Form CM-011 "Confidential Cover Sheet - False Claims Action" - California

What Is Form CM-011?

This is a legal form that was released by the California Superior Court - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2018;
  • The latest edition provided by the California Superior Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CM-011 by clicking the link below or browse more documents and templates provided by the California Superior Court.

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Download Form CM-011 "Confidential Cover Sheet - False Claims Action" - California

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CONFIDENTIAL
CM-011
ATTORNEY OR PARTY WITHOUT ATTORNEY
STATE BAR NUMBER:
FOR COURT USE ONLY
NAME:
FIRM NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
TELEPHONE NO.:
FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR:
PLAINTIFF
OTHER (SPECIFY):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
Plaintiff
[UNDER SEALl]
Defendant
[UNDER SEALl]
CASE NUMBER:
CONFIDENTIAL COVER SHEET–FALSE CLAIMS ACTION
INSTRUCTIONS: This civil action is brought under the False Claims Act,
Seal to expire on (date):
Government Code section 12650 et seq. The documents filed in this case
are under seal and are confidential pursuant to Government Code section
12652(c).
UNLESS:
(1) Motion to extend time is
This Confidential Cover Sheet must be affixed to the caption page of the
pending; or
complaint and to any other paper filed in this case until the seal is lifted.
(2) Extended by court order
You should check with the court to determine whether papers filed in
False Claims Act cases must be filed at a particular location.
1.
The document to which this cover sheet is affixed is:
a.
Complaint for damages for violation of the False Claims Act
b.
Civil Case Cover Sheet (form 982.2(b)(1))
c.
Motion for an extension of time to intervene
d.
Affidavit or other document in support of the motion for an extension of time
e.
Order extending time to intervene (specify date order expires):
f.
Other order (describe):
g.
Notice from the Attorney General of additional prosecuting authority that may have access to the file
h.
Other (describe):
2.
This Confidential Cover Sheet and the attached document must each be separately file-stamped by the clerk of the court.
Date:
Page 1 of 1
CONFIDENTIAL COVER SHEET
Form Adopted for Mandatory Use
Gov. Code, § 12652(c)
Judicial Council of California
Cal. Rules of Court, rules 2.570-2.573
FALSE CLAIMS ACTION
CM-011 [Rev. September 1, 2018]
www.courts.ca.gov
For your protection and privacy, please press the Clear
This Form button after you have printed the form.
Print this form
Save this form
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CONFIDENTIAL
CM-011
ATTORNEY OR PARTY WITHOUT ATTORNEY
STATE BAR NUMBER:
FOR COURT USE ONLY
NAME:
FIRM NAME:
STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
TELEPHONE NO.:
FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR:
PLAINTIFF
OTHER (SPECIFY):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
Plaintiff
[UNDER SEALl]
Defendant
[UNDER SEALl]
CASE NUMBER:
CONFIDENTIAL COVER SHEET–FALSE CLAIMS ACTION
INSTRUCTIONS: This civil action is brought under the False Claims Act,
Seal to expire on (date):
Government Code section 12650 et seq. The documents filed in this case
are under seal and are confidential pursuant to Government Code section
12652(c).
UNLESS:
(1) Motion to extend time is
This Confidential Cover Sheet must be affixed to the caption page of the
pending; or
complaint and to any other paper filed in this case until the seal is lifted.
(2) Extended by court order
You should check with the court to determine whether papers filed in
False Claims Act cases must be filed at a particular location.
1.
The document to which this cover sheet is affixed is:
a.
Complaint for damages for violation of the False Claims Act
b.
Civil Case Cover Sheet (form 982.2(b)(1))
c.
Motion for an extension of time to intervene
d.
Affidavit or other document in support of the motion for an extension of time
e.
Order extending time to intervene (specify date order expires):
f.
Other order (describe):
g.
Notice from the Attorney General of additional prosecuting authority that may have access to the file
h.
Other (describe):
2.
This Confidential Cover Sheet and the attached document must each be separately file-stamped by the clerk of the court.
Date:
Page 1 of 1
CONFIDENTIAL COVER SHEET
Form Adopted for Mandatory Use
Gov. Code, § 12652(c)
Judicial Council of California
Cal. Rules of Court, rules 2.570-2.573
FALSE CLAIMS ACTION
CM-011 [Rev. September 1, 2018]
www.courts.ca.gov
For your protection and privacy, please press the Clear
This Form button after you have printed the form.
Print this form
Save this form
Clear this form