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IN THE CIRCUIT COURT OF COUNTY, WEST VIRGINIA CIVIL …

SCA-C-100: CIVIL case Information Statement (Other than Domestic Relations) Revision Date: 12/2015IN THE CIRCUIT COURT OFCOUNTY, WEST VIRGINIACIVIL case INFORMATION STATEMENT ( CIVIL Cases Other than Domestic Relations)I. case STYLE: case (s)Judge:vs. Defendant(s)NameStreet AddressCity, State, Zip Code Days to Answer Type of ServiceII. TYPE OF case :General CIVIL AdoptionMass Litigation [As defined in (a)] Administrative Agency Appeal Asbestos CIVIL Appeal from Magistrate COURT FELA Asbestos Miscellaneous CIVIL Petition Other: Mental HygieneHabeas Corpus/Other Extraordinary WritGuardianshipOther: Medical MalpracticeIII.

CIVIL CASE INFORMATION STATEMENT (Civil Cases Other than Domestic Relations) I. CASE STYLE: Case No. Plaintiff(s) Judge: vs. Defendant(s) Name Street Address City, State, Zip Code Defendant's Phone: Days to Answer Type of Service II. TYPE OF CASE: General Civil Adoption Mass Litigation [As defined in T.C.R. 26.04(a)] Administrative Agency Appeal

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