CC-1416 Cover Sheet for Civil Actions
Clear All Data Cover Sheet FOR FILING Civil Actions Case No. ........................................ ....................................... COMMONWEALTH OF VIRGINIA (CLERK'S OFFICE USE ONLY). ........................................ ........................................ ........................................ ........................................ ........................................ ......................... Circuit Court ........................................ ........................................ ........................................ ........... re.
PLAINTIFF(S) DEFENDANT(S) ... [ ] defendant [ ] attorney for [ ] plaintiff [ ] defendant hereby notify the Clerk of Court that I am filing the following civil action. (Please indicate by checking box that most closely identifies the claim being asserted or relief sought.) ... ADDRESS/TELEPHONE NUMBER OF …
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