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CIVIL COMPLAINT SAMPLE - California

SAMPLE Use the samples to help you complete the packet of blank forms. CIVIL COMPLAINT CM-010 ATTORNEY 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

Failure to file a cover sheet with the first paper filed in a civil case may subject a party, its counsel, or both to sanctions under rules 2.30 and 3.220 of the California Rules of Court. To Parties in Complex Cases.In complex cases only, parties must also use the Civil Case Cover Sheet to designate whether the case is complex.

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