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Civil Cover Sheet (Southern District) JS-44 - Florida
| Civil Cover Sheet (Southern District) Form. This is a Florida form and can be used in USDC Southern Federal . |
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OJS 44 (Rev. 11/05) CIVIL COVER SHEET The JS 44 civil cover sheet and the information contained herein neither replace nor supplement the filing and service of pleadings or other papers as required by law, except as provided by local rules of court. This form, approved by the Judicial Conference of the United States in September 1974, is required for the use of the Clerk of Court for the purpose of initiating the civil docket sheet. (SEE INSTRUCTIONS ON THE REVERSE OF THE FORM.) NOTICE: Attorneys MUST Indicate All Re-filed Cases Below. I. (a) PLAINTIFFS DEFENDANTS (b) County of Residence of First Listed Plaintiff (EXCEPT IN U.S. PLAINTIFF CASES) County of Residence of First Listed Defendant (IN U.S. PLAINTIFF CASES ONLY) NOTE: IN LAND CONDEMNATION CASES, USE THE LOCATION OF THE TRACT LAND INVOLVED. (c) Attorney's (Firm Name, Address, and Telephone Number) Attorneys (If Known) (d) Check County Where Action Arose: ' MIAMI- DADE ' MONROE ' BROWARD ' PALM BEACH ' MARTIN ' ST. LUCIE ' INDIAN RIVER ' OKEECHOBEE HIGHLANDS II. BASIS OF JURISDICTION '1 U.S. Government Plaintiff '3 (Place an "X" in One Box Only) III. CITIZENSHIP OF PRINCIPAL PARTIES(Place an "X" in One Box for Plaintiff (For Diversity Cases Only) PTF Citizen of This State ' 1 ' ' DEF '1 ' ' and One Box for Defendant) PTF DEF Incorporated or Principal Place ' 4 '4 of Business In This State Incorporated and Principal Place of Business In Another State Foreign Nation ' ' 5 '5 '6 Federal Question (U.S. Government Not a Party) '2 U.S. Government Defendant '4 Diversity (Indicate Citizenship of Parties in Item III) Citizen of Another State 2 2 Citizen or Subject of a Foreign Country 3 3 6 IV. NATURE OF SUIT CONTRACT ' ' ' ' ' ' ' 110 Insurance 120 Marine 130 Miller Act 140 Negotiable Instrument 150 Recovery of Overpayment & Enforcement of Judgment 151 Medicare Act 152 Recovery of Defaulted Student Loans (Excl. Veterans) 153 Recovery of Overpayment of Veteran's Benefits 160 Stockholders' Suits 190 Other Contract 195 Contract Product Liability 196 Franchise REAL PROPERTY 210 Land Condemnation 220 Foreclosure 230 Rent Lease & Ejectment 240 Torts to Land 245 Tort Product Liability 290 All Other Real Property (Place an "X" in One Box Only) TORTS ' ' ' ' ' ' ' ' ' PERSONAL INJURY 310 Airplane 315 Airplane Product Liability 320 Assault, Libel & Slander 330 Federal Employers' Liability 340 Marine 345 Marine Product Liability 350 Motor Vehicle 355 Motor Vehicle Product Liability 360 Other Personal Injury CIVIL RIGHTS 441 Voting 442 Employment 443 Housing/ Accommodations 444 Welfare 445 Amer. w/Disabilities Employment 446 Amer. w/Disabilities Other 440 Other Civil Rights PERSONAL INJURY ' 362 Personal Injury Med. Malpractice ' 365 Personal Injury Product Liability ' 368 Asbestos Personal Injury Product Liability PERSONAL PROPERTY ' 370 Other Fraud ' 371 Truth in Lending ' 380 Other Personal Property Damage ' 385 Property Damage Product Liability FORFEITURE/PENALTY BANKRUPTCY ' 422 Appeal 28 USC 158 ' 423 Withdrawal 28 USC 157 PROPERTY RIGHTS ' 820 Copyrights ' 830 Patent ' 840 