CL-0891-0912
Form 1.997 Civil Cover Sheet
The civil cover sheet and the information contained herein neither replace nor supplement the filing and
service of pleadings or other papers as required by law. This form shall be filed by the plaintiff or
petitioner for the use of the Clerk of Court for the purpose of reporting judicial workload data pursuant to
Florida Statutes section 25.075. (See instructions for completion).
I. CASE STYLE
(Name of Court)___________
Plaintiff _____________________________ Case #:_____________________
Judge: _____________________
vs.
Defendant ___________________________
II. TYPE OF CASE (If the case fits more than one type of case, select the most definitive category.)
If the most descriptive label is a subcategory (is indented under a broader category), place an x in both the
main category and subcategory boxes.
Condominium Professional malpractice
Contracts and indebtedness Malpractice—business
Eminent domain Malpractice—medical
Auto negligence Malpractice—other professional
Negligence—other Other
Business governance Antitrust/Trade regulation
Business torts Business transactions
Environmental/Toxic tort Constitutional challenge—statute or
Third party indemnification ordinance
Construction defect Constitutional challenge—proposed
Mass tort amendment
Negligent security Corporate trusts
Nursing home negligence Discrimination—employment or other
Premises liability—commercial Insurance claims
Premises liability—residential Intellectual property
Products liability Libel/Slander
Shareholder derivative action
Securities litigation
Trade secrets
Trust litigation
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Real property/Mortgage foreclosure
Commercial foreclosure $0 - $50,000
Commercial foreclosure $50,001- $249,999
Commercial foreclosure $250,000 or more
Homestead residential foreclosure $0 - $50,000
Homestead residential foreclosure $50,001 - $249,999
Homestead residential foreclosure $250,000 or more
Nonhomestead residential foreclosure $0 - $50,000
Nonhomestead residential foreclosure $50,001 - $249,999
Nonhomestead residential foreclosure $250,000 or more
Other real property actions $0 - $50,000
Other real property actions $50,001 - $249,999
Other real property actions $250,000 or more
III. REMEDIES SOUGHT (check all that apply):
monetary;
nonmonetary declaratory or injunctive relief;
punitive
IV. NUMBER OF CAUSES OF ACTION: [ ]
(specify)________________________________________________________________________
_______________________________________________________________________________
V. IS THIS CASE A CLASS ACTION LAWSUIT?
yes
no
VI. HAS NOTICE OF ANY KNOWN RELATED CASE BEEN FILED?
no
yes If “yes”, list all related cases by name, case number, and court.
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
VII. IS JURY TRIAL DEMANDED IN COMPLAINT?
yes
no
I CERTIFY that the information I have provided in this cover sheet is accurate to the best of my
knowledge and belief.
Signature________________________________________________ Fla. Bar # ____________________
Attorney or party (Bar # if attorney)
____________________________________________ _____________________________
(type or print name) Date
CL-0891-0912
FORM 1.997. INSTRUCTIONS FOR ATTORNEYS COMPLETING CIVIL COVER SHEET
Plaintiff must file this cover sheet with first paperwork filed in the action or proceeding (except small
claims cases or other county court cases, probate, or family cases). Domestic and juvenile cases should be
accompanied by a completed Florida Family Law Rules of Procedure Form 12.928, Cover Sheet for
Family Court Cases. Failure to file a civil cover sheet in any civil case other than those excepted above
may result in sanctions.
I. Case Style. Enter the name of the court, the appropriate case number assigned at the time of filing of
the original complaint or petition, the name of the judge assigned (if applicable), and the name (last, first,
middle initial) of plaintiff(s) and defendant(s).
II. Type of Case. Place an “X” in the appropriate box. If the cause fits more than one type of case, select
the most definitive. If the most definitive label is a subcategory (indented under a broader category label,
place an “X” in the category and subcategory boxes. Definitions of the cases are provided below in the
order they appear on the form.
(A) Condominium - all civil lawsuits pursuant to Chapter 718, Florida Statutes, in which a condominium
association is a party.
(B) Contracts and indebtedness - all contract actions relating to promissory notes and other debts,
including those arising from the sale of goods, but excluding contract disputes involving condominium
associations.
(C) Eminent domain - all matters relating to the taking of private property for public use, including
inverse condemnation by state agencies, political subdivisions, or public service corporations.
(D) Auto negligence - all matters arising out of a party’s allegedly negligent operation of a motor vehicle.
(E) Negligence—other - all actions sounding in negligence, including statutory claims for relief on
account of death or injury, that are not included in other main categories.
(F) Business governance - all matters relating to the management, administration, or control of a
company.
(G) Business torts - all matters relating to liability for economic loss allegedly caused by interference with
economic or business relationships.
(H)
Environmental/Toxic tort - all matters relating to claims that violations of environmental regulatory
provisions or exposure to a chemical caused injury or disease.
(I) Third party indemnification - all matters relating to liability transferred to a third party in a financial
relationship.
