PI/PD - Complaint SAMPLE
SAMPLE Use the samples to help you complete the packet of blank forms. PI/PD - Complaint CM-010ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):FOR COURT USE ONLYTELEPHONE NO.:FAX NO.:ATTORNEY FOR (Name):SUPERIOR COURT OF CALIFORNIA, COUNTY OFSTREET ADDRESS:MAILING ADDRESS:CITY AND ZIP CODE:BRANCH NAME:CASE NAME:CIVIL CASE COVER SHEETCASE NUMBER:Complex Case DesignationUnlimitedLimitedCounterJoinde r(Amount(AmountFiled with first appearance by defendantdemandeddemanded isJUDGE:(Cal. Rules of Court, rule )exceeds $25,000) $25,000 or less)DEPT.:Items 1-6 below must be completed (see instructions on page 2).1. Check one box below for the case type that best describes this case:Auto TortContractProvisionally Complex Civil LitigationAuto (22)Breach of contract/warranty (06)(Cal. Rules of Court, rules )Uninsured motorist (46)Rule collections (09)Antitrust/Trade regulation (03)Other PI/PD /WD (Personal Injury/PropertyInsurance coverage (18)Construction defect (10)Damage/Wrongful Death) TortOther contract (37)Mass tort (40)Asbestos (04)Real PropertySecurities litigation (28)Product liability (24)Eminent domain/InverseEnvironmental/Toxic tort (30)Medical malpractice (45)condemnation (14)Insurance coverage claims arising from theOther PI/PD /WD (23)Wrongful eviction (33)above listed provisionally complex caseNon- PI/PD /WD (Other) TortOther real property (26)types (41)Business tort/unfair business practice (07)
Miscellaneous Civil Complaint Fraud (16) Drugs (38) RICO (27) Intellectual property (19) Judicial Review Other complaint (not specified above) (42) Professional negligence (25) Asset forfeiture (05) Miscellaneous Civil Petition Other non-PI/PD/WD tort (35) Petition re: arbitration award (11) Partnership and corporate governance (21)
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