Form Cc-200 - New Case Information Sheet
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CC-200 V6
COUNTY OF WINNEBAGO
NEW CASE INFORMATION SHEET
CASE NO._
_______________________________
Sub-Case Type:
(L)
(AR)
(LM)
(SC)
(TX)
(ED)
(MR)
(CH)
(MC)
(AD)
(F)
(D)
With Children
W/O Children
(P)
Guardianship
Decedents Estate
Case Type: ________________________ Total Maximum Claim Amount $____________________
Jury Demand:
Yes
No
Summons Issued:
SH-W
PPS
None
Other
Type or Print the following information.
Please list ALL parties using an additional sheet if necessary.
st
st
1
Plaintiff: ________________________
1
Defendant: ________________________
Address: ______________________________
Address: ________________________________
City: _______________________ State: _____
City: _______________________ State: _______
Zip _________ Tele.# ___________________
Zip __________ Tele.# ____________________
Date of Birth ____________________________
Date of Birth _____________________________
nd
nd
2
Plaintiff: ________________________
2
Defendant: ________________________
Address: ______________________________
Address: ________________________________
City: _______________________ State: _____
City: _______________________ State: _______
Zip _________ Tele.# ___________________
Zip __________ Tele.# ____________________
Date of Birth ____________________________
Date of Birth _____________________________
--------------------------------------------------------------------------------------------------------------------------------------
Attorney(s) for the Plaintiff(s) or
Pro Se: ___________________________________________
Address ___________________________________________________________________________________
City _________________________ State______ Zip ______________ Phone No. ________________________
Attorney ARDC No. ________________________ Email Address ______________________________________
Firm Name
__________________________________________________________________________________
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Parent category: Legal