"Civil Cover Sheet" - Kansas

Civil Cover Sheet is a legal document that was released by the Kansas Judicial Branch - a government authority operating within Kansas.

Form Details:

  • Released on November 25, 2014;
  • The latest edition currently provided by the Kansas Judicial Branch;
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  • Fill out the form in our online filing application.

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For Office Use Only
CIVIL COVER SHEET
The civil cover sheet neither replaces nor supplements the filing and service of pleadings or other papers
as required by law. This form is required for use by the Clerk of the District Court for the purposes of
initiating the civil docket sheet. This information will not be available to the public and this document will
be stored in a separate location from the case file and then destroyed within a reasonable time. A new
case will not be accepted without a cover sheet attached. (THIS FORM MUST BE TYPED OR PRINTED
LEGIBLY). This form can be found at www.kscourts.org.
NATURE OF SUIT
(Mark only one - If the case involves more than one of the following categories, indicate the category having the
highest dollar value.)
CIVIL
If a CH. 61: $
(Judgment Demand Amount)
TORT
CONTRACT
REAL PROPERTY
STATE TAX WARRANT
Asbestos Product Liability
Buyer Plaintiff
Eminent Domain
Automobile Tort
Employment Dispute - Discrimination
Mortgage Foreclosure
Intentional Tort
Employment Dispute - Other
Other Real Property
Legal Malpractice
Fraud
Medical Malpractice
Landlord/Tenant - Unlawful Detainer
MISCELLANEOUS
Other Professional Malpractice
Landlord/Tenant Dispute - Other
60-1507
Premises Liability
Seller Plaintiff (debt collection)
Habeas Corpus
Slander/Libel/Defamation
Other Contract
Other Writs
Tobacco Product Liability
Toxic/Other Product Liability
CIVIL APPEALS
OTHER CIVIL
Other Tort
Administrative Agency
Other Civil Appeal
SMALL CLAIMS
DOMESTIC
MARRIAGE DISSOLUTION/DIVORCE
PROTECTION FROM ABUSE
PROTECTION FROM STALKING
UIFSA
OTHER DOMESTIC RELATIONS
NON-DIVORCE SUPPORT, CUSTODY OR VISITATION
PATERNITY
PROBATE/ESTATE
GUARDIAN/CONSERVATOR
DETERMINATION OF DESCENT
ELDER ABUSE
ADOPTION
Conservatorship/Trusteeship
Guardianship - Adult
SEXUALLY VIOLENT PREDATOR
OTHER PROBATE/ESTATE
Guardianship - Minor
Guardian/Conservator - Adult
DECEDENT ESTATE
CARE AND TREATMENT
Guardian/Conservator – Minor
JURY DEMAND
YES
(Check yes only if jury demand is included in petition or as a separate pleading)
NO
SUMMONS ATTACHED:
YES
NO
SERVICE BY:
PROCESS SERVER/ATTORNEY
SHERIFF IN STATE
(County)
SHERIFF OUT OF STATE
(State)
SHERIFF’S PROCESS FEE ATTACHED
YES
NO
11/25/2014
For Office Use Only
CIVIL COVER SHEET
The civil cover sheet neither replaces nor supplements the filing and service of pleadings or other papers
as required by law. This form is required for use by the Clerk of the District Court for the purposes of
initiating the civil docket sheet. This information will not be available to the public and this document will
be stored in a separate location from the case file and then destroyed within a reasonable time. A new
case will not be accepted without a cover sheet attached. (THIS FORM MUST BE TYPED OR PRINTED
LEGIBLY). This form can be found at www.kscourts.org.
NATURE OF SUIT
(Mark only one - If the case involves more than one of the following categories, indicate the category having the
highest dollar value.)
CIVIL
If a CH. 61: $
(Judgment Demand Amount)
TORT
CONTRACT
REAL PROPERTY
STATE TAX WARRANT
Asbestos Product Liability
Buyer Plaintiff
Eminent Domain
Automobile Tort
Employment Dispute - Discrimination
Mortgage Foreclosure
Intentional Tort
Employment Dispute - Other
Other Real Property
Legal Malpractice
Fraud
Medical Malpractice
Landlord/Tenant - Unlawful Detainer
MISCELLANEOUS
Other Professional Malpractice
Landlord/Tenant Dispute - Other
60-1507
Premises Liability
Seller Plaintiff (debt collection)
Habeas Corpus
Slander/Libel/Defamation
Other Contract
Other Writs
Tobacco Product Liability
Toxic/Other Product Liability
CIVIL APPEALS
OTHER CIVIL
Other Tort
Administrative Agency
Other Civil Appeal
SMALL CLAIMS
DOMESTIC
MARRIAGE DISSOLUTION/DIVORCE
PROTECTION FROM ABUSE
PROTECTION FROM STALKING
UIFSA
OTHER DOMESTIC RELATIONS
NON-DIVORCE SUPPORT, CUSTODY OR VISITATION
PATERNITY
PROBATE/ESTATE
GUARDIAN/CONSERVATOR
