CIVIL COVER SHEET

CIVIL COVER SHEET

The civil cover sheet and the information contained herein neither replace nor supplement the filing and service of pleadings or other papers as required by law.  This form is required for the use of the Clerk of Court for the purpose of reporting judicial workload data pursuant to Florida Statute 25.075.

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I. CASE STYLE

IN THE CIRCUIT COURT OF THE 11TH JUDICIAL CIRCUIT IN AND FOR MIAMI-DADE COUNTY, FLORIDA

CASE NUMBER: XX

MELISSA THOMPSON,

Plaintiffs,

vs.

CVS PHARMACY, INC.,

Defendant.

__________________________________/

II. TYPE OF CASE (Place an x in one box only.  If the case fits more than

one type of case, select the most definitive.)

______________________________________________________________________________

DOMESTIC RELATIONS              TORTS                                                                                                                                        OTHER CIVIL

______________________________________________________________________________

( ) Simplified Dissolution   ( ) Professional Malpractice  ( ) Contracts

( ) Dissolution                  ( ) Products liability            ( ) Condominium

( ) Support – IV-D            ( ) Auto negligence              ( ) Real property/

( ) Support – Non IV-D     (x) Other negligence            ( ) Mortgage foreclosure

( ) URESA – IV-D              ( ) Eminent domain

( ) URESA – Non IV-D       ( ) Other

( ) Domestic Violence

( ) Other Domestic relations

______________________________________________________________________________

III.  Is Jury Trial Demanded in Complaint?

   (x) Yes

( ) No

DATE: __________________

____________________________

ALAN D. SACKRIN, ESQUIRE

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The pleading above is a sample document related to a specific set of facts and circumstances and should not be used or relied upon for any personal injury matter. This document is being provided for illustrative purposes only. We recommend and urge you to consult with an experienced personal injury lawyer for professional advice as each case is unique.

To Learn About Alan’s Qualifications as a Personal Injury Lawyer, See His About Me Page.