DC-JS-44 free printable template

CIVIL COVER SHEET JS 44 Rev. 11/04 The JS 44 civil cover sheet and the information contained herein neither replace nor supplement the filing and service of pleadings or other papers as required by law except as provided by local rules of court. 660 Occupational Safety/Health 690 Other DEMAND JUDGE SIGNATURE OF ATTORNEY OF RECORD CHECK YES only if demanded in complaint JURY DEMAND Yes No DOCKET NUMBER RECEIPT AMOUNT APPLYING IFP MAG. JUDGE JS 44 Reverse Rev. 11/04 INSTRUCTIONS FOR ATTORNEYS...COMPLETING CIVIL COVER SHEET FORM JS 44 Authority For Civil Cover Sheet law except as provided by local rules of court. Consequently a civil cover sheet is submitted to the Clerk of Court for each civil complaint filed. The attorney filing a case should complete the form as follows a Plaintiffs-Defendants. This form approved by the Judicial Conference of the United States in September 1974 is required for the use of the Clerk of Court for the purpose of initiating the civil docket sheet. SEE...INSTRUCTIONS ON THE REVERSE OF THE FORM. I. a PLAINTIFFS DEFENDANTS b County of Residence of First Listed Defendant IN U*S* PLAINTIFF CASES ONLY NOTE IN LAND CONDEMNATION CASES USE THE LOCATION OF THE LAND INVOLVED. EXCEPT IN U*S* PLAINTIFF CASES c Attorney s Firm Name Address and Telephone Number Attorneys If Known II. BASIS OF JURISDICTION Place an X in One Box Only III. CITIZENSHIP OF PRINCIPAL PARTIES Place an X in One Box for Plaintiff For Diversity Cases Only 1U*S* Government Plaintiff 3...Federal Question Defendant 4 Diversity Indicate Citizenship of Parties in Item III Citizen of This State PTF and One Box for Defendant DEF PTF DEF 1 Incorporated or Principal Place of Business In This State Citizen of Another State 2 Incorporated and Principal Place of Business In Another State Citizen or Subject of a Foreign Country Foreign Nation IV. NATURE OF SUIT Place an X in One Box Only CONTRACT TORTS 110 Insurance 120 Marine 130 Miller Act 140 Negotiable Instrument 150 Recovery of...Overpayment Enforcement of Judgment 151 Medicare Act 152 Recovery of Defaulted Student Loans Excl* Veterans of Veteran s Benefits 160 Stockholders Suits 190 Other Contract 195 Contract Product Liability 196 Franchise REAL PROPERTY V. ORIGIN Original Proceeding PERSONAL INJURY 310 Airplane 315 Airplane Product Liability 320 Assault Libel Slander 330 Federal Employers 340 Marine 345 Marine Product 350 Motor Vehicle Product Liability 360 Other Personal Injury 362 Personal Injury - Med* Malpractice...368 Asbestos Personal Injury Product PERSONAL PROPERTY 370 Other Fraud 371 Truth in Lending Property Damage CIVIL RIGHTS 210 Land Condemnation 220 Foreclosure 230 Rent Lease Ejectment 240 Torts to Land 245 Tort Product Liability 290 All Other Real Property FORFEITURE/PENALTY 441 Voting 442 Employment 443 Housing/ Accommodations 444 Welfare 445 Amer* w/Disabilities Other 440 Other Civil Rights PRISONER PETITIONS 510 Motions to Vacate Sentence Habeas Corpus 530 General 535 Death Penalty 540...Mandamus Other 550 Civil Rights 555 Prison Condition PROPERTY RIGHTS 820 Copyrights 830 Patent 840 Trademark SOCIAL SECURITY 861 HIA 1395ff 862 Black Lung 923 863 DIWC/DIWW 405 g 864 SSID Title XVI 865 RSI 405 g FEDERAL TAX SUITS 870 Taxes U*S* Plaintiff 871 IRS Third Party 26 USC 7609 OTHER STATUTES 400 State Reapportionment 410 Antitrust 430 Banks and Banking 450 Commerce 460 Deportation 470 Racketeer Influenced and Corrupt Organizations 480 Consumer Credit 490 Cable/Sat TV 810 Selective...Service 850 Securities/Commodities/ Exchange 875 Customer Challenge 12 USC 3410 890 Other Statutory Actions 891 Agricultural Acts 892 Economic Stabilization Act 893 Environmental Matters 894 Energy Allocation Act 895 Freedom of Information Act 900Appeal of Fee Determination Under Equal Access to Justice 950 Constitutionality of State Statutes 5 Transferred from Removed from Remanded from Reinstated or another district Multidistrict State Court Appellate Court Reopened specify Litigation Cite the...U*S* Civil Statute under which you are filing Do not cite jurisdictional statutes unless diversity Appeal to District 7 Judge from Magistrate Judgment Brief description of cause VII.