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Civil Cover Sheet

If you submit any documents to the county court clerk’s office in the State of Nevada, you have to use this cover sheet.

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Nevada AOC – Research and Statistics Unit   Form PA 201 
   Rev. 2.5E 
Plaintiff(s) (name/address/phone):	       	
 
Attorney (name/address/phone): 
       
 	
Defendant(s) (name/address/phone):	       	
 
Attorney (name/address/phone): 
      	
 II. Nature of Controversy	 (Please check applicable bold category and    	 Arbitration Requested	 
 applicable subcategory,  if appropriate)    	
 Landlord/Tenant 
 	
 Unlawful Detainer 	
 Title to Propert y 
 	
 Foreclosure 
 
 Liens 	
 Condemnation/Eminent Domain 
 Other Real Property  
 	
 Partition 
 
 Planning/Zoning	 	
 Negligence – Auto 
 Negligence – Medical/Dental 
 Negligence – Premises Liability  
  	(Slip/Fall)	 	
 Negligence – Other   	
 Product Liability 
 	
  Product Liability/Motor Vehicle 
 
 Other Torts/Product Liability  	
 Intentional Misconduct 
 	
 Torts/Defamation (Libel/Slander) 
 
  Interfere with Contract Rights 	
 Employment Torts 	(Wrongful termination)  	
 Other Torts 
 	
 Anti-trust 
 
 Fraud/Misrepresentation 
 
 Insurance 
 
 Legal Tort  
 
 Unfair Competition	 	
Estimated Estate Value:        	 	
 Summary Administration 
 General Administration 
 Special Administration  
 Set Aside Estates 
 Trust/Conservatorships 
 	
 Individual Trustee 
 
 Corporate Trustee 	
 Other Probate 
 
 	
 Construction Defect 
 	
 Chapter 40 
 
 General 	
 Breach of Contract  
 	
 Building & Construction 
 
 Insurance Carrier 
 
 Commercial Instrument 
 
 Other Contracts/Acct/Judgment 
 
  Collection of Actions 
 
 Employment Contract 
 
 Guarantee 
 
 Sale Contract 
 
  Uniform Commercial Code  	
 Civil Petition for Judicial Review  
 	
 Foreclosure Mediation 
 
  Other Administrative Law 
 
  Department of Motor Vehicles  
 
  Worker’s Compensation Appeal	 	
 Appeal from Lower Court	 (also check 
applicable civil case box)  	
 	  Transfer from Justice Court 
 
  Justice Court Civil Appeal 	
 Civil Writ 
 	
  Other Special Proceeding 	
 Other Civil Filing  
 	
  Compromise of Minor’s Claim  
 
  Conversion of Property  
 
  Damage to Property  
 
 Employment Security  
 
 Enforcement of Judgment 
 
  Foreign Judgment – Civil 
 
  Other Personal Property  
 
 Recovery of Property  
 
 Stockholder Suit 
 
  Other Civil Matters 	
III. Business Court Requested	  (Please check applicable category;  for Clark or Washoe Counties only .)	 	
        
Date 
  Signature of initiating party or representative

Nevada AOC – Research and Statistics Unit   Form PA 201 
   Rev. 2.5E 
Plaintiff/Petitioner (name/address/phone):	  
     	
 
DOB:
      	
Attorney (name/address/phone):	  	
      	
Defendant/Respondent/Co-Pet itioner (name/address/phone):	  
     	
 
DOB:
      	
Attorney (name/address/phone):	  	
      	
II. Nature of Controversy	 (Place X in applicable bold category and anot her in applicable subcategory, if available)   	
 Guardianship of an Adult 
 Guardianship of a Minor 
 Guardianship Trust 
 
Estimated Estate Value:        	
 
 	
 Marriage Dissolution Case  
 	
 Annulment 
 
  Divorce – With children 
 
  Divorce – Without children 
 
 Foreign Decree  
 
  Joint Petition – With children 
 
  Joint Petition – Without children  
 
 Separate Maintenance 	
 Support/Custody  
 UIFSA Case (formerly URESA) 
 Adoptions 
 	
 Adult 
 
 Minor 	
 Paternity 
 Termination of Parental Rights  
 Miscellaneous Domestic Relations 
 	
 Name Change 
 
  Permission to Marry  
 
 Other Family  	
 Mental Health   
 Request for Temporary Protective Order   
 
 Miscellaneous Juvenile 
 	
 Emancipation 
 	
 
Children involved in this case: 
Name:         DOB:       
Name:         DOB:       
Name:         DOB:       
    
         
Date     Signature of Preparer
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