Free JS 44 - Civil Cover Sheet - Rhode Island

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JS-44 (Rev. 3/08 RI)

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CIVIL COVER SHEET
DEFENDANTS

I. (a) PLAINTIFFS

(b) County of Residence of First Listed Plaintiff __________________________
(EXCEPT IN U.S. PLAINTIFF CASES)

(c) Attorney's (Firm Name, Address, and Telephone Number)

County of Residence of First Listed Defendant __________________________________________ (IN U.S. PLAINTIFF CASES ONLY) NOTE: IN LAND CONDEMNATION CASES, USE THE LOCATION OF THE LAND INVOLVED. Attorneys (If Known)

II. BASIS OF JURISDICTION
'1
U.S. Government Plaintiff

(Place an "X" in One Box Only)

III. CITIZENSHIP OF PRINCIPAL PARTIES (Place an "X" in One Box for Plaintiff
(For Diversity Cases Only) PTF DEF ' 1 ' 1 Citizen of This State and One Box for Defendant) PTF DEF Incorporated or Principal Place ' 4 ' 4 of Business In This State Incorporated and Principal Place of Business In Another State Foreign Nation

' 3 Federal Question (U.S. Government Not a Party) ' 4 Diversity (Indicate Citizenship of Parties in Item III)

'2

U.S. Government Defendant

Citizen of Another State

' 2

' 2

'5 '6

' 5 '6

Citizen or Subject of a Foreign Country

' 3 ' 3

IV. NATURE OF SUIT (Place an "X" in One Box Only)
Admiralty ' 340 Marine(Injury to Seamen) ' 120 Marine (Other) Admin/Agency Appeals Other ' 890 Other Statutory Actions (APA Appeals, IDEA Appeals, Other) Bankruptcy ' 422 Appeal 28 U.S.C. § 158 ' 423 Withdrawal 28 U.S.C. § 157 Banks and Banking ' 140 Negotiable Instruments ' 430 Banks and Banking ' 875 Customer Challenge to Subpoena (12 U.S.C. § 3410) Anti-trust ' 410 Anti-Trust Construction Contracts Constitutional Law ' 950 Constitutionality of State Statutes ' 440 Other Civil Rights (Constitutionality of Federal Statutes) Elections and Voting Immigration ' 462 Naturalization Application ' 463 Habeas Corpus - Alien Detainees ' 465 Other Immigration Actions Indian Law ' 890 Other Statutory Actions Insurance ' 110 Insurance Contract Labor and Occupational Safety ' 660 Occupational Safety/Health ' 710 Fair Labor Standards Act ' 720 Labor/Management Relations ' 730 Labor/Management Reporting and Disclosure Act ' 740 Railway Labor Act ' 790 Other Labor Litigation Miscellaneous Civil Cases Miscellaneous Civil Cases Continued ' 650 Airline Regs. ' 690 Other (Forfeiture) ' 690 Other (Health Care) ' 810 Selective Service ' 870 Taxes (U.S. Plaintiff or Defendant) ' 871 IRS-Third Party (26 U.S.C. § 7609) ' 890 Other Statutory Actions ' 891 Agricultural Acts ' 892 Economic Stabilization Act ' 894 Energy Allocation Act ' 895 Freedom of Information Act ' 900 Appeal of Fee Determination under Equal Access to Justice Act Patents (Intellectual Property) RICO ' 470 RICO Social Security ' 861 HIA (1395ff) ' 862 Black Lung (923) ' 863 DIWC/DIWW (405(g)) ' 864 SSID Title XVI ' 865 RSI (405(g)) Mass Torts ' 360 Other Personal Injury Products Liability ' 195 Contract Product Liability ' 245 Tort Product Liability ' 315 Airplane Product Liability ' 345 Marine Product Liability ' 355 Motor Vehicle Product Liability ' 365 Personal Injury Product Liability ' 385 Property Damage Product Liability Professional Malpractice ' 362 Personal Injury Med. Malpractice Motor Vehicle Accidents/Slip and Fall

' 400 State Reapportionment ' 441 Voting

Civil Rights

Other - Civil Rights

' 440 Other Civil Rights ' 443 Housing/ Accommodations ' 444 Welfare ' 446 Americans with Disabilities

' 830 Patents
Prisoner Petitions ' 510 Motions to Vacate Sentence (2254) ' 510 Motions to Vacate Sentence (2255) ' 530 General (Habeas) ' 535 Death Penalty ' 540 Mandamus and Other ' 550 Civil Rights (1983) ' 555 Prison Conditions(1983) Real and Personal Property

Employment and Employee Benefits

' 130 Miller Act ' 190 Other Contracts
Securities Law & Stockholder Suits ' 160 Stockholders' Suits ' 850 Securities/ Commodities/ Exchange Other - Business/Comm.

