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Civil Case Cover Sheet - New Mexico
| Civil Case Cover Sheet Form. This is a New Mexico form and can be used in Civil San Juan County 11th Judicial District Local District Court . |
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RELIEF CODES TABLE Place a check mark after the type(s) relief you are seeking for each claim selected on the front of this form. APPLIES TO WHAT CLAIM: APPLIES TO WHAT CLAIM: CODE RELIEF SOUGHT OTHER OTHER CODE RELIEF SOUGHT OTHER OTHER MAIN #1 #2 MAIN #1 #2 ATF ATTORNEY FEES LCR LATE CHARGE RATE CST` COST MED MEDICAL EXPENSES DEP DEPOSIT AMOUNT OTH OTHER DMG DAMAGES PRO PROPERTY DSS DISSOLUTION PUN PUNITIVE DAMAGES DVP DIVISION OF PROPERTY RNT RENT DUE ENF ENFORCEMENT OF JUDGMENT RPP RETURN OF PERSONAL PROPERTY INA AMOUNT HELD BY INTERPLEADER RPT AMOUNT OF RENT PER DAY INM INTEREST AMOUNT TAX TAX AMOUNT INT INTEREST RATE IPP IMMEDIATE POSSESSION OF PREMISES Relief sought more than $25,000? Y/N LCA LATE CHARGE AMOUNT INSTRUCTIONS FOR COMPLETING CIVIL CASE COVER SHEET (Both sides of this form must be completed with every civil case filing) 1. Type or print Plaintiff/Petitioner and Defendant/Respondent Name, address, etc,, in the space provided. Additional plaintiffs and defendants must be listed below. 2. Enter Plaintiff and Defendant Attorneys. If you are a plaintiff without an attorney, check the Pro Se box beneath Plaintiff attorney.3. Check the Initial Pleading box unless this is an Amended or Supplemental Pleading. (If this is an Amended or Supplemental, do not file this form unless the Main claim on your original case is changed.) 4. If you are asking the court to waive the civil filing fee, check the I am applying for free process box. 5. You can only have one main claim (or cause of action). Find the type of claim that best describes the main claim in your complaint and check the box under Main. If you have other claims, check the box or boxes under Other that best describe your other claims. For example, if you were filing for injuries and damages resulting from an auto accident, you might check the Main box next to Personal Injury Auto and the Other boxes next to Property Damage Auto and Loss of Consortium. 6. Next, turn to the Relief Codes Table (above) and place a check mark under the Main column next to the relief you are seeking for your main claim listed on the Cover Sheet. You may check more than one type of relief for your Main and Other claims. In the example above, if you were seeking medical expenses for your Personal Injury Auto (your main claim), you would check the box next to Medical Expenses in the Main column. 7. If you are seeking more than $25,000 for your claims, place a Y (Yes) in the Main or Other columns as appropriate, otherwise place an N (No). Even if you choose to represent yourself in a claim, you may wish to consult with an attorney to discuss your rights. Court personnel are not authorized to give legal advice. SELECTION OF CLAIMS AND RELIEF CODES ON THIS FORM IS FOR COURT DATA-KEEPING PURPOSES ONLY AND HAS NO SUBSTANTIVE EFFECT ON YOUR CASE. LEAVE ITEM BLANK IF INFORMATION IS CONFIDENTIAL OR UNAVAILABLE Person submitting form sign here: _______________________________________ Print name: Additional Plaintiff (s) Additional Defendant (s) Name Name Address Address City, State, Zip City, State, Zip Social Security # Social Security # Phone Phone <<<<<<<<<********>>>>>>>>>>>>> 2 CIVIL CASE COVER SHEET The civil cover sheet and the information contained herein neither replace nor supplement the filing and servicegs o or otf pleahdinerpapers as required by law, except as provided by local rules of court. This form, approved by the Supreme Court of Neisw r Meequirxicoed f or the use of the Clerk ofCourt for the purpose of initiating the civil docke Ct.OMPLETE BOTH SIDES OF THIS FORM AND SIGN THE SECOND PAGEPlaintiff Defendant Name Name Address Address City, State, Zip City, State, Zip Social Security Number Social Security Number Date of Birth Date of Birth Phone Number Phone Number Plaintiffs Attorneys (Firm Name, Address, and Telephone) Defendants Attorneys (Firm Name, Address, and Telephone) I do not have an attorney (Pro Se) Initial Pleading I am applying for free process Amended/Supplemental Pleading Complete the cover sheet ONLY if the parties or Main claims (causes of action) are changed by the new pleading.Place an X in theONE box in the Main column (only one in Main column) which describes your Main claim. MarOthek all r boxes (you may check more thanone) that describe your other claims. Main Other Appeals & Writs APP Main Other Contract, Debt, Partnership KDM Admin. Appeal with new trial AAN Breach of Contract KBK Admin. Appeal on the record AAR Breach of Warranty KBW Appeal DR License ADL Debt and Money Due KDM Appeal fr. lower court, New ALN Contract - Equitable Relief KEQ Appeal fr. lower court on ALR Contract Injunction KIN License DR Dissolution of Partnership, Joint VentureKKD Certiorari AWC Contract Wrongful Termination KWT Habeas Corpus AWH Replevin, Attachment KRA Mandamus, Prohibition AWM Contract Miscellaneous KMS Appeals Miscellaneous AMS Main Other Realty RES Main Other Statutory Violations VSO Claim of Lien RCL Fair Labor Standards Act VFL Claim of Easement, License REL Insurance Code VIC Foreclosure RFC Statutes/Ordinance Viol. Misc. VFL Forfeiture RFF Securities Act VSA Govt.: Condemn, Emin. RGA Trade Practices Act VTP Landlord Tenant RLT Claims of Other Equitable REO Quiet Title RQT Zoning Violation RZV Real Estate Miscellaneous RMS Main Other Torts - Auto TAU Main Other Malpractice, Product Liability TMP Personal Injury Auto TAI Legal Malpractice TLM Property Damages, Auto TAP Medical Malpractice TMM Loss of Consortium TCS Other Malpractice TOM Subrogation TSB Product Liability TPL Wrongful Death, Auto TWA Wrongful Death Product Liability TWPMain Other Other Torts TRT Main Other Miscellaneous MMS Assault/Battery TAB Drivers License Restoration MDL Bad Faith TBF Foreign Judgment MFJ Loss of Consortium TCS Forfeiture MFR Property Damage TDM Private Arbitration MPA Tort Injunction TIN Petition to Marry MPM Libel / Slander TLS Restraining Order MRO Misrepresentation, Fraud TMR Subpoena Witness MSW Nuisance TNU Workers Comp. Judge/WCA Decision MWC Property Damage, Non Auto TPD Wage and Hours Claim MWH Personal Injury, Non Auto TPI Wiretap MWT Securities Fraud TSF Name Change MNC Wrongful Death, Non Auto TWD Miscellaneous, Fits nothing else Specify:MMS No Contract Wrongful TWT Main Other Other OTH Tort Miscellaneous TMS Corp. Dissol., Shareholder Suits OCD Other Damages-not tort, cntrct or statutoryODM Declaratory Relief ODR Election Contests OEC Injunction - Not Contract / Tort OIJ Interpleader OIN Tax Case OTX Workers Co
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