DETERMINATION OF DESCENT
ELDER ABUSE
ADOPTION
Conservatorship/Trusteeship
Guardianship - Adult
SEXUALLY VIOLENT PREDATOR
OTHER PROBATE/ESTATE
Guardianship - Minor
Guardian/Conservator - Adult
DECEDENT ESTATE
CARE AND TREATMENT
Guardian/Conservator – Minor
JURY DEMAND
YES
(Check yes only if jury demand is included in petition or as a separate pleading)
NO
SUMMONS ATTACHED:
YES
NO
SERVICE BY:
PROCESS SERVER/ATTORNEY
SHERIFF IN STATE
(County)
SHERIFF OUT OF STATE
(State)
SHERIFF’S PROCESS FEE ATTACHED
YES
NO
11/25/2014
PLAINTIFF/SUBJECT INFORMATION
DEFENDANT/OTHER PARTY INFORMATION
(ATTACH ADDITIONAL SHEET, IF NECESSARY)
(ATTACH ADDITIONAL SHEET, IF NECESSARY)
NAME:
NAME:
ADDRESS:
ADDRESS:
PHONE:
SEX:
PHONE:
SEX:
CELL PHONE:
CELL PHONE:
E-MAIL:
E-MAIL:
SSN:
DOB:
SSN:
DOB:
DL OR STATE ID NO:
DL OR STATE ID NO:
State and Number
State and Number
ALIAS NAMES USED:
ALIAS NAMES USED:
ATTORNEYS
ATTORNEYS
(Firm Name, Address, Telephone Number and Supreme
(Firm Name, Address, Telephone Number and Supreme
Court ID Number)
Court ID Number)
FOR DOMESTIC CASES - NAME, DATE OF BIRTH AND SOCIAL SECURITY NUMBER OF EACH
DEPENDENT CHILD:
(Name)
(Date of Birth)
(Social Security Number)
The requirement that Social Security numbers be included on domestic cases is mandatory, and authorized by the Supreme Court
and federal law. On non-domestic cases, the Social Security number is not mandatory. The number is used for purposes of
identification and may be disclosed as permitted by law. This form is not considered to be a public record.
12/10/2014
ADDITIONAL CIVIL PARTY INFORMATION
PLTF/SUB/DEF/OTHER PTY INFORMATION
PLTF/SUB/DEF/OTHER PTY INFORMATION
(CIRCLE ONE) (ATTACH ADDITIONAL SHEET, IF NECESSARY)
(CIRCLE ONE) (ATTACH ADDITIONAL SHEET, IF NECESSARY)
NAME:
NAME:
ADDRESS:
ADDRESS:
PHONE:
SEX:
PHONE:
SEX:
CELL PHONE:
CELL PHONE:
E-MAIL:
E-MAIL:
SSN:
DOB:
SSN:
DOB:
DL OR STATE ID NO:
DL OR STATE ID NO:
State and Number
State and Number
ALIAS NAMES USED:
ALIAS NAMES USED:
ATTORNEYS
ATTORNEYS
(Firm Name, Address, Telephone Number and Supreme Court
(Firm Name, Address, Telephone Number and Supreme Court
ID Number)
ID Number)
PLTF/SUB/DEF/OTHER PTY INFORMATION
PLTF/SUB/DEF/OTHER PTY INFORMATION
(CIRCLE ONE) (ATTACH ADDITIONAL SHEET, IF NECESSARY)
(CIRCLE ONE) (ATTACH ADDITIONAL SHEET, IF NECESSARY)
NAME:
NAME:
ADDRESS:
ADDRESS:
PHONE:
SEX:
PHONE:
SEX:
CELL PHONE:
CELL PHONE:
E-MAIL:
E-MAIL:
SSN:
DOB:
SSN:
DOB:
DL OR STATE ID NO:
DL OR STATE ID NO:
State and Number
State and Number
ALIAS NAMES USED:
ALIAS NAMES USED:
ATTORNEYS
ATTORNEYS
(Firm Name, Address, Telephone Number and Supreme Court
(Firm Name, Address, Telephone Number and Supreme Court
ID Number)
ID Number)
11/25/2014
PLTF/SUB/DEF/OTHER PTY INFORMATION
PLTF/SUB/DEF/OTHER PTY INFORMATION
(CIRCLE ONE) (ATTACH ADDITIONAL SHEET, IF NECESSARY)
(CIRCLE ONE) (ATTACH ADDITIONAL SHEET, IF NECESSARY)
NAME:
NAME:
ADDRESS:
ADDRESS:
PHONE:
SEX:
PHONE:
SEX:
CELL PHONE:
CELL PHONE:
E-MAIL:
E-MAIL:
SSN:
DOB:
SSN:
DOB:
DL OR STATE ID NO:
DL OR STATE ID NO:
State and Number
State and Number
ALIAS NAMES USED:
ALIAS NAMES USED:
ATTORNEYS
ATTORNEYS
(Firm Name, Address, Telephone Number and Supreme Court
(Firm Name, Address, Telephone Number and Supreme Court
ID Number)
ID Number)
PLTF/SUB/DEF/OTHER PTY INFORMATION
PLTF/SUB/DEF/OTHER PTY INFORMATION
(CIRCLE ONE) (ATTACH ADDITIONAL SHEET, IF NECESSARY)
(CIRCLE ONE) (ATTACH ADDITIONAL SHEET, IF NECESSARY)
NAME:
NAME:
ADDRESS:
ADDRESS:
PHONE:
SEX:
PHONE:
SEX:
CELL PHONE:
CELL PHONE:
E-MAIL:
E-MAIL:
SSN:
DOB:
SSN:
DOB:
DL OR STATE ID NO:
DL OR STATE ID NO:
State and Number
State and Number
ALIAS NAMES USED:
ALIAS NAMES USED:
ATTORNEYS
ATTORNEYS
(Firm Name, Address, Telephone Number and Supreme Court
(Firm Name, Address, Telephone Number and Supreme Court
ID Number)
ID Number)
12/10/2014
FOR DOMESTIC CASES - NAME, DATE OF BIRTH AND SOCIAL SECURITY NUMBER OF EACH
DEPENDENT CHILD:
(Name)
(Date of Birth)
(Social Security Number)
The requirement that Social Security numbers be included on domestic cases is mandatory, and authorized by the Supreme Court
and federal law. On non-domestic cases, the Social Security number is not mandatory. The number is used for purposes of
identification and may be disclosed as permitted by law. This form is not considered to be a public record.
12/10/2014
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