Civil Case Cover Sheet Addendum And Statement Of Location
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1
2
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4SHORT TITLE:
CASE NUMBER
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 2.0 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
CLASS 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 III, Pg. 4):
Step 1:
After first completing the Civil Case Cover Sheet form, find the main Civil Case Cover Sheet heading for your
A
case in the left margin below, and, to the right in Column
, the Civil Case Cover Sheet case type you selected.
Step 2:
B
Check one Superior Court type of action in Column
below which best describes the nature of this case.
Step 3:
C
In Column
, 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 2.0.
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
Step 4:
Fill in the information requested on page 4 in Item III; complete Item IV. Sign the declaration.
A
B
C
Civil Case Cover Sheet
Type of Action
Applicable Reasons -
Category No.
(Check only one)
See Step 3 Above
A7100 Motor Vehicle - Personal Injury/Property Damage/Wrongful Death
Auto (22)
1., 2., 4.
A7110 Personal Injury/Property Damage/Wrongful Death – Uninsured Motorist
Uninsured Motorist (46)
1., 2., 4.
A6070 Asbestos Property Damage
2.
Asbestos (04)
A7221 Asbestos - Personal Injury/Wrongful Death
2.
A7260 Product Liability (not asbestos or toxic/environmental)
Product Liability (24)
1., 2., 3., 4., 8.
A7210 Medical Malpractice - Physicians & Surgeons
1., 4.
Medical Malpractice (45)
A7240 Other Professional Health Care Malpractice
1., 4.
A7250 Premises Liability (e.g., slip and fall)
1., 4.
Other
A7230 Intentional Bodily Injury/Property Damage/Wrongful Death (e.g.,
Personal Injury
1., 4.
assault, vandalism, etc.)
Property Damage
1., 3.
Wrongful Death
A7270 Intentional Infliction of Emotional Distress
(23)
1., 4.
A7220 Other Personal Injury/Property Damage/Wrongful Death
CIVIL CASE COVER SHEET ADDENDUM
Local Rule 2.0
LACIV 109 (Rev. 03/11)
AND STATEMENT OF LOCATION
Page 1 of 4
LASC Approved 03-04
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