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Iowa Civil Petition Cover Sheet


Iowa Civil Petition Cover Sheet
Iowa Civil Petition Cover Sheet
Petition Cover Sheet for Civil Law, Domestic Relations, and Other Equity Cases Filed in Iowa District Court*
NAME & ADDRESS of Attorney (or Petitioner / Plaintiff – if not represented by attorney):
Attorney P.I.N.: Telephone No: ( )
FOR COURT USE ONLY
CASE NUMBER:
COUNTY WHERE CASE FILED:
CASE NAME (Petitioner / Plaintiff vs. Respondent / Defendant):
NATURE OF THE CASE: CHECK the BOX to the LEFT of the ONE case category that most accurately describes your
PRIMARY CASE
. If you are making more than one type of claim, check the one that involves the largest amount of damages or the one
you consider
most important
.
LAW: Contract/ Commercial Claim
DOMESTIC RELATIONS
EQUITY
Debt collection (LA-C1)
Dissolution -- children involved (CD-DC)
Mortgage foreclosure (EQ-EM)
Employment-related claim (LA-C3)
Dissolution -- no children (CD-DN)
Other real property claim (EQ-ER)
Other contract or commercial claim (LA-C9)
Modification -- children involved (CD-MC)
Other equity (EQ-EO)
Modification -- no children (CD-MN)
LAW: Tort - Personal Injury (P.I.)
' 236 - Domestic abuse (DA-DA)
OTHER CIVIL ACTIONS
Motor vehicle accident (LA-T2)
' 234 - Foster care (DR-D1)
Administrative appeal to dist. court (CV-V1)
Premises liability / slip & fall (LA-T3)
' 252A -- Support action (DR-D2)
Change of name (CN-CN)
Malpractice: medical or dental (LA-T1)
' 252A.18 - Foreign support (DR-D3)
Distress warrant (CV-V2)
Products liability (toxic chem. / subst.) (LA-T8)
' 252B.11 - Cost recovery (DR-D4)
Foreign judgment entry (CV-V3 )
Products liability (not toxic substance) (LA-T4)
' 252C - Administrative Order (DR-D5 )
Lien (LN - IE, IH, IM or IO)
Wrongful death (LA-T7)
' 252D - Income withholding (DR-D6 )
Post conviction relief (PC-PC)
Other negligent / intentional P.I. (LA-T9)
' 252E - Medical support (DR-D7)
Seized property / forfeiture (SP-SP)
' 252F/ ' 600B - Paternity (DR-D8)
Transcript of judgment (TJ-TJ)
LAW: Tort - Other damages (no P.I. )
' 252K - UFISA (DR-R1)
Other civil action (CV-V9)
Professional malpractice - no P.I. (LA-T5)
' 598B - Out of state custody (DR-R2)
FOR COURT USE ONLY
Fraud / business tort (LA - C2)
' 600 - Adoption (AT-AT)
Other tort - property/financial damages (LA-T6)
Other domestic relations action (DR-D9)
*NOTE TO PETITIONER /PLAINTIFF:
! Pursuant to rule 1.301(2) of the Iowa Rules of Civil Procedure, a cover sheet MUST accompany each civil petition EXCEPT: small
claims, probate, or commitment actions.
! DO NOT SERVE THIS COVER SHEET ON THE DEFENDANT(S) / RESPONDENT(S).
! A cover sheet is not required when filing a counterclaim or crossclaim.
! This cover sheet is for statistical purposes only. It shall have no legal effect in the case. Updated: 4-29-2002
Iowa Civil Petition Cover Sheet