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# Summit County Court of Common Pleas Civil Division ## NEW CASE DESIGNATION FORM
Primary Plaintiff:For Official Use Only:
Case No:
VSJudge:
Primary Defendant: Judge: ___ Jury Demanded? ☐ Refiled Case? Previous Case Number: ___ Previous judge: ___
TortsMoneyMiscellaneous
PCOM Personal InjuryCGCO Cognovit NoteBACO Breach of Agreement
LCOM Product LiabilityCBCO Creditor's BillBCOM Breach of Contract
MMCO Medical MalpracticeMCOM Money DueBLCO Breach of Lease
LMCO Legal MalpracticePNCO Promissory NoteBWCO Breach of Warranty
DMCO Dental MalpracticeDCOM Declaratory Judgment
WDCO Wrongful DeathFORJ Foreign Judgment
Real PropertyINCO Injunction
PTCO PartitionRPCO Replevin
QTCO Quiet TitleSCOM Subrogation
FCOM Foreclosure - Enter required parcel information belowAARB Arbitration
Parcel Number: ________________DICO Discrimination
Parcel Address: ________________CCLA Sex Offender Classification
City: ________________ State: ________________ Zip: ________________UCSV Consumer Sales Practice Violation
OtherWCAS Workers Compensation Asbestos Appeal
WCOM Workers Compensation
AAPP Administrative Appeal
Print Name: ___ E-mail ___ Address: ___ Address: ___ City: State: Zip: Signature Phone: ___ CV Form 001 CV Form 001