THE COURTS

Title 255--LOCAL
COURT RULES

CARBON COUNTY

Amendment of Local Rule of Civil Procedure 205.2(b) Filing Legal Papers with the Prothonotary; No. 04-1727

[35 Pa.B. 501]

Administrative Order No. 5-2005

   And Now, this 6th day of January, 2005, in order to reflect the correct description of the case specific for Medical Professional Liability Actions on the instruction sheet to the Civil Cover Sheet that is required to be attached to all new actions, it is hereby

   Ordered and Decreed that, effective immediately, Carbon County Amends Local Civil Rule of Procedure CARB.R.C.P.205.2(b) accordingly.

   The Carbon County District Court Administrator is Ordered and Directed to do the following:

   1.  File seven (7) certified copies of this Administrative Order with the Administrative Office of Pennsylvania Courts.

   2.  File two (2) certified copies and one (1) diskette with the Legislative Reference Bureau for publication in the Pennsylvania Bulletin.

   3.  File one (1) certified copy with the Pennsylvania Civil Procedural Rules Committee.

   4.  Electronically submit to the Administrative Office of Pennsylvania Courts a copy of local rule numbered 205.2(b) for publication on the web site located at www. aopc.org.

   5.  Forward one (1) copy for publication in the Carbon County Law Journal.

   6.  Forward one (1) copy to the Carbon County Law Library.

   7.  Keep continuously available for public inspection copies of the Order in the Prothonotary's Office.

By The Court

ROGER N. NANOVIC,   
President Judge

Rule 205.2(b)--Filing Legal Papers with the Prothonotary.

   Pursuant to this rule, a Civil Cover Sheet marked Form ''A,'' shall be attached to any document commencing an action (whether the action is commenced by Complaint, Writ of Summons, Notice of Appeal, or by Petition) in the Prothonotary's office.

   A Motion Cover Sheet, marked Form ''B,'' shall be attached to any motion or petition being filed.

Court of Common Pleas of Carbon County
Civil Cover Sheet		For Prothonotary Use only (Docket Number)
A.  PLAINTIFF'S NAME:		DEFENDANT'S NAME:
PLAINTIFF'S ADDRESS & TELEPHONE NUMBER:		DEFENDANT'S ADDRESS AND TELEPHONE NUMBER:
PLAINTIFF'S NAME:		DEFENDANT'S NAME:
PLAINTIFF'S ADDRESS & TELEPHONE NUMBER:		DEFENDANT'S ADDRESS & TELEPHONE NUMBER:
TOTAL NUMBER OF PLAINTIFFS		TOTAL NUMBER OF DEFENDANTS
B.  AMOUNT IN CONTROVERSY   ____ $25,000 or less ____ More than $25,000	C.  COMMENCEMENT OF ACTION   ____ 1. Complaint ____ 2. Writ of Summons ____ 3. Notice of Appeal ____ 4. Petition Action	D.  CASE PROCESS   ____ 5.  Arbitration ____ 6.  Jury ____ 7.  Non Jury ____ 8.  Class Action
E.  TRACK ASSIGNMENT REQUESTED (CHECK ONE) COURT HAS FINAL APPROVAL FOR ALL TRACK ASSIGNMENTS
____ FAST      ____ STANDARD      ____ COMPLEX    If complex, state reasons:
F.  CODE AND CASE TYPE (See instructions)		G.  CODE AND CASE SPECIFIC (See instructions)
H.  STATUTORY BASIS FOR CAUSE OF ACTION (See instructions)
I.  RELATED PENDING CASES (List by Docket Number--Indicate whether the related cases have been consolidated)
J. TO THE PROTHONOTARY:   Kindly enter my appearance on behalf of Plaintiff/Petitioner/Appellant. Papers may be served at the address set forth below.
NAME OF PLAINTIFF'S/APPELLANT'S ATTORNEY		ADDRESS
PHONE NUMBER	SUPREME COURT IDENTIFICATION NUMBER	E-MAIL ADDRESS:   _________________ FAX NO. (OPTIONAL--FOR SERVICE):
DATE: _________________      SIGNATURE: _________________

Form A
 

Instructions for Completing Civil Cover Sheet

   The attorney (or pro se party) filing a case shall complete the form as follows:

A.  Parties

   i.  Plaintiff(s)/Defendant(s)

      Enter names (last, first, middle initial) of plaintiff and defendant. If the plaintiff or defendant is a government       agency or corporation, use the full name of the agency or corporation. In the event there are more than two plaintiffs       and/or two defendants, list the additional parties on a separate sheet of paper. Husband and wife should be listed as       separate parties.

   ii.  Parties' Addresses and Telephone Numbers

      Enter the address and telephone numbers of the parties at the time of filing of the action. If any party is a       corporation, enter the address and telephone number of the registered office of the corporation.

   iii.  Number of Plaintiffs/Defendants

      Indicate the total number of plaintiffs and the total number of defendants in the action.

