): Step 1: After first completing the Civil Case Cover Sheet Form, find the main civil case cover sheet heading for your case in the left margin below, and, to the right in Column A , the Civil Case Cover Sheet case type you selected. Step 2: Check one Superior court type of action in Column B below which best describes the nature of this case. Step 3: In Column C , circle the reason for the court location choice that applies to the type of action you have checked. For any exception to the court location, see Los Angeles Superior Court Local Rule 2.0. Applicable Reasons for Choosing Courthouse Locations (see Column C below) 1. Class Actions must be filed in the County Courthouse, Central District. 6. Location of property or permanently garaged vehicle. 2. May be filed in Central (Other county, or no Bodily Injury/Property Damage). 7. Location where petitioner resides. 3. Location where cause of action arose. 8. Location wherein defendant/respondent functions wholly. 4. Location where bodily injury, death or damage occurred. 9. Location where one or more of the parties reside. 5. Location where performance required or defendant resides. 10. Location of Labor Commissioner Office. Step 4 : Fill in the information requested on page 4 in Item III; complete Item IV. Sign the declaration.Auto Tort A Civil Case Cover Sheet Category No. B Type of Action (Check only one) C Applicable Reasons - See Step 3 Above Auto (22) A7100 Motor Vehicle – Personal Injury/Property Damage/Wrongful Death 1., 2., 4. Uninsured Motorist (46) A7110 Personal Injury/Property Damage/Wrongful Death – Uninsured Motorist 1., 2., 4. Other Personal Injury/Property Damage/Wrongful Death Tort Asbestos (04) A6070 Asbestos Property Damage A7221 Asbestos – Personal Injury/Wrongful Death 2. 2. Product Liability (24) A7260 Personal Liability (not asbestos or toxic environmental) 1., 2., 3., 4., 8. Medical Malpractice (45) A7210 Medical Malpractice – Physicians & Surgeons A7240 Other Professional Health Care Malpractice 1., 2., 4. 1., 2., 4. Other Personal Injury Property Damage Wrongful Death (23) A7250 Premises Liability (e.g., slip and fall) A7230 Intentional Bodily Injury/Property Damage/Wrongful Death (e.g., assault, vandalism, etc.) A7270 Intentional Infliction of Emotional Distress A7220 Other Personal Injury/Property Damage/Wrongful Death 1., 2., 4. 1., 2., 4. 1., 2., 3. 1., 2., 4. LACIV 109 (Rev. 01/07) CIVIL CASE COVER SHEET ADDENDUM LASC, rule 2.0 LASC Approved 03-04 AND STATEMENT OF LOCATION Page 1 of 5 Non-Personal injury/Property Damage/ Wrongful Death Tort (Cont’d.)SHORT TITLE:       CASE NUMBER       A Civil Case Cover Sheet Category No. B Type of Action (Check only one) C Applicable Reasons – See Step 3 Above Professional Negligence (25) A6017 Legal Malpractice A6050 Other Professional Malpractice (not medical or legal) 1., 2., 3. 1., 2., 3. Other (35) A6025 Other Non-Personal Injury/Property Damage tort 2., 3. Employment Wrongful Termination (36) A6037 Wrongful Termination 1., 2., 3. Other Employment (15) A6024 Other Employment Complaint Case A6109 Labor commissioner Appeals 1., 2., 3. 10. Contract Breach of Contract/ Warranty (06) (not insurance) A6004 Breach of Rental Lease Contract ( not Unlawful Detainer or wrongful eviction ) A6008 Contract/Warranty Breach – Seller Plaintiff (no fraud/negligence) A6019 Negligent Breach of Contract/Warranty (no fraud) A6028 Other Breach of Contract/Warranty (not fraud or negligence) 2., 5. 2., 5. 1., 2., 5. 1., 2., 5. Collections (09) A6002 Collections Case-Seller Plaintiff A6012 other Promissory Note/Collections Case 2., 5., 6. 2., 5. Insurance Coverage (18) A6015 Insurance Coverage (not complex) 1., 2., 5., 8. Other Contract (37) A6009 Contractual Fraud A6031 Tortious Interference A6027 Other Contract Dispute (not breach/insurance/fraud/negligence) 1., 2., 3., 5. 1., 2., 3., 5. 1., 2., 3., 8. Real Property Eminent Domain/Inverse Condemnation (14) A7300 Eminent Domain/Condemnation Number of parcels       2. Wrongful Eviction (33) A6023 Wrongful Eviction Case 2., 6. Other Real Property (26) A6018 Mortgage Foreclosure A6032 Quiet Title A6060 Other Real Property (not eminent domain, landlord/tenant, foreclosure) 2., 6. 2., 6. 