Case Designation Sheet

Cleveland Municipal Court Earle B. Turner, Clerk of Court Designation Form to be used to indicate the Category of the Case (Your failure to complete this form may delay the processing of your claim.) 1. Has this case been previously filed and dismissed? Yes ( ) No ( ) If yes, please indicate court, case number and judge. Court Case No. Judge 2. Are there any related cases, pending or closed? Yes ( ) No ( ) If yes, please indicate court, case number and judge. Court Case No. Judge (If more space is necessary, please use the reverse side of this form.) 3. Is this a case under the Consumer Sales Practices Act (O.R.C. 1345.09(E))? Yes ( ) No ( ) If yes, Declaratory Judgment; Injunction; Class Action 4. Are ADA accommodations needed? Yes ( ) No ( ) Please describe 5. Is Interpreter requested Yes ( ) No ( ) Language / Dialect requested Plaintiff #1 (include complete name, address and phone #) Defendant #1 (include complete name, address and phone #) Phone No. E-mail address Phone No. E-mail address (For additional parties, please use the reverse side of this form.) CCiivviill CCaatteeggoorriieess PPllaaccee ((XX)) iinn oonnee ccaatteeggoorryy oonnllyy Tort - Motor Vehicle A ccident - Property Damage Forcible Entry and Detainer (Eviction) Tort - Motor Vehicle Accident - Personal Injury a. Subject Property Address Tort - Motor Vehicle Accident - Prop. Damage & Personal Injury Ejectment, Recovery of Real Property Tort - v s. Property Owner a. Subject Property Address Tort - Product Liability Marshalling of Lien (foreclosure) Tort Miscellaneous a. Subject Property Address Libel and Slander Replevin Contract Account Promissory Note Small Claims n Cognovit Housing Small Claim Equity Other: If service of process by Certified Mail is returned by the Postal Authoriundersigned waives notice of this by the Clerk and requests ordinary mail service in accordance with Civil Rule 4.6(C) or 4.6(D). Signature of Plaintiff or Attorney for Plaintiff Attorney Information Atty. of Record (Please Print or Type) Ohio Supreme Court No. Address Firm Name City State Zip Code Fax Number () Area Code and Telephone Number E-Mail Address case designation sheet rev 11/2017 American LegalNet, Inc. www.FormsWorkFlow.com Plaintiff #2 (include complete name, address and phone #) Defendant #2 (include complete name, address and phone #) Phone No. E-mail address Phone No. E-mail address Plaintiff #3 (include complete name, address and phone #) Defendant #3 (include complete name, address and phone #) Phone No. E-mail address Phone No. E-mail address Plaintiff #4 (include complete name, address and phone #) Defendant #4 (include complete name, address and phone #) Phone No. E-mail address Phone No. E-mail address (continued from Pg. 1) 1. Has this case been previously filed and dismissed? Court Case No. Judge: Court Case No. Judge: (continued from Pg. 1) 2. Are there any related cases, pending or closed? Court Case No. Judge: Court Case No. Judge: Other: case designation sheet rev 11/2017 American LegalNet, Inc. www.FormsWorkFlow.com