This form contains 134 fields organized into 27 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Attorney Signature and Date
Attorney Signature Date Date
Enter the date on which the attorney signed the civil cover sheet.
Signature of Attorney of Record Text
Provide the signature text of the attorney of record signing this civil cover sheet.
Basis of Jurisdiction
Federal Question (U.S. Government Not a Party) Checkbox
Check this box if jurisdiction is based on a federal question and the U.S. Government is not a party.
U.S. Government Plaintiff Checkbox
Check this box if the basis of jurisdiction is that the United States Government is the plaintiff in the case.
U.S. Government Defendant Checkbox
Check this box if the basis of jurisdiction is that the United States Government is the defendant in the case.
Diversity Checkbox
Check this box if jurisdiction is based on diversity of citizenship (and you will indicate the parties’ citizenship in Item III).
Cause of Action
Cause of Action – U.S. Civil Statute Text
Enter the U.S. civil statute under which the case is being filed.
Cause of Action – Brief Description Text
Provide a brief description of the cause of action for the case.
Citizenship (Defendant)
Defendant - Citizen of this State CheckBox
Depends on: Diversity
Defendant - Incorporated or Principal Place of Business in This State Checkbox
Check this box if the defendant is incorporated in this state or has its principal place of business in this state. Fill only if 'Diversity' is 'Yes'.
Depends on: Diversity
Defendant - Citizen of Another State CheckBox
Depends on: Diversity
Defendant - Incorporated and Principal Place of Business in Another State Checkbox
Check this box if the defendant is incorporated and has its principal place of business in a different state than this one. Fill only if 'Diversity' is 'Yes'.
Depends on: Diversity
Defendant - Citizen or Subject of a foreign Country CheckBox
Depends on: Diversity
Defendant - Foreign Nation Checkbox
Check this box if the defendant is a foreign nation. Fill only if 'Diversity' is 'Yes'.
Depends on: Diversity
Citizenship (Plaintiff)
Citizen of This State (Plaintiff) Checkbox
Check this box if the plaintiff is a citizen of the state where this federal court is located. Fill only if 'Diversity' is 'Yes'.
Depends on: Diversity
Plaintiff - Incorporated or Principal Place of Business in this State CheckBox
Depends on: Diversity
Citizen of Another State (Plaintiff) Checkbox
Check this box if the plaintiff is a citizen of a U.S. state different from the state where this federal court is located. Fill only if 'Diversity' is 'Yes'.
Depends on: Diversity
Plaintiff - Incorporated or Principal Place of Business in Another State CheckBox
Depends on: Diversity
Citizen or Subject of a Foreign Country (Plaintiff) Checkbox
Check this box if the plaintiff is a citizen or subject of a foreign country (not a U.S. citizen). Fill only if 'Diversity' is 'Yes'.
Depends on: Diversity
Plaintiff - Foreign Nation CheckBox
Depends on: Diversity
Defendant Information
Defendants Text
Enter the name(s) of the defendant(s) in this case.
County of Residence (First Listed Defendant) Text
Enter the county where the first listed defendant resides. Fill only if 'U.S. Government Plaintiff' is 'Yes'.
Depends on: U.S. Government Plaintiff
Defendant Attorneys (If Known) Text
Enter the defendant’s attorney information, including firm name, address, and telephone number, if known.
General
Opens Print Menu Button
Allows you to give the file a new name when saving Button
Resets the entire form Button
Jury Demand
Jury Demand: Yes Radiobutton
Check this box if a jury trial is demanded in the complaint.
Jury Demand: No Radiobutton
Check this box if a jury trial is not demanded in the complaint.
Nature of Suit - Bankruptcy
422 Appeal (28 USC 158) Checkbox
Check this box if the case is a bankruptcy appeal under 28 U.S.C. § 158.
423 Withdrawal (28 USC 157) Checkbox
Check this box if the case involves withdrawal of the reference under 28 U.S.C. § 157.
Nature of Suit - Civil Rights
440 Other Civil Rights Checkbox
Check this box if the case’s primary Nature of Suit is Civil Rights code 440 (Other Civil Rights).
444 Americans with Disabilities – Employment Checkbox
Check this box if the case’s primary Nature of Suit is Civil Rights code 444 (Americans with Disabilities – Employment).
441 Voting Checkbox
Check this box if the case’s primary Nature of Suit is Civil Rights code 441 (Voting).
442 Employment Checkbox
Check this box if the case’s primary Nature of Suit is Civil Rights code 442 (Employment).
443 Housing/Accommodations Checkbox
Check this box if the case’s primary Nature of Suit is Civil Rights code 443 (Housing/Accommodations).
