This form contains 86 fields organized into 27 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Amount Demanded Designation
Unlimited (Amount demanded exceeds $35,000) Checkbox
Check this box if the amount demanded in the case exceeds $35,000.
Limited (Amount demanded is $35,000 or less) Checkbox
Check this box if the amount demanded in the case is $35,000 or less.
Attorney or Party Without Attorney Information
State Bar Number Text
Enter the attorney's state bar number.
Name Text
Enter the name of the attorney or the party representing themselves.
Firm Name Text
Enter the law firm name, if applicable.
Street Address Text
Enter the street address for the attorney or self-represented party.
City Text
Enter the city for the attorney or self-represented party's address.
State Text
Enter the state for the attorney or self-represented party's address.
Max length: 2 characters
ZIP Code Text
Enter the ZIP code for the attorney or self-represented party's address.
Telephone Number Text
Enter the telephone number for the attorney or self-represented party.
Fax Number Text
Enter the fax number for the attorney or self-represented party, if any.
Email Address Text
Enter the email address for the attorney or self-represented party.
Attorney For (Name) Text
Enter the name of the party the attorney represents.
Case Name
Case Name Text
Enter the full title of the case as it should appear on the court documents.
Case Number / Judge / Department
Case Number Text
Enter the court-assigned case number for this matter.
Judge Text
Enter the name of the judge assigned to the case.
Department Text
Enter the court department number or designation for the assigned courtroom.
Case Type - Asbestos
Asbestos (04) Checkbox
Check this box if the case type is an asbestos matter (case type code 04).
Case Type - Auto Tort
Auto (22) Checkbox
Check this box if the case type is an auto tort claim classified as Auto (22).
Uninsured motorist (46) Checkbox
Check this box if the case type is an auto tort claim involving an uninsured motorist, classified as Uninsured motorist (46).
Case Type - Contract
Contract - Breach of contract/warranty (06) Checkbox
Check this box if the case is primarily a breach of contract or breach of warranty dispute.
Contract - Rule 3.740 collections (09) Checkbox
Check this box if the case is a collections matter filed under California Rules of Court, rule 3.740.
Contract - Other collections (09) Checkbox
Check this box if the case is a collections dispute that does not fall under Rule 3.740.
Contract - Insurance coverage (18) Checkbox
Check this box if the case primarily concerns insurance coverage (e.g., duties to defend/indemnify or coverage determinations).
Contract - Other contract (37) Checkbox
Check this box if the case is a contract matter that does not fit the other listed contract categories.
Case Type - Employment
Employment – Wrongful termination (36) Checkbox
Check this box if the case is an employment matter primarily involving a wrongful termination claim.
Employment – Other employment (15) Checkbox
Check this box if the case is an employment matter but does not fit the wrongful termination category.
Case Type - Employment Development Department (EDD)
EDD decision review (48) Checkbox
Check this box if the case is an Employment Development Department (EDD) decision review.
Case Type - Enforcement of Judgment
Enforcement of judgment (20) Checkbox
Check this box if the case type is an enforcement of judgment.
Case Type - Judicial Review
Judicial Review - Asset forfeiture (05) Checkbox
Check this box if the case is a judicial review matter involving asset forfeiture.
Judicial Review - Petition re arbitration award (11) Checkbox
Check this box if the case is a judicial review petition relating to an arbitration award.
Judicial Review - Writ of mandate (02) Checkbox
Check this box if the case seeks judicial review through a writ of mandate.
Judicial Review - Other judicial review (39) Checkbox
Check this box if the case is another type of judicial review not covered by the other listed options.
Case Type - Miscellaneous Civil Complaint
Miscellaneous Civil Complaint - RICO (27) Checkbox
Check this box if the case is a Miscellaneous Civil Complaint involving a RICO claim.
Miscellaneous Civil Complaint - Other complaint (not specified above) (42) Checkbox
Check this box if the case is a Miscellaneous Civil Complaint that is not one of the listed case types above.
