Form DC-CV-001, Complaint/Application and Affidavit in Support of Judgment Instructions
This form contains 89 fields organized into 30 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Action Type | ||
| Contract | Checkbox |
Check this box if the case is an action arising from a contract.
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| Tort | Checkbox |
Check this box if the case is an action for a civil wrong or injury.
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| Replevin | Checkbox |
Check this box if the case is an action to recover unlawfully seized or detained personal property.
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| Detinue | Checkbox |
Check this box if the case is an action to recover goods wrongfully detained by the defendant.
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| Bad Faith Insurance Claim | Checkbox |
Check this box if the case involves a claim that an insurance company acted in bad faith.
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| Consumer Debt (Original Creditor) | Checkbox |
Check this box if the case involves consumer debt and the plaintiff is the original creditor.
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| Attorney Information | ||
| Plaintiff Attorney Information | Text |
Please provide the plaintiff's attorney's full name, complete address, telephone number, and any relevant attorney code.
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| Attorney's Fees | ||
| Attorney's Fees Amount | Number |
Enter the total amount claimed for attorney's fees.
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| Case Number | ||
| Civil Case Number | Text |
Enter the unique civil case number assigned to this complaint.
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| Case Particulars | ||
| Case Particulars Description | Text |
Provide a detailed explanation of the particulars of this case.
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| Certifier Identity | ||
| Plaintiff | Checkbox |
Check this box if the person certifying this document is the plaintiff in this case.
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| Agent of Plaintiff | Checkbox |
Check this box if the person certifying this document is an agent or representative acting on behalf of the plaintiff.
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| Certifier's Relationship to Plaintiff | Text |
Provide your relationship to the plaintiff, such as 'attorney' or 'agent', if you are not the plaintiff directly.
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| Court and Case Information | ||
| Court Jurisdiction | Combobox |
Enter the name of the Maryland county or city where this District Court is located.
Somerset County
Cecil County
Talbot County
Baltimore County
St. Mary's County
Charles County
Worcester County
Dorchester County
Garrett County
Allegany County
Carroll County
Calvert County
Montgomery County
Harford County
Baltimore City
Anne Arundel County
Caroline County
Washington County
Wicomico County
Kent County
Prince George's County
Queen Anne's County
Howard County
Frederick County
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| Court Location | ||
| Court Address | Text |
Please enter the full physical address of the court.
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| Detinue Claim | ||
| Return of Property or Value | Checkbox |
Check this box if the plaintiff is seeking the return of property or its value, along with damages, for its detention in an action of detinue. Fill only if 'Detinue' is 'Yes'.
Depends on:
Detinue
|
| Property Value | Number |
Enter the monetary value of the property being claimed in the detinue action. Fill only if 'Detinue' is 'Yes'.
Depends on:
Detinue
|
| Detinue Damages | Number |
Enter the monetary amount claimed for damages due to the detention of the property in the detinue action. Fill only if 'Detinue' is 'Yes'.
Depends on:
Detinue
|
| Final Affirmation Signature and Date | ||
| Affirmation Date | Date |
Please enter the date of this affirmation.
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| Affiant Signature | Text |
Please provide the signature of the affiant.
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| First Defendant Information | ||
| First Defendant Name Address Telephone Number | Text |
Provide the full name, address, and telephone number of the first defendant.
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| Certified Mail | Checkbox |
Check this box if the first defendant is to be served via Certified Mail.
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| Private Process | Checkbox |
Check this box if the first defendant is to be served via Private Process.
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| Constable | Checkbox |
Check this box if the first defendant is to be served by a Constable.
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| Sheriff | Checkbox |
Check this box if the first defendant is to be served by the Sheriff.
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| Fourth Defendant Information | ||
| Fourth Defendant Name, Address, Telephone Number | Text |
Please provide the full name, current address, and telephone number of the fourth defendant.
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| Certified Mail | Checkbox |
Check this box if the fourth defendant is to be served by certified mail.
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| Private Process | Checkbox |
Check this box if the fourth defendant is to be served by a private process server.