445 Americans with Disabilities – Other Checkbox
Check this box if the case’s primary Nature of Suit is Civil Rights code 445 (Americans with Disabilities – Other).
448 Education Checkbox
Check this box if the case’s primary Nature of Suit is Civil Rights code 448 (Education).
Nature of Suit - Contract
110 Insurance Checkbox
Check this box if the case is an insurance-related contract dispute (Nature of Suit 110).
120 Marine Checkbox
Check this box if the case involves a marine contract dispute (Nature of Suit 120).
130 Miller Act Checkbox
Check this box if the case arises under the Miller Act (Nature of Suit 130).
140 Negotiable Instrument Checkbox
Check this box if the case involves a dispute over a negotiable instrument (Nature of Suit 140).
150 Recovery of Overpayment & Enforcement of Judgment Checkbox
Check this box if the case seeks recovery of an overpayment or enforcement of a judgment (Nature of Suit 150).
151 Medicare Act Checkbox
Check this box if the case is brought under the Medicare Act (Nature of Suit 151).
152 Recovery of Defaulted Student Loans (Excludes Veterans) Checkbox
Check this box if the case seeks recovery on defaulted student loans (excluding veterans) (Nature of Suit 152).
153 Recovery of Overpayment of Veteran's Benefits Checkbox
Check this box if the case seeks recovery of an overpayment of veterans' benefits (Nature of Suit 153).
160 Stockholders' Suits Checkbox
Check this box if the case is a stockholder/shareholder lawsuit involving a contract or corporate dispute (Nature of Suit 160).
190 Other Contract Checkbox
Check this box if the case is a contract dispute not covered by the other listed contract categories (Nature of Suit 190).
195 Contract Product Liability Checkbox
Check this box if the case involves product liability asserted under contract/warranty theories (Nature of Suit 195).
196 Franchise Checkbox
Check this box if the case involves a franchise agreement or franchise-related dispute (Nature of Suit 196).
Nature of Suit - Federal Tax Suits
870 Taxes (U.S. Plaintiff or Defendant) Checkbox
Check this box if the case is a federal tax suit classified as “870 Taxes” where the United States is the plaintiff or the defendant.
871 IRS—Third Party (26 USC 7609) Checkbox
Check this box if the case is an IRS third-party summons matter under 26 U.S.C. § 7609 (Nature of Suit 871).
Nature of Suit - Forfeiture/Penalty
Forfeiture/Penalty: 625 Drug Related Seizure of Property (21 USC 881) Checkbox
Check this box if the nature of suit is a drug-related seizure/forfeiture of property under 21 U.S.C. § 881.
Forfeiture/Penalty: 690 Other Checkbox
Check this box if the case is a forfeiture/penalty action that does not fit the drug-related seizure category.
Nature of Suit - Immigration
462 Naturalization Application Checkbox
Check this box if the case’s nature of suit is a naturalization application (code 462).
465 Other Immigration Actions Checkbox
Check this box if the case involves an immigration action other than a naturalization application (code 465).
Nature of Suit - Labor
Labor - 710 Fair Labor Standards Act Checkbox
Check this box if the case’s nature of suit is Fair Labor Standards Act (FLSA) claims (e.g., minimum wage or overtime).
Labor - 720 Labor/Management Relations Checkbox
Check this box if the case concerns labor/management relations disputes (e.g., union-management issues).
Labor - 740 Railway Labor Act Checkbox
Check this box if the case arises under the Railway Labor Act.
Labor - 751 Family and Medical Leave Act Checkbox
Check this box if the case involves claims under the Family and Medical Leave Act (FMLA).
Labor - 790 Other Labor Litigation Checkbox
Check this box if the case is labor-related but does not fit the other listed labor categories.
Labor - 791 Employee Retirement Income Security Act Checkbox
Check this box if the case involves claims under ERISA (employee benefit/retirement plan matters).
Nature of Suit - Other Statutes
375 False Claims Act Checkbox
Check this box if the case’s nature of suit is False Claims Act (code 375).
376 Qui Tam (31 USC 3729(a)) Checkbox
Check this box if the case is a qui tam action under 31 U.S.C. § 3729(a) (code 376).
400 State Reapportionment Checkbox
Check this box if the case concerns state reapportionment (code 400).
410 Antitrust Checkbox
Check this box if the case is an antitrust matter (code 410).
430 Banks and Banking Checkbox
Check this box if the case involves banks and banking laws (code 430).
450 Commerce Checkbox
Check this box if the case involves commerce laws or commerce-related claims (code 450).
