Ohio > County (Court Of Common Pleas) > Greene > Legal Division
Civil Case Information Form - Ohio
| Civil Case Information Form Form. This is a Ohio form and can be used in Legal Division Greene County (Court Of Common Pleas) . |
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GREENE COUNTY COMMON PLEAS - GENERAL DIVISION CIVIL CASE INFORMATION FORM 45 North Detroit Street---Xenia, Ohio 45385 Telephone (937) 562-5290 Facsimile (937) 562-5309 ***This form must be completed and filed with all Civil Cases*** PARTIES ______________________________ Plaintiff ______________________________ Counsel for Plaintiff -vs______________________________ Defendant Case Number _______________________ Attorney Reg. No.____________________ Jury Demand (X) ______Yes______No Prayer Amount $ ____________________ Deposit Amount $____________________ TYPE OF ACTION ____ Administrative Appeal ____ Appropriation ____ Declaratory Judgement ____ Forcible Entry ____ Habeas Corpus ____ Injunction ____ Medical or Legal Malpractice ____ Foreclosure ____ Other Torts ____ Personal Injury ____ Product Liability ____ Professional Tort ____ Workers Compensation ____ All Others (state type below) _____________________________ ____ Violation of R.C. 1345-Consumer Protection REFERRAL TO CIVIL MEDIATION PROGRAM Would you like to refer this case to the Civil Mediation Program? (X) ____ Yes _____ No ______________________________________________________________________________ Re-filing Information Is this a re-filing of a previous related case? (X) ____ Yes ____ No If Yes, please complete the following: Case Number _________________ Assigned Judge ________________________ Parties _______________________ vs. ______________________________________ Suits Involving Like Issues and Similar Parties Are there any other cases pending that arise from the same incident or related parties? (X) ____ Yes ____ No If Yes, please complete the following: Case Number __________________ Assigned Judge _________________________ Parties ________________________ vs. ______________________________________ Original - Clerk of Courts Copy - Counsel _______________________________________ Signature of Attorney or Party Filing Case American LegalNet, Inc. www.USCourtForms.com
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