Employment Discrimination

Business and Commercial

' 442 Employment ' 445 Americans with DisabilitiesEmployment ' 440 Other -Civil Rights
ERISA

' 791 Employment Ret. Inc. Security Act
Other Employment Benefits ' 190 Other - Contract ' 442 Other Employment

' 196 Franchise ' 490 Cable/Satellite TV
Consumer Credit ' 371 Truth in Lending ' 480 Consumer Credit

' 190 Other Contracts

Environmental Law ' 893 Environmental Matters

' 150 Recovery of Overpayment and Enforcement of Judgment (Collections) ' 151 Medicare Act ' 152 Recovery of Defaulted Student Loans (excluding Veterans) ' 153 Recovery of Overpayment of Veterans' Benefits ' 370 Other Fraud ' 440 Other Civil Rights (Immigration/Deportation) ' 450 Commerce ' 460 Deportation ' 610 Agriculture ' 620 Other Food and Drug ' 625 Drug related seizure of property ' 630 Liquor Laws ' 640 Railroad and Truck

Torts and Personal Injury

Copyright & Trademark (Intellectual Property) ' 820 Copyright ' 840 Trademark

' 350 Motor Vehicles ' 360 Other Personal Injury
Other Torts and Personal Injury incl. Asbestos cases ' 360 Other Personal Injury (Fed. Tort Claims Act) ' 310 Airplane ' 320 Assault, Libel and Slander ' 330 Federal Employers' Liability ' 360 Other Personal Injury ' 368 Asbestos Personal Injury

' 210 Land Condemnation ' 220 Foreclosure ' 230 Rent, Lease and Ejectment ' 240 Torts to Land ' 290 All other Real Property ' 380 Other Personal Property Damage

CONTINUED ON REVERSE SIDE

V. ORIGIN (Place an "X" In One Box Only)

'1
Original Proceeding

'2
Removed from State Court

'3
Remanded from Appellate Court

'4
Reinstated or Reopened

'5
Transferred from another district (Specify)

'6
Multidistrict Litigation

'7
Appeal to District Judge From Magistrate Judgment

Cite the U.S. Civil Statute under which you are filing (Do not cite jurisdictional statutes unless diversity):

VI. CAUSE OF ACTION
Brief description of cause:

VII. REQUESTED IN COMPLAINT

' Check if this is a Class Action Under F.R.C.P. 23

DEMAND $

JURY DEMAND:

' Yes

' No

(Check YES only if demanded in complaint)

VIII. RELATED CASE(S) IF ANY

JUDGE _________________________________________

DOCKET NUMBER _______________________________

Because of the need for accurate and complete information, you should ensure the accuracy of the information provided prior to signing the form.

____________________________________________________ Date

_________________________________________________________________ Signature of Attorney of Record

INSTRUCTIONS FOR COMPLETING CIVIL COVER SHEET JS-44 Authority for Civil Cover Sheet The JS-44 civil cover sheet and the information contained herein neither replaces nor supplements the filings and service of pleadings or other papers as required by law, except as provided by local rules of court. This form, approved by the Judicial Conference of the United States in September 1974, is required for the use of the Clerk of Court for the purpose of initiating the civil docket sheet. Consequently a civil cover sheet is submitted to the Clerk of Court for each civil complaint filed. Listed below are tips for completing the civil cover sheet. These tips coincide with the Roman Numerals on the Cover Sheet. I. COUNTY OF RESIDENCE OF FIRST LISTED PLAINTIFF/DEFENDANT (b) County of residence: For each civil case filed, except U.S. plaintiff cases, enter the name of the county where the first listed plaintiff resides at the time of filing. In U.S. plaintiff cases, enter the name of the county in which the first listed defendant resides at the time of filing. (NOTE: In land condemnation cases, the county of residence of the "defendant" is the location of the tract of land involved.) CITIZENSHIP OF PRINCIPAL PARTIES: This section is completed only if diversity of citizenship was selected as the Basis of Jurisdiction under Section II. NATURE OF SUIT: Place an X in the appropriate box. Make sure to select the Nature of Suit from the category which best describes the primary cause of action found in your complaint. You must select only one nature of suit. RELATED CASES, IF ANY: This section of the JS-44 is used to reference related pending cases if any. If there are related pending cases, insert the docket numbers and the corresponding judge names for such cases.

III.

IV.

VIII.

FOR OFFICE USE ONLY

Receipt # ____________

Amount ____________

Applying IFP ___________

Judge _____________________

Mag. Judge _________________