Civil Case Cover Sheet Addendum And Statement
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LACIV 109 (Rev 3/15)
LASC Approved 03-04
CIVIL CASE COVER SHEET ADDENDUM
AND STATEMENT OF LOCATION
Local Rule 2.3
Page 1 of4
SHORT TITLE:
CASE NUMBER
Sheriff Thomas Bosenko, et al.
V.
The City of Los Angeles, et a!.
CIVIL CASE COVER SHEET ADDENDUM AND
STATEMENT OF LOCATION
(CERTIFICATE OF GROUNDS FOR ASSIGNMENT TO COURTHOUSE LOCATION)
This form is required pursuant to Local Rule 2.3 in all new civil case filings in the Los Angeles Superior
Court.
Item I. Check the types of hearing and fill in the estimated length of hearing expected for this case:
JURY TRIAL?
YES
css
ACTION? YES LIMITED CASE? YES
TIME ESTIMATED FOR TRIAL
HOURS/ DAYS
Item II. Indicate the correct district and courthouse location (4 steps
—
If you checked “Limited Case”, skip to Item Ill, Pg. 4):
Step 1:
After first completing the Civil Case Cover Sheet form, find the main Civil Case Cover Sheet heading for your
case in the left margin below, and, to the right in Column
A,
the Civil Case Cover Sheet case type you selected.
Step 2:
Check
Superior
Court type of action in Column
B
below which best describes the nature of this case.
Step 3:
In Column
C,
circle the reason for the
court location choice that applies to the type of action you have
checked. For any exception to the
court location, see Local Rule 2.3.
Applicable Reasons for Choosing Courthouse Location (see Column C below)
1. Class actions must be filed in the Stanley Mosk Courthouse, central district.
6. Location of property or permanently garaged vehicle.
2. May be filed in central (other county, or no bodily injury/property damage).
7. Location where petitioner resides.
3. Location where cause of action arose.
8. Location wherein defendant/respondent functions wholly.
4. Location where bodily injury, death or damage occurred,
9. Location where one or more of
the
parties reside.
5. Location where performance required or defendant resides.
10. Location of Labor Commissioner Office
11. Mandatory Filing Location (Hub Case)
Step
4: Fill in the information requested on page 4 in Item III; complete Item IV. Sign the declaration.
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<I
A
B
C
Applicable
Civil Case Cover Sheet
Type of Action
Reasons
-
See Step 3
category
No.
(Check only one)
Above
Auto (22)
El A7100 Motor Vehicle
-
Personal Injury/Property Damage/Wrongful Death
1., 2., 4.
Uninsured Motorist (46)
El A7110 Personal Injury/Property Damage/Wrongful Death
—
Uninsured Motorist
1., 2., 4.
El A6070 Asbestos Property Damage
2.
Asbestos (04)
El A7221 Asbestos
-
Personal Injury/Wrongful Death
2
Product Liability (24)
El A7260 Product Liability (not asbestos or toxic/environmental)
1., 2., 3., 4., 8.
El A7210 Medical Malpractice
-
Physicians & Surgeons
1., 4.
Medical Malpractice (45)
El A7240 Other Professional Health Care Malpractice
1., 4.
El A7250 Premises Liability (e.g
,
slip and fall)
1 4
?t,Ie1. erSonrl
El A7230 Intentional Bodily Injury/Property Damage/Wrongful Death (e.g.,
1
‘
4.
Damage Wrongful
assault, vandalism, etc)
Death (23)
El A7270 Intentional Infliction of Emotional Distress
1., 3.
El A7220 Other Personal Injury/Property Damage/Wrongful Death
1., 4,
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