Fill and Sign the District Court Civil Family Juvenile Coversheet Nye County Form

County, Nevada Case No. I. Part y Information (provide both home and mailing addresses if different) Plaintiff(s) (name/address/phone): Defendant(s) (name/address/phone): Attorney (name/address/phone):Attorney (name/address/phone): II. Nature of Controvers y (please select the one most applicable filing type below) Landlord/Tenant Negligence Other Torts Unlawful Detaine r Auto Product Liabilit y Other Landlord/Tenan t Premises Liability Intentional Misconduct Title to PropertyOther Negligence Employment Tort Judicial ForeclosureMalpractice Insurance Tort Other Title to Propert y Medical/Dental Other Tor t Other Real PropertyLegal Condemnation/Eminent Domain Accounting Other Real Propert y Other Malpractice Probate (select case type and estate value) Construction Defect Judicial Review Summary Administration Chapter 40 Foreclosure Mediation Case General Administration Other Construction Defec t Petition to Seal Records Special AdministrationContract CaseMental Competenc y Set Aside ( ) Surviving Spouse Uniform Commercial CodeNevada State Agency Appeal Trust/Conservatorship Building and Construction Department of Motor Vehicle Other Probate Insurance Carrier Worker's Compensation Estate ValueCommercial Instrument Other Nevada State Agency Collection of AccountsAppeal Other Employment Contract Appeal from Lower Court Other Contract Other Judicial Review/Appeal Civil WritOther Civil Filing Writ of Habeas Corpus Writ of Prohibition Compromise of Minor's Clai m Writ of Mandamus Other Civil Writ Foreign Judgment Writ of Quo Warrant Other Civil Matters Signature of initiating party or representative Real Property Construction Defect & Contract Civil Writ Other Civil Filing DateBusiness Court filings should be filed using the Business Court civil coversheet.Judicial Review/Appeal Civil Case Filing Types ___ Greater than $300,000 ___ $200,000-$300,000 ___ $100,001-$199,999 ___ $25,001-$100,000 ___ $20,001-$25,000 ___ $2,501-20,000 ___ $2,500 or less DISTRICT COURT CIVIL COVER SHEET (Assigned by Clerk's Office) See other side for family-related case filings. ProbateTorts Nevada AOC - Research Statistics Uni t Pursuant to NRS 3.275Form PA 201 Rev 3.1 County, Nevada Case No. Plaintiff/Petitioner (name/address/phone): Defendant/Respondent/Co-petitioner (name/address/phone): D.O.B. D.O.B. Attorney (name/address/phone):Attorney (name/address/phone): Will an Interpreter be required for court hearings? Yes No Will an Interpreter be required for court hearings? Yes No If yes, what language will need to be interpreted?_______________ If yes, what language will need to be interpreted?____________ Marriage Dissolution Case Request for Temporary Protective Order Annulment Request for Extended Temporary Protective Order Divorce - With ChildrenOther Domestic Relation Case Filings Divorce - Without Children Name Change Foreign Decree Permission to Marry Joint Petition - With ChildrenOther Domestic Relation Filings Joint Petition - Without ChildrenMental Health Separate Maintenance Paternity Custody (Non-Divorce) Guardianship of an Adult Support (Non-Divorce) Guardianship of a Minor Intrastate (Title IV-D)Guardianship Trust Other Support (Non-Title IV-D) Visitation (Non-Divorce) Termination of Parental Rights (TPR) State-Initiated TPR Petition (District Attorney filing only) Other TPR Petition (Private Request)Miscellaneous Juvenile Petition AdoptionsEmancipation Petition Adult Minor Children involved in this case: Name: DOB: Name: DOB: Name: DOB: CIVIL (FAMILY/JUVENILE-RELATED) COVER SHEET For Clark and Washoe Counties, please use their Family Court Cover Sheet for family-related case filings. Please see the Family Court Clerk in those counties for copies of their forms. Signature of initiating party or representative Date Guardianship Case Filing Types Domestic Relations Case Filing Types Juvenile-Related Case Filing Types Estimated Estate Value: ___________ Other Family Related Case Filing Types (Assigned by Clerk's Office) Family-Juvenile Related Cases II. Nature of Controvers y (Please check applicable bold category and applicable subcategory, if appropriate)Contact court clerk for further information about interpreters I. Party Information (provide both home and mailing addresses if different) Nevada AOC - Research Statistics Uni t Pursuant to NRS 3.275Form PA 201 Rev 3.1