Additional Claims Information Sheet {3C-P-363}

ADDITIONAL CLAIMS INFORMATION SHEET I. Filing Attorney II. Civil No. III. Case Name IV. Title of Pleading V. Does the above pleading join any additional party(ies) not previously named? Yes No If 322yes,323 please list each additional party(ies) below: Name(s) Party Designation 1. 2. 3. 4. If additional space is needed, please attach additional sheet. VI. Does the above pleading remove any party(ies) previously named? Yes No If 322yes,323 please list each party who has been removed: Name(s) Party Designation 1. 2. 3. 4. If additional space is needed, please attach additional sheet. VII. Signature of Filing Attorney Date In accordance with the Americans with Disabilities Act and other applicable state and federal laws, if you require a reasonable accommodation for a disability, please contact the ADA Coordinator at the Circuit Court Administration Office at PHONE NO. 961-7440, FAX 961-7416, or TTY 961-7525 at least ten (10) working days prior to your hearing or appointment date. Reprographics (03/07) ADDITIONAL CLAIMS INFORMATION SHEET 3C-P-363 CommonLook256 508 Certified American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS FOR ATTORNEYS COMPLETING037 THE ADDITIONAL CLAIMS INFORMATION SHEET037 The additional claims information sheet and the information contained herein neither replaces nor supplements the filings, the service pleadings or other papers as required by law, except as provided by the rules of court. This form, approved by the Administrative Judge is required by the Clerk of the Court for the purpose of ascertaining the status of parties to the lawsuit. Consequently, an additional claims information sheet is submitted to the Clerk of the Court for each affirmative pleading filed subsequent to the initial complaint. The attorney filing such affirmative pleadings shall complete the form as follows: I. Filing Attorney List the attorney325s name, license number, firm name (if applicable), address and telephone number. II. Civil No.037 Indicate the civil number assigned to the case.255 III. Case Name Indicate a brief case title (full caption not necessary). Use of 322et. al.323 designation is acceptable. IV. Title of Pleading037 Indicate the exact title of the pleading being filed.255 V. Joining Parties and Party Designation If there are more than four (4) additional parties, list them on an attachment noting in this section 322(see attachment).323 Examples of 322party designation323 are as follows: Additional plaintiff; additional defendant; additional cross-defendant; additional counterclaimant; additional counterclaim-defendant; plaintiff intervenor; defendant intervenor; third-party defendant, etc. VI. Removing Parties and Party Designation037 Same as Section V above.255 VII. Signature of Filing Attorney037 Date and sign the Additional Claims Information Sheet.255 CommonLook256 508 Certified Reprographics (03/07)003 ADDITIONAL CLAIMS INFORMATION SHEET 3C-P-363 American LegalNet, Inc. www.FormsWorkFlow.com