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CIVIL ACTION COVER SHEET INSTRUc*rIONS <br /> SELECT CATEGORY THAT BEST DESCRIBES YOUR CASE <br /> * CONTRACTS * REAL PROPERTY MISCELLANEOUS <br /> A vices,Labor and Materials F) C01 Land Taking(eminent domain) (F) E02 Appeal from Administrative <br /> A02 Goods Sold and Delivered (F) CO2 Zoning Appeal,G.L.c.40A (F) Agency G.L.c.30A (X) <br /> A03 Commercial Paper (F) CO3 Dispute concerning title (F) E03 Claims against Commonwealth <br /> A08 Sale or Lease of Real Estate (F) C04 Foreclosure of mortgage (X) or Municipality (A) <br /> Al2 Construction Dispute (A) C05 Condominium Lien&Charges (X) E05 Confirmation of Arbitration Awards (X) <br /> A99 Other(Specify) (F) C99 Other(Specify) (F) E07 G.L.c.112,s.12S(Mary Moe) (X) <br /> E03 Claims against Commonwealth (A) E03 Claims against Commonwealth (A) E08 Appointment of Receiver (X) <br /> or Municipality or Municipality E09 General Contractor bond, <br /> EQUITABLE REMEDIES G.L.c.149,ss.29,29a (A) <br /> *TORT D01 Specific Performance of Contract (A) Ell Worker's Compensation (X) <br /> D02 Reach and Apply (F) E12 G.L.c.123A,s.12(SDP Commitment) (X) <br /> B03 Motor Vehicle Negligence (F) D06 Contribution or Indemnification (F) E14 G.L.c.123A,s.9(SDP Petition) <br /> personal i perty damage D07 Imposition of a Trust (A) E15 Abuse Petition,G.L.c.209A (X) <br /> 604 Other Negligence-ence- (F) D08 Minoru Stockholder's Suit A <br /> personal injurylproperty damage y ( ) E16 Auto Surcharge Appeal (X) <br /> 605 Products Liability (A) 010 Accounting (A)D12 Dissolution of Partnership (F) E17 Civil Rights Act,G.L. c.12,s.11H (A) <br /> B06 Malpractice-MedicaL (A) D13 Declaratory Judgment G.L.c.231A (A) E18 Foreign Discovery Proceeding (X) <br /> B07 Malpractice-Other(Specify) (A) D99 Other(Specify) (F) E19 Sex Offender Registry G.L.c.178M, <br /> BOB Wrongful Death, G.L. c.229,s.2A(A) s.6 (X) <br /> B15 Defamation(Libel-Slander) (A) E25 Plural Registry(Asbestos cases) <br /> B19 Asbestos (A) E95 "Forfeiture G.L.c.94C,s.47 (F) <br /> B20 Personal Injury-slip&fall (F) E96 Prisoner Cases (F) <br /> B21 Environmental (F) E97 Prisoner Habeas Corpus (X) <br /> B22 Employment Discrimination (F) E99 Other(Specify) (X) <br /> B99 Other(Specify) (F) <br /> E03 Claims against Commonwealth (A) <br /> *Claims against the Commonwealth or a municipality are type E03, Average Track, cases. <br /> **Claims filed by the Commonwealth pursuant to G L c 94C, s 47 Forfeiture cases are type <br /> E95, Fast track. <br /> TRANSFER YOUR SELECTION TO THE FACE SHEET. <br /> EXAMPLE: <br /> CODE NO. TYPE OF ACTION(SPECIFY) TRACK IS THIS A JURY CASE? <br /> B03 Motor Vehicle Negligence-Personal Injury (F) I X I Yes I ) <br /> SUPERIOR COURT RULE 29 <br /> DUTY OF THE PLAINTIFF.The plaintiff or his/her counsel shall set forth,on the face sheet(or attach additional sheets as necessary),a <br /> statement specifying in full and itemized detail the facts upon which the plaintiff then relies as constituting money damages.A copy of such civil <br /> action cover sheet,including the statement as to the damages,shall be served on the defendant together with the complaint. If a statement of money <br /> damages,where appropriate is not filed,the Clerk-Magistrate shall transfer the action as provided in Rule 29(5)(C). <br /> DUTY OF THE DEFENDANT. Should the defendant believe the statement of damages filed by the plaintiff in any respect inadequate,he <br /> or his counsel may file with the answer a statement specifying in reasonable detail the potential damages which may result should the plaintiff <br /> prevail. Such statement,if any,shall be served with the answer. <br /> A CIVIL ACTION COVER SHEET MUST BE FILED WITH EACH COMPLAINT. <br /> FAILURE TO COMPLETE THIS COVER SHEET THOROUGHLY AND ACCURATELY <br /> MAY RESULT IN DISMISSAL OF THIS ACTION. <br />