Trademark ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' OTHER STATUTES 400 State Reapportionment 410 Antitrust 430 Banks and Banking 450 Commerce 460 Deportation 470 Racketeer Influenced and Corrupt Organizations 480 Consumer Credit 490 Cable/Sat TV 810 Selective Service 850 Securities/Commodities/ Exchange 875 Customer Challenge 12 USC 3410 890 Other Statutory Actions 891 Agricultural Acts 892 Economic Stabilization Act 893 Environmental Matters 894 Energy Allocation Act 895 Freedom of Information Act 900Appeal of Fee Determination Under Equal Access to Justice 950 Constitutionality of State Statutes ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' 610 Agriculture ' 620 Other Food & Drug ' 625 Drug Related Seizure of Property 21 USC 881 ' 630 Liquor Laws ' 640 R.R. & Truck ' 650 Airline Regs. ' 660 Occupational Safety/Health ' 690 Other LABOR ' 710 Fair Labor Standards Act ' 720 Labor/Mgmt. Relations ' 730 Labor/Mgmt.Reporting & Disclosure Act PRISONER PETITIONS ' 740 Railway Labor Act ' 510 Motions to Vacate ' 790 Other Labor Litigation Sentence ' 791 Empl. Ret. Inc. Security Act Habeas Corpus: ' 530 General ' 535 Death Penalty ' 540 Mandamus & Other ' 550 Civil Rights ' 555 Prison Condition SOCIAL SECURITY 861 HIA (1395ff) 862 Black Lung (923) 863 DIWC/DIWW (405(g)) 864 SSID Title XVI 865 RSI (405(g)) FEDERAL TAX SUITS ' 870 Taxes (U.S. Plaintiff or Defendant) ' 871 IRS--Third Party 26 USC 7609 ' ' ' ' ' ' V. ORIGIN ' 1 Original Proceeding (Place an "X" in One Box Only) ' 2 Removed from State Court ' 3 Re-filed- (see VI below) ' 4 Reinstated or ' 5 another district Reopened (specify) Transferred from Appeal to District ' 6 Multidistrict Litigation ' 7 Judge from Magistrate Judgment VI. RELATED/RE-FILED CASE(S). a) Re-filed Case ' YES ' NO (See instructions second page): b) Related Cases ' YES ' NO DOCKET NUMBER JUDGE Cite the U.S. Civil Statute under which you are filing and Write a Brief Statement of Cause (Do not cite jurisdictional statutes unless diversity): VII. CAUSE OF ACTION LENGTH OF TRIAL via ______ days estimated (for both sides to try entire case) VIII. REQUESTED IN COMPLAINT: ' CHECK IF THIS IS A CLASS ACTION UNDER F.R.C.P. 23 DEMAND $ CHECK YES only if demanded in complaint: ' Yes ' No JURY DEMAND: DATE ABOVE INFORMATION IS TRUE & CORRECT TO THE BEST OF MY KNOWLEDGE SIGNATURE OF ATTORNEY OF RECORD FOR OFFICE USE ONLY AMOUNT RECEIPT # IFP COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : JS 44 Reverse (Rev. 11/05) Index No. : Calendar No. INSTRUCTIONS FOR ATTORNEYS COMPLETING CIVIL COVER SHEET FORM JS 44 Authority For Civil Cover Sheet Plaintiff(s) : JUDICIAL SUBPOENA The JS 44 civil cover sheet and the information contained herein neither replaces nor supplements the filings and service of pleading or other papers as required -against: by law, except as provided by local rules of court. This form, approved by the Judicial Conference of the United States in September 1974, is required for the use of the Clerk of Court 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. The attorney filing a case should complete the form as follows: I. (a) Plaintiffs-Defendants. Enter names (last, first, middle initial) of plaintiff and defendant. If the plaintiff or defendant is a government agency, use only : the full
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