GENERAL CIVIL CASE COVER SHEET

State of Georgia – [COURT NAME]
(Required by O.C.G.A. § 9-11-3 and Uniform Superior Court Rule 3)

[Effective Date: _ / _ / ______]

SECTION 1. CAPTION & COURT INFORMATION

1.1 Court: [COURT NAME] – ☐ Superior ☐ State ☐ Magistrate ☐ Other: _
1.2 County: [COUNTY]
1.3 Judicial Circuit: [JUDICIAL CIRCUIT]
1.4 Civil Action File No.: __ (Clerk Use Only)
1.5 Date of Filing: _ / _ / ___

[// GUIDANCE: The Clerk will assign the civil action number at filing. Do not leave the county and court blanks.]

SECTION 2. PARTY IDENTIFICATION

[// GUIDANCE: For additional parties, attach “Exhibit A – Additional Parties.”]

SECTION 3. CASE TYPE / CATEGORY

(Check ONE primary category that best describes the main subject matter. See Uniform Case Filing Form.)

A. TORTS
☐ Auto Accident
☐ Personal Injury (General)
☐ Premises Liability
☐ Product Liability
☐ Medical Malpractice
☐ Wrongful Death
☐ Other Torts: ______

B. CONTRACT / ACCOUNT
☐ Contract (General)
☐ UCC / Commercial
☐ Security Deed / Note
☐ Garnishment
☐ Other Contract: ____

C. REAL PROPERTY
☐ Dispossessory / Eviction
☐ Boundary / Title
☐ Quiet Title / Ejectment
☐ Foreclosure
☐ Condemnation
☐ Other Real Property: ____

D. CIVIL APPEALS / WRITS
☐ Appeal (Magistrate → Superior)
☐ Certiorari
☐ Mandamus / Prohibition / Quo Warranto
☐ Habeas Corpus

E. OTHER GENERAL CIVIL
☐ Declaratory Judgment
☐ Injunction
☐ Post-Judgment (Domestication, Registration)
☐ Enforcement of Foreign Judgment
☐ Administrative Law Review
☐ Structured Settlement Approval
☐ Other Civil: ______

[// GUIDANCE: Do NOT check multiple boxes unless local rule permits; inaccurate categorization can delay docketing.]

SECTION 4. RELATED CASES

4.1 Are there any pending or previously adjudicated cases involving the same parties or facts?
☐ Yes – Case No(s).: ____ (Court & Judge: ______)
☐ No

SECTION 5. RELIEF SOUGHT

☐ Monetary ($ _ )
☐ Injunctive/Equitable
☐ Declaratory
☐ Other: ______

Jury Demand: ☐ Yes ☐ No
(If “Yes,” first jury-trial fee due per O.C.G.A. § 15-6-77.)

SECTION 6. ALTERNATIVE DISPUTE RESOLUTION

☐ Matter subject to court-annexed mediation (Uniform Superior Court Rule 40)
☐ ADR already conducted – Outcome: ______
☐ Exempt from ADR – Basis: ________

SECTION 7. ATTORNEY / SELF-REPRESENTED FILER INFORMATION

Lead Counsel / Pro Se Party: [NAME]
Firm: [LAW FIRM]
Georgia Bar No.: [BAR NO.]
Address: [STREET, CITY, STATE, ZIP]
Phone: [PHONE] | E-Mail: [EMAIL]

Co-Counsel (if any): _____________

SECTION 8. STATUTORY FEES (Clerk Use)

Base Filing Fee (Superior/State) ………………… $ _
Service Fee (per defendant) …………………….. $ _
Jury Trial Demand Fee …………………………… $ _
Sheriff’s Entry of Service ………………………… $ _
Other (specify) ______ $ _
TOTAL DUE ……………………………………… $ _

[// GUIDANCE: Fee amounts vary by county. Verify current schedule under O.C.G.A. § 15-6-77 and county fee resolutions before tendering payment.]

SECTION 9. VERIFICATION & SIGNATURE

Pursuant to O.C.G.A. § 9-11-11(a), the undersigned certifies that the above information is true and correct to the best of his or her knowledge and belief; and that all necessary filing fees, service fees, and surcharges will be promptly tendered.

[NAME], ☐ Attorney for [PARTY] ☐ Pro Se
Date: _ / _ / ______

SECTION 10. CLERK’S ACKNOWLEDGMENT (For Official Use Only)

Date Filed: _ / _ / __
Clerk / Deputy Clerk: ____
Civil Action File No.: ______

[// GUIDANCE:
1. Attach the complaint/petition immediately behind this cover sheet.
2. If e-filing, upload this form as a separate lead document labeled “Civil Case Initiation Form.”
3. Maintain a conformed copy for service and client records.
4. Failure to complete every required field may result in rejection under Uniform Superior Court Rule 3.]

Statutory Authority: Ga. Code Ann. § 9-11-3 (2023) (commencement of civil action); Ga. Code Ann. § 15-6-77 (2023) (clerk and jury fees).