Free Civil Cover Sheet - Arizona

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In the Superior court of the State of Arizona In and For the County of Mohave Case Number__________________________

CIVIL COVER SHEET ­ NEW FILING ONLY
(Please type or Print) Plaintiff's Attorney___________________________ Attorney's Bar Number_______________________ Plaintiff's Name(s): (List all) ________________________________________ ________________________________________ Plaintiff's Address: ______________________________________________ ______________________________________________

________________________________________ ______________________________________________ (List additional plaintiffs on page two and/or attach a separate sheet) Defendant's Name(s): (List All) ______________________________________________

________________________________________ ______________________________________________ (List additional defendants on page two and/or attach a separate sheet) EMERGENCY ORDER SOUGHT: Temporary Restraining Order Provisional Remedy OSC Election Challenge Employer Sanction Other ___________________________________________
(Specify)

RULE 8(i) COMPLEX LITIGATION DOES NOT APPLY. (Mark appropriate box under Nature of Action) RULE 8(i) COMPLEX LITIGATION APPLIES. Rule 8(i) of the rules of Civil Procedure defines a "Complex Case" as civil actions that require continuous judicial management. A typical case involves a large number of witnesses, a substantial amount of documentary evidence, and a large number of separately represented parties. (Mark appropriate box on page two as to complexity, in addition to the Nature of Action case category).

NATURE OF ACTION
(Place an "X" next to the one case category that most accurately describes your primary case.) TORT MOTOR VEHICLE: Non-Death/Personal Injury Property Damage Wrongful Death TORT NON-MOTOR VEHICLE: Negligence Product Liability - Asbestos Product Liability - Tobacco Product Liability - Toxic/Other Intentional Tort Property Damage Legal Malpractice Malpractice ­ Other professional Premises Liability Slander/Libel/Defamation Other (Specify)___________________________
04/20/09

MEDICAL MALPRACTICE: Physician M.D. Hospital Physician D.O. Other CONTRACTS: Account (Open or Stated) Promissory Note Foreclosure Buyer-Plaintiff Fraud Other Contract (i.e. Breach of Contract) Excess Proceeds-Sale Construction Defects (Residential/Commercial) Six to Nineteen Structures Twenty or More Structures

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OTHER CIVIL CASE TYPES: Eminent Domain/Condemnation Forcible Detainer Change of Name Transcript of Judgment Foreign Judgment Quiet Title Forfeiture Election Challenge NCC ­ Employer Sanction Action (A.R.S. §23-212) Injunction against Workplace Harassment Injunction against Harassment Civil Penalty Water Rights (Not General Stream Adjudication) Real Property Sexually Violent Person (A.R.S. §36-3704) Minor Abortion Special Action Against Lower Courts UNCLASSIFIED CIVIL: Administrative Review Tax Appeal

UNCLASSIFIED CIVIL (CONTINUED): Habeas corpus Landlord Tenant dispute - Other Restoration of civil Rights (Federal) Clearance of Records (A.R.S. §13-4051) Declaration of Factual Innocence (A.R.S. §12-771) Declaration of Factual Improper Party Status Vulnerable Adult (A.R.S. §46-451) Tribal Judgment Structured Settlement (A.R.S. §12-2901) Attorney Conservatorships (State Bar) Unauthorized Practice of Law (State Bar) Out-of-State Deposition for Foreign Jurisdiction Secure Attendance of Prisoner Assurance of Discontinuance In-State Deposition for Foreign Jurisdiction Eminent Domain ­ Light Rail Only Interpleader ­ Automobile Only Delayed Birth Certificate (A.R.S. §36-333.03) Employment Dispute - discrimination Employment dispute - Other Other _______________________________________
(Specify)

COMPLEXITY OF THE CASE
If you marked the box on page one indicating that Complex Litigation applies, place an "X" in the box of no less than one of the following: Antitrust/Trade Regulation Construction Defect with many parties or structures Mass Tort Securities Litigation with many parties Environmental Toxic Tort with many parties Class Action Claims Insurance coverage Claims arising from the above-listed case types A Complex Case as defined by rule 8(i) ARCP Additional Plaintiff(s) ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ Additional Defendant(s) ___________________________________________________________________________________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________

04/20/09

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