460 Deportation Checkbox
Check this box if the case concerns deportation (code 460).
470 Racketeer Influenced and Corrupt Organizations (RICO) Checkbox
Check this box if the case is brought under RICO (code 470).
480 Consumer Credit Checkbox
Check this box if the case involves consumer credit issues or laws (code 480).
485 Telephone Consumer Protection Act Checkbox
Check this box if the case involves claims under the Telephone Consumer Protection Act (code 485).
490 Cable/Sat TV Checkbox
Check this box if the case involves cable or satellite television laws/claims (code 490).
850 Securities/Commodities/Exchange Checkbox
Check this box if the case involves securities, commodities, or exchange-related laws/claims (code 850).
890 Other Statutory Actions Checkbox
Check this box if the case is an “other statutory action” not otherwise listed (code 890).
891 Agricultural Acts Checkbox
Check this box if the case involves agricultural acts or agricultural law claims (code 891).
893 Environmental Matters Checkbox
Check this box if the case concerns environmental matters or environmental law claims (code 893).
895 Freedom of Information Act Checkbox
Check this box if the case is a Freedom of Information Act (FOIA) matter (code 895).
Nature of Suit_240 CheckBox
896 Arbitration Checkbox
Check this box if the case is an arbitration-related action (e.g., compel/confirm/vacate arbitration) (code 896).
899 Administrative Procedure Act/Review or Appeal of Agency Decision Checkbox
Check this box if the case seeks review of an agency decision under the APA or similar administrative review (code 899).
950 Constitutionality of State Statutes Checkbox
Check this box if the case challenges the constitutionality of a state statute (code 950).
Nature of Suit - Prisoner Petitions
463 Habeas Corpus – Alien Detainee Checkbox
Check this box if the nature of suit is a habeas corpus petition involving an alien detainee (code 463).
510 Habeas Corpus – Motions to Vacate Sentence Checkbox
Check this box if the case is a habeas corpus matter seeking to vacate, set aside, or correct a sentence (code 510).
530 Habeas Corpus – General Checkbox
Check this box if the case is a general habeas corpus petition not better described by the other habeas options (code 530).
535 Habeas Corpus – Death Penalty Checkbox
Check this box if the habeas corpus petition relates to a death penalty sentence (code 535).
540 Other – Mandamus & Other Checkbox
Check this box if the prisoner petition is for mandamus relief or another similar prisoner petition not covered by the other listed categories (code 540).
550 Other – Civil Rights Checkbox
Check this box if the prisoner petition is a civil rights action (typically under 42 U.S.C. § 1983 or similar) (code 550).
555 Other – Prison Condition Checkbox
Check this box if the case challenges prison conditions or treatment while incarcerated (code 555).
560 Other – Civil Detainee – Conditions of Confinement Checkbox
Check this box if the case concerns conditions of confinement for a civil detainee rather than a criminal prisoner (code 560).
Nature of Suit - Property Rights
820 Copyrights Checkbox
Check this box if the case’s nature of suit is Copyrights (code 820).
830 Patent Checkbox
Check this box if the case’s nature of suit is Patent (code 830).
835 Patent - Abbreviated New Drug Application Checkbox
Check this box if the case’s nature of suit is Patent – Abbreviated New Drug Application (code 835).
840 Trademark Checkbox
Check this box if the case’s nature of suit is Trademark (code 840).
Nature of Suit - Real Property
Real Property - 210 Land Condemnation Checkbox
Check this box if the case’s nature of suit is land condemnation (government taking of real property through eminent domain).
Real Property - 230 Rent, Lease & Ejectment Checkbox
Check this box if the case concerns rent or lease disputes, eviction/ejectment, or related landlord-tenant possession issues.
Real Property - 290 All Other Real Property Checkbox
Check this box if the case involves real property but does not fit the other real property categories listed.
Real Property - 220 Foreclosure Checkbox
Check this box if the case’s nature of suit is a foreclosure action involving real property.
Real Property - 240 Torts to Land Checkbox
Check this box if the case involves a tort affecting land (such as trespass, nuisance, or other damage/interference with real property).
Nature of Suit - Social Security
861 HIA (1395ff) Checkbox
Check this box if the case’s nature of suit is Social Security code 861 (HIA) under 42 U.S.C. § 1395ff.
862 Black Lung (923) Checkbox
Check this box if the case’s nature of suit is Social Security code 862 (Black Lung) under 30 U.S.C. § 923.
863 DIWC/DIWW (405(g)) Checkbox
Check this box if the case’s nature of suit is Social Security code 863 (DIWC/DIWW) under 42 U.S.C. § 405(g).
