Free Civil Case Cover Sheet

Case Title: Johnson v. Acme Corporation
Case Number: 2050-CV-012345

1. Case Type (Check one box):

• Auto Tort

• Other PI/PD/WD (Personal Injury/Property Damage/Wrongful Death)

• Non-PI/PD/WD (e.g., Contract, Real Property)

• Civil Rights

• Complex Case

2. Brief Case Description:

This is a product liability case arising from an allegedly defective hoverboard manufactured by the defendant, Acme Corporation. The plaintiff alleges the device spontaneously combusted, causing severe property damage and personal injury.

3. Party Information:

Plaintiff(s):
John Johnson
Address: 123 Elm Street, Metropolis, CA 90210
Phone: (555) 123-4567

Attorney for Plaintiff:
[Your Name], Esq.

Law Firm: [Your Company Name]

Address: [Your Company Address]

Email: [Your Email]

Bar Number: 987654

Defendant(s):
Acme Corporation
Address: 789 Innovation Way, Tech City, CA 90212

4. Amount Demanded (Check one box):

• Over $25,000

• Less than $25,000

5. Is this a class action lawsuit?

• Yes

• No

6. Is this case related to another case?

• Yes (Case Number: 2049-CV-098765)

• No

7. Complex Case Designation:

• Counterclaim

• Joinder

• Request for Complex Case Designation

8. Filing Date:

January 2, 2050

Signature of Attorney or Party Without Attorney:

[Your Name], Esq.
Attorney for Plaintiff

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