This form contains 86 fields organized into 6 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Case Complexity Information
Yes Checkbox
Check this box if the case is considered complex under rule 3.400 of the California Rules of Court.
No Checkbox
Check this box if the case is not considered complex under rule 3.400 of the California Rules of Court.
Large number of separately represented parties Checkbox
Check this box if the complex case involves a large number of separately represented parties, requiring exceptional judicial management.
Extensive motion practice Checkbox
Check this box if the complex case involves extensive motion practice raising difficult or novel issues that will be time-consuming to resolve, requiring exceptional judicial management.
Substantial amount of documentary evidence Checkbox
Check this box if the complex case involves a substantial amount of documentary evidence, requiring exceptional judicial management.
Large number of witnesses Checkbox
Check this box if the complex case involves a large number of witnesses, requiring exceptional judicial management.
Coordination with related actions Checkbox
Check this box if the complex case requires coordination with related actions pending in one or more courts in other counties, states, or countries, or in a federal court, requiring exceptional judicial management.
Substantial postjudgment judicial supervision Checkbox
Check this box if the complex case requires substantial postjudgment judicial supervision.
Class Action Suit Status
Class Action Suit Yes Checkbox
Check this box if the case is a class action suit.
Class Action Suit No Checkbox
Check this box if the case is not a class action suit.
General
State Bar Number Text
Enter the state bar number for the attorney or party.
Attorney or Party Name Text
Enter the name of the attorney or party without an attorney.
Firm Name Text
Enter the name of the law firm.
Street Address Text
Enter the street address.
City Text
Enter the city.
State Text
Enter the state.
Max length: 2 characters
ZIP Code Text
Enter the ZIP code.
Telephone Number Text
Enter the telephone number.
Fax Number Text
Enter the fax number.
Email Address Text
Enter the email address.
Attorney For Name Text
Enter the name of the party the attorney is representing.
County Name Text
Enter the name of the county for the Superior Court of California.
Court Street Address Text
Enter the street address of the court.
Court Mailing Address Text
Enter the mailing address of the court.
Court City and ZIP Code Text
Enter the city and ZIP code of the court.
Court Branch Name Text
Enter the branch name of the court.
Case Name Text
Enter the full name of the case.
Unlimited Checkbox
Check this box if the amount demanded in the case exceeds $35,000.
Limited Checkbox
Check this box if the amount demanded in the case is $35,000 or less.
Counter Checkbox
Check this box if this filing is a counter-claim, marking the first appearance by the defendant.
Joinder Checkbox
Check this box if this filing is a joinder, marking the first appearance by the defendant.
Case Number Text
Enter the case number.
Judge Name Text
Enter the name of the assigned judge.
Department Number Text
Enter the department number.
Auto Checkbox
Check this box if the case involves an auto-related tort.
Uninsured motorist Checkbox
Check this box if the case involves an uninsured motorist tort.
Asbestos Checkbox
Check this box if the case involves asbestos.
Product liability Checkbox
Check this box if the case involves product liability.
Medical malpractice Checkbox
Check this box if the case involves medical malpractice.
Other PI/PD/WD Checkbox
Check this box if the case involves other personal injury, property damage, or wrongful death torts not listed.
Business tort/Unfair business practice Checkbox
Check this box if the case involves a business tort or unfair business practice.
Civil rights Checkbox
Check this box if the case involves civil rights.
Defamation Checkbox
Check this box if the case involves defamation.
Fraud Checkbox
Check this box if the case involves fraud.
Intellectual property Checkbox
Check this box if the case involves intellectual property.
Professional negligence Checkbox
Check this box if the case involves professional negligence.
Other non-PI/PD/WD tort Checkbox
Check this box if the case involves other non-personal injury, property damage, or wrongful death torts not listed.
Wrongful termination Checkbox
Check this box if the case involves wrongful termination.
Other employment Checkbox
Check this box if the case involves other employment-related matters not listed.
Breach of contract/warranty Checkbox
Check this box if the case involves a breach of contract or warranty.
Rule 3.740 collections Checkbox
Check this box if the case involves collections under Rule 3.740.
Other collections Checkbox
Check this box if the case involves other collections not specified under Rule 3.740.
Insurance coverage Checkbox
Check this box if the case involves insurance coverage disputes.
Other contract Checkbox
Check this box if the case involves other contract disputes not listed.
Eminent domain/Inverse condemnation Checkbox
Check this box if the case involves eminent domain or inverse condemnation.
Wrongful eviction Checkbox
Check this box if the case involves wrongful eviction.
Other real property Checkbox
Check this box if the case involves other real property matters not listed.
Commercial Checkbox
Check this box if the unlawful detainer case is commercial.
Residential Checkbox
Check this box if the unlawful detainer case is residential.
Drugs Checkbox
Check this box if the unlawful detainer case involves drugs.
Asset forfeiture Checkbox
Check this box if the case involves asset forfeiture.
Petition re arbitration award Checkbox
Check this box if the case involves a petition regarding an arbitration award.
Writ of mandate Checkbox
Check this box if the case involves a writ of mandate.
Other judicial review Checkbox
Check this box if the case involves other judicial review not listed.
EDD decision review Checkbox
Check this box if the case involves an Employment Development Department (EDD) decision review.
Antitrust/Trade regulation Checkbox
Check this box if the case involves antitrust or trade regulation.
Construction defect Checkbox
Check this box if the case involves a construction defect.
Mass tort Checkbox
Check this box if the case involves a mass tort.
Securities litigation Checkbox
Check this box if the case involves securities litigation.
Environmental/Toxic tort Checkbox
Check this box if the case involves an environmental or toxic tort.
Comprehensive groundwater adjudication Checkbox
Check this box if the case involves comprehensive groundwater adjudication.
Insurance coverage claims arising from the above listed provisionally complex case types Checkbox
Check this box if the case involves insurance coverage claims arising from the provisionally complex case types listed above.
Enforcement of judgment Checkbox
Check this box if the case involves the enforcement of a judgment.
RICO Checkbox
Check this box if the miscellaneous civil complaint involves RICO.
Other complaint (not specified above) Checkbox
Check this box if the miscellaneous civil complaint is not specified above.
Partnership and corporate governance Checkbox
Check this box if the miscellaneous civil petition involves partnership and corporate governance.
Other petition (not specified above) Checkbox
Check this box if the miscellaneous civil petition is not specified above.
Print Button
Save Button
Clear Button
Number of Causes of Action
Number of Causes of Action Number
Enter the total number of causes of action.
Remedies Sought
Remedies Sought: Monetary Checkbox
Check this box if monetary relief is being sought.
Remedies Sought: Nonmonetary; Declaratory or Injunctive Relief Checkbox
Check this box if nonmonetary relief, such as declaratory or injunctive relief, is being sought.
Remedies Sought: Punitive Checkbox
Check this box if punitive damages are being sought.
Signature Information
Signature Date Date
Enter the date the form is signed.
Printed Name of Signer Text
Enter the full printed name of the party or attorney signing this document.