Case Type - Miscellaneous Civil Petition
Miscellaneous Civil Petition - Partnership and corporate governance (21) Checkbox
Check this box if the case is a miscellaneous civil petition involving partnership and corporate governance.
Miscellaneous Civil Petition - Other petition (not specified above) (43) Checkbox
Check this box if the case is a miscellaneous civil petition that does not match any other listed case type.
Case Type - Non-PI/PD/WD (Other) Tort
Business tort/Unfair business practice (07) Checkbox
Check this box if the case is a non-PI/PD/WD (other) tort involving a business tort or unfair business practice.
Civil rights (08) Checkbox
Check this box if the case is a non-PI/PD/WD (other) tort alleging a civil rights violation.
Defamation (13) Checkbox
Check this box if the case is a non-PI/PD/WD (other) tort for defamation (e.g., libel or slander).
Fraud (16) Checkbox
Check this box if the case is a non-PI/PD/WD (other) tort based on fraud or misrepresentation.
Intellectual property (19) Checkbox
Check this box if the case is a non-PI/PD/WD (other) tort involving intellectual property claims.
Professional negligence (25) Checkbox
Check this box if the case is a non-PI/PD/WD (other) tort alleging professional negligence (other than medical malpractice).
Other non-PI/PD/WD tort (35) Checkbox
Check this box if the case is a non-PI/PD/WD (other) tort that does not fit the other listed categories.
Case Type - Other PI/PD/WD Tort
Product liability (24) Checkbox
Check this box if the case is a personal injury/property damage/wrongful death tort involving an allegedly defective product.
Medical malpractice (45) Checkbox
Check this box if the case is a personal injury/property damage/wrongful death claim based on alleged medical negligence.
Other PI/PD/WD (23) Checkbox
Check this box if the case is a personal injury/property damage/wrongful death tort that does not fit the other listed categories in this section.
Case Type - Provisionally Complex Civil Litigation
Antitrust/Trade regulation (03) Checkbox
Check this box if the case is an antitrust or trade regulation matter (case type 03) that qualifies as provisionally complex civil litigation.
Construction defect (10) Checkbox
Check this box if the case is a construction defect matter (case type 10) that qualifies as provisionally complex civil litigation.
Mass tort (40) Checkbox
Check this box if the case is a mass tort matter (case type 40) that qualifies as provisionally complex civil litigation.
Securities litigation (28) Checkbox
Check this box if the case is a securities litigation matter (case type 28) that qualifies as provisionally complex civil litigation.
Environmental/Toxic tort (30) Checkbox
Check this box if the case is an environmental or toxic tort matter (case type 30) that qualifies as provisionally complex civil litigation.
Comprehensive groundwater adjudication (47) Checkbox
Check this box if the case is a comprehensive groundwater adjudication (case type 47) that qualifies as provisionally complex civil litigation.
Insurance coverage claims arising from the above listed provisionally complex case types (41) Checkbox
Check this box if the case is an insurance coverage claim arising from one of the listed provisionally complex case types (case type 41). Fill only if 'Antitrust/Trade regulation (03)', 'Construction defect (10)', 'Mass tort (40)', 'Securities litigation (28)', 'Environmental/Toxic tort (30)', 'Comprehensive groundwater adjudication (47)' is 'Yes' (any fields).
Depends on: Antitrust/Trade regulation (03), Construction defect (10), Mass tort (40), Securities litigation (28), Environmental/Toxic tort (30), Comprehensive groundwater adjudication (47)
Case Type - Real Property
Real Property - Eminent domain/Inverse condemnation (14) Checkbox
Check this box if the case involves eminent domain or inverse condemnation.
Real Property - Wrongful eviction (33) Checkbox
Check this box if the case is about an alleged wrongful eviction.
Real Property - Other real property (26) Checkbox
Check this box if the case involves a real property dispute not covered by the other listed real property options.
