Free civilrev05_00_cover.PDF - Oklahoma

FOR INTERNAL USE ONLY
THIS SHEET WILL NOT BECOME PART OF THE PUBLIC RECORD, AND WILL BE USED FOR INTERNAL CASE TRACKING PURPOSES.

CIVIL COVER SHEET
IN THE DISTRICT COURT OF ___________________ COUNTY STATE OF OKLAHOMA
[ [ [ [ [ ] CJ ] CS ] CV ] SC ] SD

PLAINTIFF _____________________________________ V. DEFENDANT____________________________________

CASE NO. ______________

PARTY INFORMATION
THE INFORMATION BELOW IS REQUIRED OF EACH PARTY IN THE CASE. PARTY TYPE: [ ] PLAINTIFF [ ] DEFENDANT [ ] OTHER _____________________ COMPANY OR LAST NAME FIRST NAME M IDDLE NAME PREFIX (MR., ETC.) STREET ADDRESS SUFFIX (SR., ETC.)

______________________________________________________ ______________________________________________________ ______________________________________________________
CITY STATE ZIP TELEPHONE

ADDRESS TYPE

[ ] HOME [ ] WORK [ ] OTHER______________ DRIVERS LICENSE # (FEDERAL TAX ID FOR CORPORATE OR ENTITY PARTIES) DATE OF BIRTH DRIVERS LICENSE STATE

ATTORNEY INFORMATION
IF LICENSED IN OKLAHOMA, FILL IN ADDRESS INFORMATION ONLY IF IT IS NEW SINCE THEY WERE REGISTERED WITH THE OKLAHOMA BAR ASSOCIATION. ATTACH ADDITIONAL COVER SHEETS FOR ADDITIONAL ATTORNEYS. ALL ATTORNEYS SHOULD BE LISTED. NOTE: ADDRESS CHANGES ARE EFFECTIVE IN ALL OCIS COUNTIES. COMPANY OR LAST NAME FIRST NAME M IDDLE NAME PREFIX (MR., ETC.) SUFFIX (SR., ETC.) STREET ADDRESS

______________________________________________________ ______________________________________________________ ______________________________________________________
CITY STATE ZIP TELEPHONE

ADDRESS TYPE
EMAIL ADDRESS

[ ] HOME [ ] WORK [ ] OTHER_______________

BAR NUMBER AND STATE

SUMMONS INFORMATION
PETITION TO BE SERVED BY: SHERIFF OF ________________COUNTY [ ] PROCESS SERVER [ ] PUBLICATION [ ] BY HAND [ ] REGISTERED MAIL [ ] GIVEN TO THE ATTORNEY OF RECORD [ ] OTHER CLAIMS OF RELIEF REQUESTED (CIRCLE PRIMARY RELIEF, CHECK ALL OTHERS) NUMBER OF SUMMONS TO BE ISSUED__________
[ ] ABANDONED PROPERTY [ ] ABSTRACT OF JUDGMENT/ FOREIGN JUDGMENT [ ] APPLICATION TO RELEASE LIEN [ ] APPLICATION RE: REVOCATION OF DRIVER' S LICENSE [ ] APPEAL / CITY [ ] APPEAL / ADMINISTRATIVE [ ] ARBITRATION [ ] ASSAULT & BATTERY [ ] AUTO NEGLIGENCE [ ] BAD FAITH INSURER LIABILITY [ ] BREACH AGREEMENT / CONTRACT [ ] BREACH OF FIDUCIARY DUTY [ ] CANCELLATION OF LEASE [ ] CHANGE OF NAME [ ] CLASS ACTION [ ] CONDEMNATION [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ ] DECLARATORY JUDGMENT ] DISCRIMINATION ] FORCIBLE ENTRY & DETAINER ] FORECLOSURE ] FORFEITURE (AUTO) ] STRICT LIABILITY ] TORTIOUS INTERFERENCE CONTRACT ] TRANSFER CASE / COUNTER CLAIM ] TRANSFER CASE / SMALL CLAIMS TO CIVIL ] TRUST ] WAIVER OF PENALTY TAX ] WRONGFUL DEATH ] WRONGFUL TERMINATION ] FORFEITURE (CONTRABAND) ] FRAUD ] FRIENDLY SUIT ] INDEBTEDNESS ] INJUNCTION / RESTRAINING ORDER [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ [ ] INTENTIONAL INFLICTION EMOTIONAL DISTRESS ] INTERPLEADER ] LEGAL NEGLIGENCE ] LIBEL / SLANDER ] LOSS OF CONSORTIUM ] MAJORITY RIGHTS ] MANDAMUS ] MALICIOUS PROSECUTION ] MEDICAL NEGLIGENCE ] PARTITION ] PREMISES LIABILITY ] PROFESSIONAL NEGLIGENCE ] PRODUCT LIABILITY ] PROMISSORY NOTE ] QUIET TITLE ] REFORMATION OF DEED / INSTRUMENT ] REPLEVIN ] SPECIFIC PERFORMANCE ] OTHER ___________________________ ] OTHER ___________________________

THIS COVER SHEET IS REQUIRED TO BE SUBMITTED BY ALL PARTIES WITH THEIR INITIAL FILING. THIS DOCUMENT IS REQUIRED BY SUPREME COURT ADMINISTRATIVE DIRECTIVE SCAD-1999-87.
Promulgated by the Oklahoma Administrative Office of the Courts

REVISION 5-16-2000