District Of Columbia > Federal > USDC-District of Columbia
Civil Cover Sheet JS 44 - District Of Columbia
| Civil Cover Sheet Form. This is a District Of Columbia form and can be used in USDC-District of Columbia Federal . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
CIVIL COVER SHEET JS-44 (Rev.1/05 DC) I (a) PLAINTIFFS DEFENDANTS (b) COUNTY OF RESIDENCE OF FIRST LISTED PLAINTIFF COUNTY OF RESIDENCE OF FIRST LISTED DEFENDANT (EXCEPT IN U.S. PLAINTIFF CASES) (IN U.S. PLAINTIFF CASES ONLY) NOTE: IN LAND CONDEMNATION CASES, USE THE LOCATION OF THE TRACT OF LAND INVOLVED (c) ATTORNEYS (FIRM NAME, ADDRESS, AND TELEPHONE NUMBER)ATTORNEYS (IF KNOWN) II. BASIS OF JURISDICTION III CITIZENSHIP OF PRINCIPAL PARTIES (PLACE AN x IN ONE BOX FOR PLAINTIFF AND ONE BOX FOR DEFENDANT) FOR DIVERSITY CASES ONLY! (PLACE AN x IN ONE BOX ONLY) PTF DFT PTF DFT 9 1 U.S. Government 9 3 Federal Question Plaintiff (U.S. Government Not a Party) Citizen of this State 9 1 9 1 Incorporated or Principal Place 9 4 9 4 of Business in This State 9 2 U.S. Government 9 4 Diversity Defendant (Indicate Citizenship of PartiesCitizen of Another State 9 2 9 2 Incorporated and Principal Place 9 5 9 5 of Business in Another State in item III) Citizen or Subject of a 9 3 9 3 Foreign Country Foreign Nation 9 6 9 6 IV. CASE ASSIGNMENT AND NATURE OF SUIT (Place a X in one category, A-N, that best represents your cause of action and one in a corresponding Nature of Suit) 9 A. Antitrust 9 B. Personal Injury/ 9 C. Administrative Agency 9 D. Temporary Restraining Malpractice Review Order/Preliminary 9 310 Airplane 9 151 Medicare Act 9 410 Antitrust Injunction 9 315 Airplane Product Liability 9 320 Assault, Libel & Slander Social Security: Any nature of suit from any category may 9 330 Federal Employers Liability 9 861 HIA ((1395ff) be selected for this category of case 9 340 Marine 9 862 Black Lung (923) assignment. 9 345 Marine Product Liability 9 863 DIWC/DIWW (405(g) 9 350 Motor Vehicle 9 864 SSID Title XVI *(If Antitrust, then A governs)* 9 355 Motor Vehicle Product Liability 9 865 RSI (405(g) 9 360 Other Personal Injury 9 362 Medical Malpractice Other Statutes 9 365 Product Liability 9 891 Agricultural Acts 9 368 Asbestos Product Liability 9 892 Economic Stabilization Act 9 893 Environmental Matters 9 894 Energy Allocation Act 9 890 Other Statutory Actions (If Administrative Agency is Involved) 9 E. General Civil (Other) OR 9 F. Pro Se General Civil Real Property Bankruptcy Forfeiture/Penalty 9 210 Land Condemnation 9 422 Appeal 28 USC 158 9 610 Agriculture 9 470 Racketeer Influenced & Corrupt 9 220 Foreclosure 9 423 Withdrawal 28 USC 157 9 620 Other Food &Drug Organizations 9 230 Rent, Lease & Ejectment 9 625 Drug Related Seizure of Q 480 Consumer Credit 9 240 Torts to Land Prisoner Petitions Property 21 USC 881Q 490 Cable/Satellite TV 9 245 Tort Product Liability 9 535 Death Penalty 9 630 Liquor Laws 9 810 Selective Service 9 290 All Other Real Property 9 540 Mandamus & Other 9 640 RR & Truck 9 850 Securities/Commodities/ 9 550 Civil Rights 9 650 Airline Regs Exchange Personal Property 9 555 Prison Condition 9 660 Occupational 9 875 Customer Challenge 12 USC 9 370 Other Fraud Safety/Health 3410 9 371 Truth in Lending Property Rights 9 690 Other 9 900 Appeal of fee determination 9 380 Other Personal Property Damage 9 820 Copyrights under equal access to