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UD COMPLAINT SAMPLE - California

SAMPLE Use t he samples t o help you complet e t he packet of blank f or ms. UD 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.)

Other Commercial Complaint Practice (07) Commercial (31) Case (non-tort/non-complex) Civil Rights (e.g., discrimination, Residential (32) Other Civil Complaint false arrest) (not civil Drugs (38) (if the case involves illegal (non-tort/non-complex) harassment) (08) drugs, check this item; otherwise, Miscellaneous Civil Petition

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