California Superior Court Forms

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For Court Use Only
SUPERIOR COURT OF CALIFORNIA
County of Sacramento
720 Ninth Street, Room 102
Sacramento, CA 95814-1380
(916) 874-5522—
Website
Attorney or Party Without Attorney (Name, State Bar # and Address):
Telephone No.:
Fax No.:
E-Mail Address:
Attorney for (Name):
Plaintiff:
Defendant:
Case Number:
Designation Statement
Counter Designation Statement
Telephone Conference
(California Rule of Court 3.670 and Local Rule 2.04)
Hearing Date: _________8:30 a.m.
Plaintiff
(If applicable)
Defendant
Assigned Dept: ___________
Cross-Complainant
Cross-Defendant
NOTE: Do not complete this form unless requesting or opposing Class II or Class III designation.
This case  is  is not Complex under rule 3.400 of the California Rules of Court. If case is Complex, mark
the factors requiring exceptional judicial management:
 Large number of separately represented parties.
a.
 Extensive motion practice raising difficult or novel issues that will be time-consuming to
b.
resolve.
 Substantial amount of documentary evidence.
c.
 Large number of witnesses.
d.
 Coordination with related actions pending in one or more courts in other counties, states or countries,
e.
or a federal court.
 Substantial post-judgment judicial supervision
f.
State whether you believe this action should be designated as:
Class I
Class II
Class III
Designation Statement
CV\E-113 (Rev 05.13.15)
Page 1 of 5
Local Form Adopted for Mandatory Use

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