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| Constable | Checkbox |
Check this box if the fourth defendant is to be served by a constable.
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| Sheriff | Checkbox |
Check this box if the fourth defendant is to be served by a sheriff.
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| General | ||
| Reset | Button | |
| Judgment Amount | ||
| $5,000 or under | Checkbox |
Check this box if the judgment amount being sought is $5,000 or under.
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| over $5,000 | Checkbox |
Check this box if the judgment amount being sought is over $5,000.
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| Mediation/ADR Interest | ||
| Mediation/ADR Interest | Checkbox |
Check this box if you are interested in trying to resolve this dispute through mediation or Alternative Dispute Resolution (ADR).
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| Military Service Affiant Signature and Date | ||
| Affiant Date | Date |
Enter the date the affiant signed the document.
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| Affiant Signature | Text |
Enter the full name of the affiant.
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| Military Service Status: In Service | ||
| Defendant in Military Service | Checkbox |
Check this box if the defendant or any of the defendants listed are currently serving in the military.
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| Number of Defendants in Military Service | Number |
Provide the number of defendants who are currently in military service. Fill only if 'Defendant in Military Service' is 'Yes'.
Depends on:
Defendant in Military Service
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| Verified through DOD at http://scra.dmdc.osd.mil/ | Checkbox |
Check this box if the defendant’s military service status has been verified through the Department of Defense at http://scra.dmdc.osd.mil/. Fill only if the 'Defendant(s) in military service' is 'Yes'.
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| Military Service Status: Not In Service | ||
| No defendant is in the military service | Checkbox |
Check this box if you affirm that no defendant involved in this case is currently serving in the military.
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| Facts Supporting No Military Service | Text |
Enter the specific facts that support the statement that no defendant is currently in military service. Fill only if 'No defendant is in the military service' is 'Yes'.
Depends on:
No defendant is in the military service
|
| Explanation for Undetermined Military Service | Text |
Enter the explanation for why you are unable to determine the military service status of any defendant.
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| Military Service Status: Unable to Determine | ||
| I am unable to determine whether or not any defendant is in military service. | Checkbox |
Check this box if you are unable to determine the military service status of any defendant in this case.
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| Other Claim | ||
| Other | Checkbox |
Check this box if your claim is not covered by the preceding options and you need to specify it, demanding judgment for relief.
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| Other Claim Details | Text |
Please provide details for any other claims not previously specified by the plaintiff. Fill only if 'Other' is 'Yes'.
Depends on:
Other
|
| Plaintiff Information | ||
| Plaintiff Name, Address, and Telephone Number | Text |
Provide the full name of the plaintiff, their complete address, and their telephone number.
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| Plaintiff/Attorney Signature and Information | ||
| Signature/Attorney Code | Text |
Provide the signature of the plaintiff or attorney, or their attorney code.
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| Attorney Bar Number | Text |
Enter the attorney's bar registration number.
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| Printed Name | Text |
Enter the full printed name of the plaintiff or attorney.
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| Address Line 1 | Text |
Enter the first line of the plaintiff's or attorney's address.
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| Address Line 2 | Text |
Enter the second line of the plaintiff's or attorney's address, if applicable.
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| Telephone Number | Text |
Enter the plaintiff's or attorney's telephone number.
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| Fax Number | Text |
Enter the plaintiff's or attorney's fax number.
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| Email Address | Text |
Enter the plaintiff's or attorney's email address.
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| Post-judgment Interest | ||
| legal rate | Checkbox |
Check this box if post-judgment interest should be applied at the legal rate.
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| contractual rate | Checkbox |
Check this box if post-judgment interest should be applied at the contractual rate.
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| Post-judgment Interest Until Date | Date |
Enter the date until which the post-judgment interest is calculated at the specified rate. Fill only if 'legal rate', 'contractual rate' is 'Yes' for any.
Depends on:
legal rate, contractual rate
|
| waived | Checkbox |
Check this box if post-judgment interest is waived.
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| Pre-judgment Interest Calculation | ||
| Legal Rate | Checkbox |
Check this box if the pre-judgment interest should be calculated at the legal rate.