(J)
Construction defect - all civil lawsuits in which damage or injury was allegedly caused by defects in
the construction of a structure.
(K)
Mass tort - all matters relating to a civil action involving numerous plaintiffs against one or more
defendants.
(L) Negligent security - all matters involving injury to a person or property allegedly resulting from
insufficient security.
(M)
Nursing home negligence - all matters involving injury to a nursing home resident resulting from
negligence of nursing home staff or facilities.
(N)
Premises liability—commercial - all matters involving injury to a person or property allegedly
resulting from a defect on the premises of a commercial property.
(O)
Premises liability—residential - all matters involving injury to a person or property allegedly resulting
from a defect on the premises of a residential property.
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(P) Products liability - all matters involving injury to a person or property allegedly resulting from the
manufacture or sale of a defective product or from a failure to warn.
(Q) Real property/Mortgage foreclosure - all matters relating to the possession, title, or boundaries of real
property. All matters involving foreclosures or sales of real property, including foreclosures associated
with condominium associations or condominium units.
(R) Commercial foreclosure - all matters relating to the termination of a business owner’s interest in
commercial property by a lender to gain title or force a sale to satisfy the unpaid debt secured by the
property. Check the category that includes the estimate of the amount in controversy of the claim (section
28.241, Florida Statutes).
(S) Homestead residential foreclosure - all matters relating to the termination of a residential property
owner’s interest by a lender to gain title or force a sale to satisfy the unpaid debt secured by the property
where the property has been granted a homestead exemption. Check the category that includes the
estimate of the amount in controversy of the claim (section 28.241, Florida Statutes).
(T) Nonhomestead residential foreclosure - all matters relating to the termination of a residential property
owner’s interest by a lender to gain title or force a sale to satisfy the unpaid debt secured by the property
where the property has not been granted a homestead exemption. Check the category that includes the
estimate of the amount in controversy of the claim (section 28.241, Florida Statutes).
(U) Other real property actions - all matters relating to land, land improvements, or property rights not
involving commercial or residential foreclosure. Check the category that includes the estimate of the
amount in controversy of the claim (section 28.241, Florida Statutes).
(V) Professional malpractice - all professional malpractice lawsuits.
(W) Malpractice—business - all matters relating to a business’s or business person’s failure to exercise
the degree of care and skill that someone in the same line of work would use under similar circumstances.
(X) Malpractice—medical - all matters relating to a doctor’s failure to exercise the degree of care and
skill that a physician or surgeon of the same medical specialty would use under similar circumstances.
(Y) Malpractice—other professional - all matters relating to negligence of those other than medical or
business professionals.
(Z) Other - all civil matters not included in other categories.
(AA) Antitrust/Trade regulation - all matters relating to unfair methods of competition or unfair or
deceptive business acts or practices.
(AB) Business transactions - all matters relating to actions that affect financial or economic interests.
(AC) Constitutional challenge—statute or ordinance – a challenge to a statute or ordinance, citing a
violation of the Florida Constitution.
(AD) Constitutional challenge—proposed amendment – a challenge to a legislatively initiated proposed
constitutional amendment, but excluding challenges to a citizen-initiated proposed constitutional
amendment because the Florida Supreme Court has direct jurisdiction of such challenges.
(AE) Corporate trusts - all matters relating to the business activities of financial services companies or
banks acting in a fiduciary capacity for investors.
(AF) Discrimination—employment or other - all matters relating to discrimination, including
employment, sex, race, age, handicap, harassment, retaliation, or wages
(AG) Insurance claims - all matters relating to claims filed with an insurance company.
(AH) Intellectual property - all matters relating to intangible rights protecting commercially valuable
products of the human intellect.
(AI) Libel/Slander - all matters relating to written, visual, oral, or aural defamation of character.
(AJ) Shareholder derivative action - all matters relating to actions by a corporation's shareholders to
protect and benefit all shareholders against corporate management for improper management.
(AK) Securities litigation - all matters relating to the financial interest or instruments of a company or
corporation.
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(AL) Trade secrets - all matters relating to a formula, process, device, or other business information that is
kept confidential to maintain an advantage over competitors.
(AM) Trust litigation – all civil matters involving guardianships, estates, or trusts and not appropriately
filed in probate proceedings.
III. Remedies Sought. Place an “X” in the appropriate box. If more than one remedy is sought in the
complaint or petition, check all that apply.
IV. Number of Causes of Action. If the complaint or petition alleges more than one cause of action, note
the number and the name of the cause of action.
V. Class Action. Place an “X” in the appropriate box.
VI. Related Cases. Place an “X” in the appropriate box.
VII. Is Jury Trial Demanded In Complaint? Check the appropriate box to indicate whether a jury trial
is being demanded in the complaint
ATTORNEY OR PARTY SIGNATURE. Sign the civil cover sheet. Print legibly the name of the person
signing the civil cover sheet. Attorneys must include a Florida Bar number. Insert the date the civil cover
sheet is signed. Signature is a certification that the filer has provided accurate information on the civil
cover sheet.