2., 6. Judic Unlawful Detainer- Commercial (31) A6021 Unlawful Detainer-Commercial (not drugs or wrongful eviction) 2., 6. LACIV 109 (Rev. 01/07) CIVIL CASE COVER SHEET ADDENDUM LASC, rule 2.0 LASC Approved 03-04 AND STATEMENT OF LOCATION Page 2 of 5 Non-Personal Injury/PropertyBusiness Tort (07) A6029 Other Commercial/Business Tort (not fraud/breach of contract) 1., 2., 3. Civil Rights (08) A6005 Civil Rights/Discrimination 1., 2., 3. Defamation (13) A6010 Defamation (slander/libel) 1., 2., 3. Fraud (16) A6013 Fraud (no contract) 1., 2., 3. ial Review Unlawful Detainer Unlawful Detainer- Residential (32) A6020 Unlawful Detainer-Residential (not drugs or wrongful eviction) 2., 6. Unlawful Detainer- Drugs (38) A6022 Unlawful Detainer-Drugs 2., 6. Asset Forfeiture (05) A6018 Asset Forfeiture Case 2., 6. Petition re Arbitration (11) A6115 Petition to Compel/Confirm/Vacate Arbitration 2., 5. Judicial Review (Cont’d.) SHORT TITLE:       CASE NUMBER       A Civil Case Cover Sheet Category No. B Type of Action (Check only one) C Applicable Reasons - See Step 3 Above Writ of Mandate (02) A6151 Writ – Administrative Mandamus A6152 Writ – Mandamus on Limited court Case Matter A6153 Writ – Other Limited Court Case Review 2., 8. 2. 2. Other Judicial Review (39) A6150 Other Writ / Judicial Review 2., 8. Provisionally Complex Litigation Antitrust/Trade Regulation (03) A6003 Antitrust/Trade Regulation 1., 2., 8. Construction Defect (10) A6007 Construction defect 1., 2., 3 Claims Involving Mass Tort (40) A6006 Claims Involving Mass Tort 1., 2., 8. Securities Litigation (28) A6035 Securities Litigation Case 1., 2., 8. Toxic Tort Environmental (30) A6036 Toxic Tort/Environmental 1., 2., 3., 8. Insurance Coverage Claims from Complex Case (41) A6014 Insurance Coverage/Subrogation (complex case only) 1., 2., 5., 8. Enfo rce men t of Judgment Enforcement of Judgment (20) A6141 Sister State Judgment A6160 Abstract of Judgment A6107 Confession of Judgment (non-domestic relations) A6140 Administrative Agency Award (not unpaid taxes) A6114 Petition/Certificate for Entry of Judgment on Unpaid Tax A6112 Other Enforcement of Judgment Case 2., 9. 2., 6. 2., 9. 2., 8. 2., 8. 2., 8., 9. Miscellaneous Civil Complaints RICO (27) A6033 Racketeering (RICO) Case 1., 2., 8. Other Complaints (Not Specified Above) (42) A6030 Declaratory Relief Only A6040 Injunctive Relief Only (not domestic/harassment) A6011 Other Commercial Complaint Case (non-tort/non-complex) A6000 Other Civil Complaint (non-tort/non-complex) 1., 2., 8. 2., 8. 1., 2., 8. 1., 2., 8. LACIV 109 (Rev. 01/07) CIVIL CASE COVER SHEET ADDENDUM LASC, rule 2.0 LASC Approved 03-04 AND STATEMENT OF LOCATION Page 3 of 5 Miscellaneous Civil PetitionsPartnership Corporation Governance (21) A6113 Partnership and Corporate Governance Case 2., 8. Other Petitions (Not Specified Above) (43) A6121 Civil Harassment A6123 Workplace Harassment A6124 Elder/Dependent Adult Abuse Case A6190 Election Contest A6110 Petition for Change of Name A6170 Petition for Relief from Late Claim Law A6100 Other Civil Petition 2., 3., 9. 2., 3., 9. 2., 3., 9. 2. 2., 7. 2., 3., 4., 8. 2., 9. LACIV 109 (Rev. 01/07) CIVIL CASE COVER SHEET ADDENDUM LASC, rule 2.0 LASC Approved 03-04 AND STATEMENT OF LOCATION Page 4 of 5 SHORT TITLE:       CASE NUMBER       Item III. Statement of Location: Enter the address of the accident, party’s residence or place of business, performance, or other circumstance indicated in Item II., Step 3 on Page 1, as the proper reason for filing in the court location you selected. REASON: CHECK THE NUMBER UNDER COLUMN C WHICH APPLIES IN THIS CASE 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. ADDRESS:                         CITY:       STATE:       ZIP CODE:       Item IV. Declaration of Assignment : I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct and that the above-entitiled matter is properly filed for assignment to the       courthouse in the       District of the Los Angeles Superior Court (Code Civ. Proc., § 392 et seq., and LASC Local Rule 2.0, subs. (b), (c) and (d)). Dated:       (SIGNATURE OF ATTORNEY/FILING PARTY) PLEASE HAVE THE FOLLOWING ITEMS COMPLETED AND READY TO BE FILED IN ORDER TO PROPERLY COMMENCE YOUR NEW COURT CASE: 1. Original Complain or Petition 2. If filing a Complaint, a completed Summons form for issuance by the Clerk. 3. Civil Case Cover Sheet form CM-010. 4. Complete Addendum to Civil Case Cover Sheet form LASC Approved CIV 109 03-04 (Rev. 03/06). 5. Payment in full of the filing fee, unless fees have been waived. 6. Signed order appointing the Guardian ad Litem, JC form 982(a)(27), if the plaintiff or petitioner is a minor under 18 years of age, or if required by Court. 7. Additional copies of documents to be conformed by the Clerk. Copies of the cover sheet and this addendum must be served along with the summons and complaint, or other initiating pleading in the case. LACIV 109 (Rev. 01/07) CIVIL CASE COVER SHEET ADDENDUM LASC, rule 2.0 LASC Approved 03-04 AND STATEMENT OF LOCATION Page 5 of 5