Case Type - Unlawful Detainer
Unlawful Detainer - Commercial (31) Checkbox
Check this box if the case is an unlawful detainer involving commercial property.
Unlawful Detainer - Residential (32) Checkbox
Check this box if the case is an unlawful detainer involving residential property.
Unlawful Detainer - Drugs (38) Checkbox
Check this box if the unlawful detainer is based on allegations involving drugs.
Class Action Suit - Yes/No
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.
Complex Case Designation (Counter/Joinder)
Complex Case Designation (Counter) Checkbox
Check this box if you are filing this cover sheet as a counter filing in a complex case (e.g., with the defendant’s first appearance).
Complex Case Designation (Joinder) Checkbox
Check this box if you are filing this cover sheet as a joinder in a complex case (e.g., joining an existing complex case with the defendant’s first appearance).
Complex Case Designation (Rule 3.400) - Yes/No
Complex case under Rule 3.400 - Yes Checkbox
Check this box if this case is complex under rule 3.400 of the California Rules of Court.
Complex case under Rule 3.400 - No Checkbox
Check this box if this case is not complex under rule 3.400 of the California Rules of Court.
Complex Case Factors Requiring Exceptional Judicial Management
Large number of separately represented parties Checkbox
Check this box if the case involves many parties who are represented by different attorneys. Fill only if 'Complex case under Rule 3.400 - Yes' is 'Yes'.
Depends on: Complex case under Rule 3.400 - Yes
Extensive motion practice raising difficult or novel issues Checkbox
Check this box if the case is expected to involve extensive motions with difficult or new issues that will take significant time to resolve. Fill only if 'Complex case under Rule 3.400 - Yes' is 'Yes'.
Depends on: Complex case under Rule 3.400 - Yes
Substantial amount of documentary evidence Checkbox
Check this box if the case will require review and handling of a large volume of documents or other documentary evidence. Fill only if 'Complex case under Rule 3.400 - Yes' is 'Yes'.
Depends on: Complex case under Rule 3.400 - Yes
Large number of witnesses Checkbox
Check this box if the case is expected to involve a large number of witnesses. Fill only if 'Complex case under Rule 3.400 - Yes' is 'Yes'.
Depends on: Complex case under Rule 3.400 - Yes
Coordination with related actions in other courts Checkbox
Check this box if the case will require coordination with related cases pending in other counties, states, countries, or in federal court. Fill only if 'Complex case under Rule 3.400 - Yes' is 'Yes'.
Depends on: Complex case under Rule 3.400 - Yes
Substantial postjudgment judicial supervision Checkbox
Check this box if the case is likely to require significant court supervision after judgment (for example, to monitor or enforce ongoing compliance). Fill only if 'Complex case under Rule 3.400 - Yes' is 'Yes'.
Depends on: Complex case under Rule 3.400 - Yes
General
Print Button
Save Button
Clear Button
Notice of Related Case - Date and Signer Name
Notice of Related Case Date Date
Enter the date the notice of related case is completed and signed.
Signer Name (Type or Print) Text
Type or print the name of the party or attorney signing the notice of related case.
Number of Causes of Action
Number of Causes of Action Text
Enter the total number of causes of action (claims) asserted in this case.
Remedies Sought
Remedies sought: monetary Checkbox
Check this box if you are seeking monetary damages or other financial relief.
Remedies sought: nonmonetary (declaratory or injunctive relief) Checkbox
Check this box if you are seeking nonmonetary relief such as a court declaration or an injunction.
Remedies sought: punitive Checkbox
Check this box if you are seeking punitive (exemplary) damages.
Superior Court Location Information
Superior Court County Text
Enter the name of the California county where the Superior Court is located.
Superior Court Street Address Text
Enter the street address of the Superior Court location.
Superior Court Mailing Address Text
Enter the mailing address for the Superior Court, if different from the street address.
Superior Court City and ZIP Code Text
Enter the city and ZIP code for the Superior Court address.
Superior Court Branch Name Text
Enter the branch name of the Superior Court where the case is filed.