Civil Case Filing Form
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6COVER SHEET
Court Identification Docket #
Case Year
Docket Number
Civil Case Filing Form
(To be completed by Attorney/Party
County #
Judicial
Court ID
Prior to Filing of Pleading)
District
(CH, CI, CO)
Local Docket ID
Mississippi Supreme Court
Form AOC/01
Month
Date
Year
Administrative Office of Courts
(Rev
2009)
This area to be completed by clerk
Case Number if filed prior to 1/1/94
In the
Court of
County
―
Judicial District
Origin of Suit (Place an "X" in one box only)
Initial Filing
Reinstated
Foreign Judgment Enrolled
Transfer from Other court
Other
Remanded
Reopened
Joining Suit/Action
Appeal
Plaintiff ‐ Party(ies) Initially Bringing Suit Should Be Entered First ‐ Enter Additional Plaintiffs on Separate Form
Individual
Last Name
First Name
Maiden Name, if
applicable
M.I.
Jr/Sr/III/IV
____ Check ( x ) if Individual Plainitiff is acting in capacity as Executor(trix) or Administrator(trix) of an Estate, and enter style:
Estate of
____ Check ( x ) if Individual Planitiff is acting in capacity as Business Owner/Operator (d/b/a) or State Agency, and enter entity
D/B/A or Agency
Business
Enter legal name of business, corporation, partnership, agency ‐ If Corporation, indicate the state where incorporated
____ Check ( x ) if Business Planitiff is filing suit in the name of an entity other than the above, and enter below:
D/B/A
Address of Plaintiff
Attorney (Name & Address)
MS Bar No.
____ Check ( x ) if Individual Filing Initial Pleading is NOT an attorney
Signature of Individual Filing:
Defendant ‐ Name of Defendant ‐ Enter Additional Defendants on Separate Form
Individual
Individual
Last Name
First Name
Maiden Name, if
applicable
M.I.
Jr/Sr/III/IV
____ Check ( x ) if Individual Defendant is acting in capacity as Executor(trix) or Administrator(trix) of an Estate, and enter style:
Estate of
____ Check ( x ) if Individual Defendant is acting in capacity as Business Owner/Operator (d/b/a) or State Agency, and enter entity:
D/B/A or Agency
Business
Enter legal name of business, corporation, partnership, agency ‐ If Corporation, indicate the state where incorporated
____ Check ( x ) if Business Defendant is acting in the name of an entity other than the above, and enter below:
D/B/A
Attorney (Name & Address) ‐ If Known
MS Bar No.
Damages Sought:
Compensatory $
Punitive $
Check ( x ) if child support is contemplated as an issue in this suit.*
*If checked, please submit completed Child Support Information Sheet with this Cover Sheet
Nature of Suit (Place an "X" in one box only)
Children/Minors ‐ Non‐Domestic
Real Property
Domestic Relations
Business/Commercial
Adoption ‐ Contested
Adverse Possession
Child Custody/Visitation
Accounting (Business)
Adoption ‐ Uncontested
Ejectment
Child Support
Business Dissolution
Consent to Abortion Minor
Eminent Domain
Contempt
Debt Collection
Removal of Minority
Eviction
Divorce:Fault
Employment
Other _____________________
Judicial Foreclosure
Divorce: Irreconcilable Diff.
Foreign Judgment
Civil Rights
Lien Assertion
Domestic Abuse
Garnishment
Elections
Partition
Emancipation
Replevin
Expungement
Tax Sale: Confirm/Cancel
Modification
Other ___________________
Habeas Corpus
Title Boundary or Easement
Paternity
Probate
Post Conviction Relief/Prisoner
Other __________________
Property Division
Accounting (Probate)
Other _____________________
Torts
Separate Maintenance
Birth Certificate Correction
Contract
Bad Faith
Termination of Parental Rights
Commitment
Breach of Contract
Fraud
UIFSA (eff 7/1/97; formerly URESA)
Conservatorship
Installment Contract
Loss of Consortium
Other ____________________
_
Guardianship
Insurance
Malpractice ‐ Legal
Appeals
Heirship
Specific Performance
Malpractice ‐ Medical
Administrative Agency
Intestate Estate
Other ___________________
__
Mass Tort
County Court
Minor's Settlement
Statutes/Rules
Negligence ‐ General
Hardship Petition (Driver License)
Muniment of Title
Bond Validation
Negligence ‐ Motor Vehicle
Justice Court
Name Change
Civil Forfeiture
Product Liability
MS
MS Dept Employment Security
Dept Employment Security
Testate Estate
Testate Estate
Declaratory Judgment
Declaratory Judgment
Subrogation
Subrogation
Worker's Compensation
Will Contest
Injunction or Restraining Order
Wrongful Death
Other _____________________
Other ___________________
Other _____________________
Other __________________
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Parent category: Business