CIVIL CASE INFORMATION SHEET
CAUSE NUMBER (FOR CLERK USE ONLY): _______________________________ COURT (FOR CLERK USE ONLY): ______________________
STYLED ___________________________________________________________________________________________________
(e.g., John Smith v. All American Insurance Co; In re Mary Ann Jones; In the Matter of the Estate of George Jackson)
A civil case information sheet must be completed and submitted when an original petition or application is filed to initiate a new civil, family law, probate, or mental
health case or when a post-judgment petition for modification or motion for enforcement is filed in a family law case. The information should be the best available at
the time of filing.
1. Contact information for person completing case information sheet: Names of parties in case: Person or entity completing sheet is:
Attorney for Plaintiff/Petitioner
Name: Email: Plaintiff(s)/Petitioner(s): Pro Se Plaintiff/Petitioner
Title IV-D Agency
_____________________________ ____________________________ _________________________________ Other: _________________________
Address: Telephone: _________________________________
Additional Parties in Child Support Case:
_____________________________ ____________________________
Defendant(s)/Respondent(s): Custodial Parent:
City/State/Zip: Fax: _________________________________
_________________________________
_____________________________ ____________________________ Non-Custodial Parent:
_________________________________ _________________________________
Signature: State Bar No:
_________________________________ Presumed Father:
_____________________________ ____________________________ _________________________________
[Attach additional page as necessary to list all parties]
2. Indicate case type, or identify the most important issue in the case (select only 1):
Civil Family Law
Post-judgment Actions
Contract Injury or Damage Real Property Marriage Relationship (non-Title IV-D)
Debt/Contract Assault/Battery Eminent Domain/ Annulment Enforcement
Consumer/DTPA Construction Condemnation Declare Marriage Void Modification—Custody
Debt/Contract Defamation Partition Divorce Modification—Other
Fraud/Misrepresentation Malpractice Quiet Title With Children Title IV-D
Other Debt/Contract: Accounting Trespass to Try Title No Children Enforcement/Modification
____________________ Legal Other Property: Paternity
Foreclosure Medical ____________________ Reciprocals (UIFSA)
Home Equity—Expedited Other Professional Support Order
Other Foreclosure Liability:
Franchise _______________ Related to Criminal
Insurance Motor Vehicle Accident Matters Other Family Law Parent-Child Relationship
Landlord/Tenant Premises Expunction Enforce Foreign Adoption/Adoption with
Non-Competition Product Liability Judgment Nisi Judgment Termination
Partnership Asbestos/Silica Non-Disclosure Habeas Corpus Child Protection
Other Contract: Other Product Liability Seizure/Forfeiture Name Change Child Support
______________________ List Product: Writ of Habeas Corpus— Protective Order Custody or Visitation
_________________ Pre-indictment Removal of Disabilities Gestational Parenting
Other Injury or Damage: Other: _______________ of Minority Grandparent Access
_________________ Other: Parentage/Paternity
__________________ Termination of Parental
Employment Other Civil Rights
Other Parent-Child:
Discrimination Administrative Appeal Lawyer Discipline _____________________
Retaliation Antitrust/Unfair Perpetuate Testimony
Termination Competition Securities/Stock
Workers’ Compensation Code Violations Tortious Interference
Other Employment: Foreign Judgment Other: _______________
______________________ Intellectual Property
Tax Probate & Mental Health
Tax Appraisal Probate/Wills/Intestate Administration Guardianship—Adult
Tax Delinquency Dependent Administration Guardianship—Minor
Other Tax Independent Administration Mental Health
Other Estate Proceedings Other: ____________________
3. Indicate procedure or remedy, if applicable (may select more than 1):
Appeal from Municipal or Justice Court Declaratory Judgment Prejudgment Remedy
Arbitration-related Garnishment Protective Order
Attachment Interpleader Receiver
Bill of Review License Sequestration
Certiorari Mandamus Temporary Restraining Order/Injunction
Class Action Post-judgment Turnover
4. Indicate damages sought (do not select if it is a family law case):
Less than $100,000, including damages of any kind, penalties, costs, expenses, pre-judgment interest, and attorney fees
Less than $100,000 and non-monetary relief
Over $100, 000 but not more than $200,000
Over $200,000 but not more than $1,000,000
Over $1,000,000
Rev 2/13