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| Contractual Rate | Checkbox |
Check this box if the pre-judgment interest should be calculated at the contractual rate.
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| Pre-judgment Interest Rate | Number |
Enter the pre-judgment interest rate. Fill only if 'Contractual Rate' is 'Yes'.
Depends on:
Contractual Rate
|
| Pre-judgment Interest Start Date | Date |
Enter the start date for the pre-judgment interest calculation. Fill only if 'Legal Rate', 'Contractual Rate' is 'Yes' for any.
Depends on:
Legal Rate, Contractual Rate
|
| Pre-judgment Interest End Date | Date |
Enter the end date for the pre-judgment interest calculation. Fill only if 'Legal Rate', 'Contractual Rate' is 'Yes' for any.
Depends on:
Legal Rate, Contractual Rate
|
| Pre-judgment Interest Days | Number |
Enter the total number of days for which pre-judgment interest is calculated.
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| Pre-judgment Interest Per Day Amount | Number |
Enter the pre-judgment interest amount accrued per day.
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| Principal Amount | ||
| Principal Amount | Number |
Please enter the principal amount being claimed by the plaintiff.
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| Replevin Claim | ||
| Return of the property valued at | Checkbox |
Check this box if the plaintiff is claiming the return of property with a specified value and damages for its detention in an action of replevin. Fill only if 'Replevin' is 'Yes'.
Depends on:
Replevin
|
| Property Value | Number |
Enter the monetary value of the property being claimed in the replevin action. Fill only if 'Replevin' is 'Yes'.
Depends on:
Replevin
|
| Damages for Detention | Number |
Enter the amount of damages being claimed for the detention of the property in the replevin action. Fill only if 'Replevin' is 'Yes'.
Depends on:
Replevin
|
| Second Defendant Information | ||
| Second Defendant Name, Address, Telephone Number | Text |
Provide the full name, address, and telephone number for the second defendant.
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| Certified Mail | Checkbox |
Check this box if the second defendant should be served by certified mail.
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| Private Process | Checkbox |
Check this box if the second defendant should be served by a private process server.
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| Constable | Checkbox |
Check this box if the second defendant should be served by a constable.
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| Sheriff | Checkbox |
Check this box if the second defendant should be served by the sheriff.
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| Supporting Documents | ||
| Properly Authenticated Copy of Note/Security Agreement | Checkbox |
Check this box if you are attaching a properly authenticated copy of any note or security agreement upon which the claim is based.
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| Itemized Statement of Account | Checkbox |
Check this box if you are attaching an itemized statement of the account.
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| Interest Worksheet | Checkbox |
Check this box if you are attaching an interest worksheet.
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| Vouchers | Checkbox |
Check this box if you are attaching vouchers as supporting documents.
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| Check | Checkbox |
Check this box if you are attaching a copy of a check as a supporting document.
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| Other Written Document | Checkbox |
Check this box if you are attaching any other written document to support the claim.
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| Verified itemized repair bill or estimate | Checkbox |
Check this box if you are attaching a verified itemized repair bill or estimate as supporting evidence. Fill only if 'Other Written Document' is 'Yes'.
Depends on:
Other Written Document
|
| Other Document Description | Text |
Please provide a description of the other written document submitted to support the claim.
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| Verified Itemized Repair Bill or Estimate | Checkbox |
Check this box if you are attaching a verified itemized repair bill or estimate.
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| Third Defendant Information | ||
| Third Defendant Name and Address | Text |
Provide the full name, address, and telephone number for the third defendant.
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| Certified Mail | Checkbox |
Check this box if the third defendant should be served by Certified Mail.
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| Private Process | Checkbox |
Check this box if the third defendant should be served by Private Process.
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| Constable | Checkbox |
Check this box if the third defendant should be served by a Constable.
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| Sheriff | Checkbox |
Check this box if the third defendant should be served by the Sheriff.
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| Total Principal and Pre-judgment Interest | ||
| Total Principal and Pre-judgment Interest | Number |
Enter the total sum of the principal amount and the pre-judgment interest.
|