General information part 1
General information part 2
General information part 3
ADDITIONAL CLAIMS INFORMATION SHEET
I. Filing Attorney
II. Civil No.
III. Case Name
IV. Title of Pleading
V. Does the above pleading join any additional party(ies) not previously named? _____ Yes
_____ No
If “yes,” please list each additional party(ies) below:
Name(s)
Party Designation
1.
__________________________________________
______________________________________
2.
__________________________________________
______________________________________
3.
__________________________________________
______________________________________
4.
__________________________________________
______________________________________
If additional space is needed, please attach additional sheet.
VI. Does the above pleading remove any party(ies) previously named?
_____ Yes
_____ No
If “yes,” please list each party who has been removed:
Name(s)
Party Designation
1.
__________________________________________
______________________________________
2.
__________________________________________
______________________________________
3.
__________________________________________
______________________________________
4.
__________________________________________
______________________________________
If additional space is needed, please attach additional sheet.
VII. Signature of Filing Attorney
Date
1C-P-009
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