CONFIDENTIAL Case Information Sheet 
Fill out this form to start a General Civil Law case. 
The information you give us is private.	Case Number (Clerk fills in case #):
	
	Exempt from Public Disclosure	

DO NOT SERVE THIS DOCUMENT ON OTHER PARTIES
Complete this form for each of the parties for whom you are submitting this initial pleading.  It is not necessary to provide information about other parties.
The personal identifiers collected by the Court below are collected for the purpose of ensuring that the Court’s party records are accurate and to better differentiate individuals or businesses with common names.  It will be used for this purpose alone and will not be disclosed to the public including the parties in the subject lawsuit.
Information about Party
	Name: 					

First 		Middle 				Last 

Legal name of business entity: 

Any other names used: 

Address:  
	Street	City 	State 	Zip 
Mailing Address (if different):

Phone numbers: Home 	Work	Cell

Email:

Driver’s License:   State               Number	                                  Date of Birth:   
If the accompanying pleading is filed on behalf of more than one party, provide information regarding those additional parties below.
Information about Party
	Name: 	

First 		Middle 				Last 

Legal name of business entity: 

Any other names used: 

Address:  
	Street	City 	State 	Zip 
Mailing address (if different):

Phone numbers: Home 	Work	Cell

Email:

Driver’s License:   State               Number	                                  Date of Birth:   

COMPLETE INFORMATION FOR ADDITIONAL PARTIES ON ADDITIONAL PAGE(S) IF NECESSARY