Fill and Sign the Civil Case Form

Instructions for Completing the Texas Civil Case Information Sheet       A civil case information sheet must be completed and submitted when an original petition or application is filed to initiate a new civil, family law, probate, or mental health case or when a post-judgment motion for modification or enforcement is filed in a family law case. The information should be the best available at the time of filing. If the original petition, application or post-judgment motion is e-filed, the case information sheet must not be the lead document. This sheet, approved by the Texas Judicial Council, is intended to collect information that will be used for statistical purposes only. It neither replaces nor supplements the filings or service of pleading or other documents as required by law or rule. The sheet does not constitute a discovery request, response, or supplementation, and it is not admissible at trial. The attorney or self-represented (pro se) plaintiff/petitioner filing the case or post-judgment motion should complete the sheet as follows: 1. Contact information a) Contact information for person completing case information sheet. Enter the following information:  name;  address;  city, state, and zip code;  email address;  telephone number;  fax number, if available;  State Bar number, if the person is an attorney; and  signature. b) Names of parties in the case. Enter the name(s) of the:  plaintiff(s) or petitioner(s);  defendant(s) or respondent(s); and  in child support cases, additional parties in the case, including the:  custodial parent;  non-custodial parent; and  presumed father. Attach an additional page as necessary to list all parties. c) Person or entity completing sheet is. Indicate whether the person completing the sheet, or the entity for which the sheet is being completed, is:  an attorney for the plaintiff or petitioner;  a pro se (self-represented) plaintiff or petitioner;  the Title IV-D agency; or  other (provide name of person or entity). 2. Case type. Select the case category that best reflects the most important issue in the case. You must select only one. 3. Procedure or remedy. If applicable, select any of the available procedures or remedies being sought in the case. You may select more than one (e.g., John Smith v. All American Insurance Co; In re Mary Ann Jones; In the Matter of the Estate of George Jackson) A civil case information sheet must be completed and submitted when an original petition or application is filed to initiate a new civil, family law, probate, or mental health case or when a post-judgment petition for modification or motion for enforcement is filed in a family law case. The information should be the best available at the time of filing. 1. Contact information for person completing case information sheet: Names of parties in case: Person or entity completing sheet is: Name:       Address:       City/State/Zip:       Signature: _____________________________ Email:       Telephone:       Fax:       State Bar No:       Plaintiff(s)/Petitioner(s):                   Defendant(s)/Respondent(s):                   [Attach additional page as necessary to list all parties] Attorney for Plaintiff/Petitioner Pro Se Plaintiff/Petitioner Title IV-D Agency Other:       Additional Parties in Child Support Case: Custodial Parent:       Non-Custodial Parent:       Presumed Father:       2. Indicate case type, or identify the most important issue in the case (select only 1) : Civil Family Law Contract Injury or Damage Real Property Marriage Relationship Post-judgment Actions (non-Title IV-D) Debt/Contract Consumer/DTPA Debt/Contract Fraud/Misrepresentation Other Debt/Contract:       Foreclosure Home Equity—Expedited Other Foreclosure Franchise Insurance Landlord/Tenant Non-Competition Partnership Other Contract:       Assault/Battery Construction Defamation Malpractice Accounting Legal Medical Other Professional Liability:       Motor Vehicle Accident Premises Product Liability Asbestos/Silica Other Product Liability List Product:       Other Injury or Damage:       Eminent Domain/ Condemnation Partition Quiet Title Trespass to Try Title Other Property:       Annulment Declare Marriage Void Divorce With Children No Children Enforcement Modification—Custody Modification—Other Title IV-D Enforcement/Modification Paternity Reciprocals (UIFSA) Support Order Related to Criminal Matters Other Family Law Parent-Child Relationship Expunction Judgment Nisi Non-Disclosure Seizure/Forfeiture Writ of Habeas Corpus— Pre-indictment Other:       Enforce Foreign Judgment Habeas Corpus Name Change Protective Order Removal of Disabilities of Minority Other:       Adoption/Adoption with Termination Child Protection Child Support Custody or Visitation Gestational Parenting Grandparent Access Paternity/Parentage Termination of Parental Rights Other Parent-Child:       Employment Other Civil Discrimination Retaliation Termination Workers’ Compensation Other Employment:       Administrative Appeal Antitrust/Unfair Competition Code Violations Foreign Judgment Intellectual Property Lawyer Discipline Perpetuate Testimony Securities/Stock Tortious Interference Other:       Tax Probate & Mental Health Tax Appraisal Tax Delinquency Other Tax Probate/Wills/Intestate Administration Dependent Administration Independent Administration Other Estate Proceedings Guardianship—Adult Guardianship—Minor Mental Health  Other:       3. Indicate procedure or remedy, if applicable (may select more than 1) : Appeal from Municipal or Justice Court Arbitration-related Attachment Bill of Review Certiorari Class Action Declaratory Judgment Garnishment Interpleader License Mandamus Post-judgment Prejudgment Remedy Protective Order Receiver Sequestration Temporary Restraining Order/Injunction Turnover 4. Indicate damages sought (do not select if it is a family law case) : Less than $100,000, including damages of any kind, penalties, costs, expenses, pre-judgment interest, and attorney fees Less than $100,000, and non-monetary relief Over $100,000,but not more than $200,000 Over $200,000,but not more than $1,000,000 Over $1,000,000 Rev 2/13C IVIL C ASE I NFORMATION S HEET C AUSE N UMBER ( FOR CLERK USE ONLY ) : _______________________________ C OURT ( FOR CLERK USE ONLY ) : ______________________ S TYLED