JEFFERSON COUNTY DISTRICT COURT
CASE INFORMATION COVER SHEET
Court Case Number______________________________
Attorney Name______________________________________________________Bar Number_______________
Amount of Suit $______________________________________________________________________________
Please check one category that best describes this case for indexing purposes. Accurate case indexing saves time in docketing
new cases and assists in forecasting needed judicial resources. Cause of action definitions are listed on this form. Thank you for
_____Automobile Damages (AUT)
_____Breach of Contract (BRE)
_____NSF Check (NSF)
_____Commercial Electronic Mail (CEM)
_____Open Account (OPA)
_____Damage Deposit (DD)
_____Services Rendered (SER)
_____Deposition Sister State (DEP)
_____Petition for Seized Goods (PFS)
_____Foreclosure Lien (FOR)
_____Personal Injury (PIN)
_____Goods and Services (GS)
_____Property Damages (PRP)
_____Written Instrument (WR)
_____Lease Agreement (LA)
If you cannot determine the appropriate category, please describe the cause of action below:
CASE INFORMATION DEFINITIONS
Automobile Damages-Complaint involving damage to an
Open Account-Money due on a revolving account.
Other-Used when other cause codes do not apply.
Breach of Contract-Complaint involving monetary dispute
Personal Injury-Complaint involving physical injury.
where a contract is involved.
Petition for Seized Goods-Petition for return of money or
Commercial Electronic Mail-Complaint involving receipt of
possessions seized by a police agency.
unsolicited commercial email
Property Damage-Complaint involving damage to property.
Damage Deposit-Request for return of a damage deposit.
Rent-Money due for rent owing.
Deposition Sister State-Request by an out of state party for
Replevin-Action for recovery of personal property or
judge to sign a subpoena/supoena duces tecum for party within
the court's venue.
Restitution-Petition for restoring property or proceeds, not an
Foreclosure-Complaint involving termination of ownership
rights when a mortgage or tax foreclosure is involved, where
Services- Money due for services rendered.
ownership is not in question.
Transcript-Transcript of judgement filed from another court.
Goods and Services-Money owed for goods and services
Wages-Money owed for wages earned.
Written Instrument-Money owed based upon a written
Lease Agreement-money owed on lease agreement.
instrument such as a promissory note, contract, etc.
Loan-Money due on a loan.
NSF Check-Check written with non-sufficient funds in the