Case Assignment Designation And Case Information Cover Sheet

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KING COUNTY SUPERIOR COURT
CASE ASSIGNMENT DESIGNATION
and
CASE INFORMATION COVER SHEET
(cics)
In accordance with LCR82 (e), a faulty document fee of $15 will be assessed to new case filings missing this sheet
pursuant to King County Code 4.71.100.
CASE NUMBER: ________________________________________________
CASE CAPTION: ________________________________________________
I certify that this case meets the case assignment criteria, described in King County LCR 82(e), for the:
________ Seattle Area, defined as:
All of King County north of Interstate 90 and including all of the Interstate 90
right-of-way; all the cities of Seattle, Mercer Island, Bellevue, Issaquah and
North Bend; and all of Vashon and Maury Islands.
_________ Kent Area, defined as:
All of King County south of Interstate 90 except those areas included in the
Seattle Case Assignment Area.
____________________________________
______________
Signature of Petitioner/Plaintiff
Date
or
____________________________________
______________
Signature of Attorney for
Date
Petitioner/Plaintiff
__________________
WSBA Number
L/forms/cashiers/CICS rev.9/11
1
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