Justice 9 385 Property Damage Product Liability9 830 Patent 9 950 Constitutionality of State 9 840 Trademark Other Statutes Statutes 9 400 State Reapportionment 9 890 Other Statutory Actions (if not Federal Tax Suits 9 430 Banks & Banking administrative agency review or 9 870 Taxes (US plaintiff or 9 450 Commerce/ICC Privacy Act defendant Rates/etc. 9 871 IRS-Third Party 26 9 460 Deportation USC 7609 American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 2 9 G. Habeas Corpus/ 9 H. Employment 9 I. FOIA/PRIVACY 9 J. Student Loan 2255 Discrimination ACT 9 530 Habeas Corpus-General 9 442 Civil Rights-Employment 9 895 Freedom of Information Act 9 152 Recovery of Defaulted Student 9 510 Motion/Vacate Sentence (criteria: race, gender/sex,9 890 Other Statutory Actions Loans (excluding veterans) national origin, (if Privacy Act) discrimination, disability age, religion, retaliation) *(If pro se, select this deck)* *(If pro se, select this deck)* 9 K. Labor/ERISA 9 L. Other Civil Rights 9 M. Contract 9 N. Three-Judge Court (non-employment) (non-employment) 9 710 Fair Labor Standards Act 9 441 Voting (if not Voting Rights 9 110 Insurance 9 441 Civil Rights-Voting (if Voting 9 120 Marine Rights Act) 9 720 Labor/Mgmt. Relations Act) 9 130 Miller Act 9 730 Labor/Mgmt. Reporting & 9 443 Housing/Accommodations Disclosure Act 9 444 Welfare 9 140 Negotiable Instrument 9 150 Recovery of Overpayment & 9 740 Labor Railway Act 9 440 Other Civil Rights Enforcement of Judgment 9 790 Other Labor Litigation Q 445 American w/Disabilities- 9 791 Empl. Ret. Inc. Security Act Employment 9 153 Recovery of Overpayment of Veterans Benefits Q 446 Americans w/Disabilities- 9 160 Stockholders Suits Other 9 190 Other Contracts 9 195 Contract Product Liability Q 196 Franchise V. ORIGIN 9 1 Original 9 2 Removed 9 3 Remanded from 9 4 Reinstated 9 5 Transferred from 9 Multi district 9 7Appeal to Proceeding from State Appellate Court or Reopened another district Litigation District Judge Court (specify) from Mag. J udge VI. CAUSE OF ACTION (CITE THE U.S. CIVIL STATUTE UNDER WHICH YOU ARE FILING AND WRITE A BRIEF STATEMENT OF CAUSE.) VII. REQUESTED IN CHECK IF THIS IS A CLASS DEMAND $ Check YES only if demanded in complaint COMPLAINT 9 ACTION UNDER F.R.C.P. 23 JURY DEMAND: 9 YES 9 NOVIII. RELATED CASE(S) (See instruction) 9 YES 9 NO If yes, please complete related case form. IF ANY DATE SIGNATURE OF ATTORNEY OF RECORD INSTRUCTIONS FOR COMPLETING CIVIL COVER SHEET JS-44 Authority for Civil Cover Sheet The JS-44 civil cover sheet and the information contained herein neither replaces nor supplements the filings and service of pleadings or other papers as required bylaw, except as provided by local rules of court. This forpprm, aoved by the Judicial Conference of the United States in September 1974, is required for the use of the Clerk ofCourt for the purpose of initiating the civil docket sheet. Consequently a civil cover sheet is submitted to the Clerk of Court for each civil complaint filed. Listed below are tipsfor completing the civil cover sheet. These tips coincide with the Roman Numerals on the Cover Sheet. I. COUNTY OF RESIDENCE OF FIRST LISTED PLAINTIFF/DEFENDANT (b) County of residence: Use 11001 to indicate plaintiff is resident of Washington, D.C.; 88888 if plaintiff is resident of the United States but not of Washington, D.C., and 99999
|
|||||||
