Case Designation Sheet

IN THE COMMON PLEAS COURT OF HANCOCK COUNTY, OHIO ________________________________ Plaintiff vs. ________________________________ Defendant Case No. ________________ CASE DESIGNATION SHEET The above captioned case is designated as being the following type of case: ( ) PT ­ Professional Tort ( ) PL ­ Product Liability ( ) T ­ Other Tort ( ) WC ­ Worker's Compensation ( ) F ­ Foreclosure ( ) AP ­ Administrative Appeal ( ) CL ­ Complex Litigation ­ Must be accompanied with a request of counsel, approval of all parties and a judgment entry granting said request for approval of assigned judge. ( ) OC ­ Other Civil ( ) DC ­ Divorce, with children ( ) D ­ Divorce without children ( ) DMC ­ Dissolution of Marriage, with children ( ) DM ­ Dissolution of Marriage, without children ( ) DV ­ Domestic Violence ( ) U ­ URESA ( ) AO ­ All other domestic ( ) SO ­ Support only ( ) CA ­ Court of Appeals ( ) CJ ­ Certificate of Judgment ( ) CR ­ Criminal ( ) Refiling of a previously filed case This matter is the refiling of a case, which has been previously dismissed. ( ) Yes ( ) No Prior Case No. _____________________ Judge previously assigned ______________________________ _____________________________ Signature of Attorney Refiling Case ATTORNEY DESIGNATION Trial Attorney: ________________________________________________________ Supreme Court Registration Number: ______________________________________ Address: _____________________________________________________________ Attorney for: ( ) Plaintiff ( ) Defendant American LegalNet, Inc. www.FormsWorkFlow.com