Civil Case Information Sheet (Texas)
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1C
C
I
S
IVIL
ASE
NFORMATION
HEET
Print
C
N
(
): _______________________________ C
(
): ______________________
AUSE
UMBER
FOR CLERK USE ONLY
OURT
FOR CLERK USE ONLY
S
___________________________________________________________________________________________________
TYLED
(e.g., John Smith v. All American Insurance Co; In re Mary Ann Jones; In the Matter of the Estate of George Jackson)
A civil case information sheet must be completed and submitted when an original petition or application is filed to initiate a new civil, family law, probate, or mental
health case or when a post-judgment petition for modification or motion for enforcement is filed in a family law case. The information should be the best available at
the time of filing.
1. Contact information for person completing case information sheet:
Names of parties in case:
Person or entity completing sheet is:
Attorney for Plaintiff/Petitioner
Name:
Email:
Plaintiff(s)/Petitioner(s):
Pro Se Plaintiff/Petitioner
Title IV-D Agency
_____________________________
____________________________
_________________________________
Other: _________________________
Address:
Telephone:
_________________________________
Additional Parties in Child Support Case:
_____________________________
____________________________
Defendant(s)/Respondent(s):
Custodial Parent:
City/State/Zip:
Fax:
_________________________________
_________________________________
_____________________________
____________________________
Non-Custodial Parent:
_________________________________
_________________________________
Signature:
State Bar No:
_________________________________
Presumed Father:
_____________________________
____________________________
_________________________________
[Attach additional page as necessary to list all parties]
2. Indicate case type, or identify the most important issue in the case (select only 1):
Civil
Family Law
Post-judgment Actions
Contract
Injury or Damage
Real Property
Marriage Relationship
(non-Title IV-D)
Debt/Contract
Assault/Battery
Eminent Domain/
Annulment
Enforcement
Consumer/DTPA
Construction
Condemnation
Declare Marriage Void
Modification—Custody
Debt/Contract
Defamation
Partition
Divorce
Modification—Other
Fraud/Misrepresentation
Malpractice
Quiet Title
With Children
Title IV-D
Other Debt/Contract:
Accounting
Trespass to Try Title
No Children
Enforcement/Modification
____________________
Legal
Other Property:
Paternity
Foreclosure
Medical
____________________
Reciprocals (UIFSA)
Home Equity—Expedited
Other Professional
Support Order
Other Foreclosure
Liability:
Related to Criminal
Franchise
_______________
Matters
Other Family Law
Parent-Child Relationship
Insurance
Motor Vehicle Accident
Expunction
Enforce Foreign
Adoption/Adoption with
Landlord/Tenant
Premises
Judgment Nisi
Judgment
Termination
Non-Competition
Product Liability
Non-Disclosure
Habeas Corpus
Child Protection
Partnership
Asbestos/Silica
Seizure/Forfeiture
Name Change
Child Support
Other Contract:
Other Product Liability
—
Writ of Habeas Corpus
Protective Order
Custody or Visitation
______________________
List Product:
Pre-indictment
Removal of Disabilities
Gestational Parenting
_________________
Other: _______________
of Minority
Grandparent Access
Other Injury or Damage:
Other:
Parentage/Paternity
_________________
__________________
Termination of Parental
____________________ ____________________
____________________
____________________
____________________
____________________
Rights
Employment
Other Civil
Other Parent-Child:
Discrimination
Administrative Appeal
Lawyer Discipline
_____________________
Retaliation
Antitrust/Unfair
Perpetuate Testimony
Termination
Competition
Securities/Stock
Workers’ Compensation
Code Violations
Tortious Interference
Other Employment:
Foreign Judgment
Other: _______________
______________________
Intellectual Property
Probate & Mental Health
Tax
Tax Appraisal
Probate/Wills/Intestate Administration
Guardianship—Adult
Tax Delinquency
Dependent Administration
Guardianship—Minor
Other Tax
Independent Administration
Mental Health
Other Estate Proceedings
Other: ____________________
____________________
____________________
3. Indicate procedure or remedy, if applicable (may select more than 1):
Appeal from Municipal or Justice Court
Declaratory Judgment
Prejudgment Remedy
Arbitration-related
Garnishment
Protective Order
Attachment
Interpleader
Receiver
Bill of Review
License
Sequestration
Certiorari
Mandamus
Temporary Restraining Order/Injunction
Class Action
Post-judgment
Turnover
4. Indicate damages sought (do not select if it is a family law case):
Less than $100,000, including damages of any kind, penalties, costs, expenses, pre-judgment interest, and attorney fees
Less than $100,000 and non-monetary relief
Over $100, 000 but not more than $200,000
Over $200,000 but not more than $1,000,000
Over $1,000,000
Rev 2/13
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