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Civil Case Cover Sheet Addendum And Statement Of Location CIV 109 - California

Civil Case Cover Sheet Addendum And Statement Of Location Form. This is a California form and can be used in Civil Los Angeles Local County .
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SHORT 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 2.3 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 case in the left margin below, and, to the right in Column A, the Civil Case Cover Sheet case type you selected. Step 2: Check one Superior Court type of action in Column B below which best describes the nature of this case. Step 3: In Column C, 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 2.3. Applicable Reasons for Choosing Courthouse Location (see Column C below) 1. 2. 3. 4. 5. Class actions must be filed in the Stanley Mosk Courthouse, central district. May be filed in central (other county, or no bodily injury/property damage). Location where cause of action arose. Location where bodily injury, death or damage occurred. Location where performance required or defendant resides. 6. 7. 8. 9. 10. Location of property or permanently garaged vehicle. Location where petitioner resides. Location wherein defendant/respondent functions wholly. Location where one or more of the parties reside. Location of Labor Commissioner Office 11. Mandatory Filing Location (Hub Case) Step 4: Fill in the information requested on page 4 in Item III; complete Item IV. Sign the declaration. A Civil Case Cover Sheet Category No. Auto (22) B Type of Action (Check only one) A7100 Motor Vehicle - Personal Injury/Property Damage/Wrongful Death A7110 Personal Injury/Property Damage/Wrongful Death ­ Uninsured Motorist A6070 Asbestos Property Damage C Applicable Reasons - See Step 3 Above 1., 2., 4. 1., 2., 4. 2. 2. 1., 2., 3., 4., 8. 1., 4. 1., 4. Auto Tort Uninsured Motorist (46) Asbestos (04) A7221 Asbestos - Personal Injury/Wrongful Death A7260 Product Liability (not asbestos or toxic/environmental) A7210 Medical Malpractice - Physicians & Surgeons Other Personal Injury/ Property Damage/ Wrongful Death Tort Product Liability (24) Medical Malpractice (45) A7240 Other Professional Health Care Malpractice A7250 Premises Liability (e.g., slip and fall) Other Personal Injury Property Damage Wrongful Death (23) 1., 4. 1., 4. 1., 3. 1., 4. A7230 Intentional Bodily Injury/Property Damage/Wrongful Death (e.g., assault, vandalism, etc.) A7270 Intentional Infliction of Emotional Distress A7220 Other Personal Injury/Property Damage/Wrongful Death LACIV 109 (Rev 3/15) LASC Approved 03-04 CIVIL CASE COVER SHEET ADDENDUM AND STATEMENT OF LOCATION American LegalNet, Inc. www.FormsWorkFlow.com Local Rule 2.3 Page 1 of 4 SHORT TITLE: CASE NUMBER A Civil Case Cover Sheet Category No. Business Tort (07) B Type of Action (Check only one) A6029 Other Commercial/Business Tort (not fraud/breach of contract) A6005 Civil Rights/Discrimination A6010 Defamation (slander/libel) A6013 Fraud (no contract) A6017 Legal Malpractice C Applicable Reasons - See Step 3 Above 1., 3. 1., 2., 3. 1., 2., 3. 1., 2., 3. 1., 2., 3. 1., 2., 3. 2.,3. 1., 2., 3. 1., 2., 3. 10. Non-Personal Injury/ Property Damage/ Wrongful Death Tort Civil Rights (08) Defamation (13) Fraud (16) Professional Negligence (25) A6050 Other Professional Malpractice (not medical or legal) A6025 Other Non-Personal Injury/Property Damage tort A6037 Wrongful Termination A6024 Other Employment Complaint Case Other (35) Employment Wrongful Termination (36) Other Employment (15) A6109 Labor Commissioner Appeals A6004 Breach of Rental/Lease Contract (not unlawful detainer or wrongful eviction) 2., 5. 2., 5. 1., 2., 5. 1., 2., 5. 2., 5., 6, 11 2., 5, 11 5, 6, 11 1., 2., 5., 8. 1., 2., 3., 5. 1., 2., 3., 5. 1., 2., 3., 8. 2. 2., 6. 2., 6. 2., 6. 2., 6. 2., 6. 2., 6. 2., 6. 2., 6. Breach of Contract/ Warranty (06) (not insurance) A6008 Contract/Warranty Breach -Seller Plaintiff (no fraud/negligence) A6019 Negligent Breach of Contract/Warranty (no fraud) A6028 Other Breach of Contract/Warranty (not fraud or negligence) Contract A6002 Collections Case-Seller Plaintiff Collections (09) A6012 Other Promissory Note/Collections Case A6034 Collections Case-Purchased Debt (Charged Off Consumer Debt Purchased on or after January 1, 2014) Insurance Coverage (18) A6015 Insurance Coverage (not complex) A6009 Contractual Fraud Other Contract (37) A6031 Tortious Interference A6027 Other Contract Dispute(not breach/insurance/fraud/negligence) Eminent Domain/Inverse Condemnation (14) Wrongful Eviction (33) A7300 Eminent Domain/Condemnation A6023 Wrongful Eviction Case A6018 Mortgage Foreclosure Other Real Property (26) A6032 Quiet Title A6060 Other Real Property (not eminent domain, landlord/tenant, foreclosure) Number of parcels Unlawful Detainer Real Property Unlawful Detainer-Commercial (31) Unlawful Detainer-Residential (32) Unlawful DetainerPost-Foreclosure (34) Unlawful Detainer-Drugs (38) A6021 Unlawful Detainer-Commercial (not drugs or wrongful eviction) A6020 Unlawful Detainer-Residential (not drugs or wrongful eviction) A6020F Unlawful Detainer-Post-Foreclosure A6022 Unlawful Detainer-Drugs LACIV 109 (Rev 3/15) LASC Approved 03-04 CIVIL CASE COVER SHEET ADDENDUM AND STATEMENT OF LOCATION American LegalNet, Inc. www.FormsWorkFlow.com Local Rule 2.3 Page 2 of 4 SHORT TITLE: CASE NUMBER A Civil Case Cover Sheet Category No. Asset Forfeiture (05) B Type of Action (Check only one) A6108 Asset Forfeiture Case A6115 Petition to Compel/Confirm/Vacate Arbitration A6151 Writ - Administrative Mandamus C Applicable Reasons - See Step 3 Above 2., 6. 2., 5. 2., 8. 2. 2. 2., 8. 1., 2., 8. 1., 2., 3. 1., 2., 8. 1., 2., 8. 1., 2., 3., 8. 1., 2., 5., 8. 2., 9. 2., 6. 2., 9. 2., 8. 2., 8. 2., 8., 9. 1., 2., 8. 1., 2., 8. 2., 8. 1., 2., 8. 1., 2., 8. 2., 8. 2., 3., 9. 2., 3., 9. 2., 3., 9. 2. 2., 7. 2., 3., 4., 8. 2., 9. Judicial Review Petition re Arbitration (11) Writ of Mandate (02) A6152 Writ - Mandamus on Limited Court Case Matter A6153 Writ - Other Limited Court Case Review Other Judicial Review (39) Anti
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