864 SSID Title XVI Checkbox
Check this box if the case’s nature of suit is Social Security code 864 (SSID Title XVI).
865 RSI (405(g)) Checkbox
Check this box if the case’s nature of suit is Social Security code 865 (RSI) under 42 U.S.C. § 405(g).
Nature of Suit - Torts (Personal Injury)
310 Airplane Checkbox
Check this box if the case is a personal injury tort action involving an airplane (other than product liability).
315 Airplane Product Liability Checkbox
Check this box if the case is a personal injury tort action alleging product liability involving an airplane or aircraft component.
320 Assault, Libel & Slander Checkbox
Check this box if the case is a personal injury tort action based on assault and/or defamation (libel or slander).
330 Federal Employers' Liability Checkbox
Check this box if the case is a personal injury tort action brought under the Federal Employers' Liability Act (FELA).
340 Marine Checkbox
Check this box if the case is a personal injury tort action arising from a marine or maritime incident (not a product liability claim).
345 Marine Product Liability Checkbox
Check this box if the case is a personal injury tort action alleging product liability involving a marine or maritime product.
350 Motor Vehicle Checkbox
Check this box if the case is a personal injury tort action arising from a motor vehicle incident (not a product liability claim).
355 Motor Vehicle Product Liability Checkbox
Check this box if the case is a personal injury tort action alleging product liability involving a motor vehicle or vehicle component.
360 Other Personal Injury Checkbox
Check this box if the case is a personal injury tort action that does not fit the other listed personal injury categories.
362 Personal Injury - Medical Malpractice Checkbox
Check this box if the case is a personal injury tort action alleging medical malpractice.
Nature of Suit - Torts (Personal Property Damage)
370 Other Fraud Checkbox
Check this box if the case is a tort action primarily involving fraud (other than specific fraud categories listed elsewhere).
371 Truth in Lending Checkbox
Check this box if the case is primarily a Truth in Lending Act (TILA) dispute or other truth-in-lending claim.
380 Other Personal Property Damage Checkbox
Check this box if the case is a tort claim primarily seeking damages to personal property and does not fit the other listed tort categories.
385 Property Damage Product Liability Checkbox
Check this box if the case is a product liability action where the primary injury claimed is damage to personal property (not personal injury).
Nature of Suit - Torts (Product Liability)
Personal Injury – 365 Personal Injury - Product Liability Checkbox
Check this box if the case is a tort action for personal injury based on product liability.
Personal Injury – 367 Health Care/Pharmaceutical Personal Injury Product Liability Checkbox
Check this box if the case is a product liability personal injury claim involving health care or pharmaceutical products.
Personal Injury – 368 Asbestos Personal Injury Product Liability Checkbox
Check this box if the case is a personal injury product liability claim involving asbestos exposure.
Origin
1 Original Proceeding Checkbox
Check this box if this is a new civil case being filed in this court (not removed, transferred, remanded, reinstated, or an MDL case).
2 Removed from State Court Checkbox
Check this box if the case was removed from a state court to this U.S. District Court.
3 Remanded from Appellate Court Checkbox
Check this box if an appellate court remanded the case back to this district court.
4 Reinstated or Reopened Checkbox
Check this box if the case is being reopened or reinstated after having been previously closed in this court.
5 Transferred from Another District Checkbox
Check this box if the case was transferred to this district from another U.S. District Court.
6 Multidistrict Litigation (MDL) - Transfer Checkbox
Check this box if the case is being transferred to or from this district by the Judicial Panel on Multidistrict Litigation (MDL transfer).
8 Multidistrict Litigation (MDL) - Direct File Checkbox
Check this box if the case is being directly filed into an MDL in this district (MDL direct-file case).
Plaintiff Information
Plaintiffs Text
Enter the name(s) and address information for the plaintiff(s) in this case.
County of Residence (First Listed Plaintiff) Text
Enter the county where the first listed plaintiff resides. Fill only if 'U.S. Government Plaintiff' is 'No'.
Depends on: U.S. Government Plaintiff
Plaintiff Attorney Information Text
Enter the plaintiff’s attorney or law firm name, address, and telephone number (if known).
Related Case(s)
Related Case Judge Text
Enter the name of the judge assigned to the related case, if any.
Related Case Docket Number Text
Enter the docket number for the related case, if any.
Requested in Complaint (Class Action and Demand Amount)
Class action (Rule 23) Checkbox
Check this box if the complaint asserts that the case is a class action under Federal Rule of Civil Procedure 23.
Demand Amount Number
Enter the total monetary amount demanded in the complaint.