B.  Amount in Controversy

      Check the appropriate box. Indicate whether an Assessment of Damages Hearing is required.

C.  Commencement of Action

      Indicate type of document to be filed to initiate the action.

D.  Other

      Indicate whether the case is an arbitration, jury or non-jury case. Check any other appropriate boxes. If the action       will require the entry of an Order approving a minor/incapacitated person's compromise, wrongful death or survival       action, check the appropriate box.

E.  Track Assignment--COURT HAS FINAL APPROVAL FOR ALL TRACK ASSIGNMENTS

      If you are requesting the Complex track, please indicate the reasons for your request.

F.  Type of Action--Case Type

   Select and insert the applicable case type and code from the first two columns of the following list:

Code	Case Type	Code	Case Type	Code	Case Specific	Code	Case
@	Asbestos Case	9	Mandamus	001	Assault/Battery	005	M V Prop Damage
X	Assessment Appeal	#	Miscellaneous	018	Class Action	009	Negotiable Instrument
A	Civil Action	F	Mortgage Foreclosure	015	Consumer Credit	032	Partition
C	Custody	$	Municipal Appeal	019	Contract-- Construction	002	Premises Liability
1	Declaratory Judgment	7	Name Change	011	Contract--Sale of Goods	003	Personal Injury
D	Divorce	Q	Quiet Title	012	Contract--Other	027	Product Liability
B	DJ Appeal	R	Replevin	025	Defamation	022	Prof. Malprac. Liability Actn
W	Ejectment	!	Tax Sale	035	Discrimination	006	Property Damage (non-veh)
N	Eminent Dom./Dec. of Tak.	V	Zoning Appeal	030	Employment/ Wrongful Disc.	010	Recov. Overpaymt.
2	Eminent Domain/Pet. Viewers			016	Fraud	013	Rent/Lease/ Ejectment
E	Equity			040	Indirect Criminal Contempt	039	Right to Know
L	License Appeal			008	Insurance--Declar. Judgment	024	Stockholder Suit
				034	Malicious Prosecution	014	Title to Real Property
				033	Mechanic's Lien	004	Torts to Land
				042	Medical Prof. Liability Action	023	Toxic Tort-Pers. Injury
				007	Motor Veh. Accdt. > $25,000	031	Toxic Waste/Environ.
				037	Motor. Veh. Accdt. < $25,000	021	Wast/Contam/Env

 

G.  Case Specific

      Insert applicable case specific and code from the last two columns of the above list.

H.  Statutory Basis for Cause of Action

      If the action is commenced pursuant to statutory authority (''Petition Action''), the specific statute must be cited.

I.  Related Pending Cases

      All previously filed related cases must be identified. Indicated whether they have been consolidated by Court Order       or Stipulation.

J.  Plaintiff's/Appellant's/Petitioner's Attorney--Entry of Appearance

      The name of filing party's attorney must be inserted, together with the other required information. Unrepresented       filers must provide their name, address, telephone number and signature. Providing the fax number shall authorize       the service of legal papers by facsimile transmission. See Pa.R.CP. 440(d)
 

Form A

CARBON COUNTY COURT OF COMMON PLEAS
CIVIL DIVISION
MOTION COVER SHEET

___________________________                  NO. ______

                                    vs.

___________________________

__	Assigned Judge
__	Court Action Taken
__	Returned to Attorney for Deficiencies
__	Action Deferred by Court
For Court Use Only

FILING OF:

Movant (   )                        Respondent (   )

TYPE OF FILING (check one):

(   ) 1.  Pretrial Discovery Motion (432)

(   ) 2.  Motion for Discovery in Aid of Execution (480)

(   ) 3.  Preliminary Objections to (576) __________

(   ) 4.  Motion for Summary Judgment (306)

(   ) 5.  Motion for Judgment on Pleadings (294)

(   ) 6.  Motion for Leave to Join Additional Defendant (403)

(   ) 7.  Motion for TRO or Preliminary Injunction (438)

(   ) 8.  Petition to Open or Strike Judgment (498)

(   ) 9.  Motion for Alternative Service (409)

(   ) 10.  Motion for Leave to Amend (465) __________

(   ) 11.  Motion to Consolidate Actions (424)

(   ) 12.  Petition to Compromise Minor's Action (435)

(   ) 13.  Motion for Leave to Withdraw (510)

(   ) 14.  Motion for Reconsideration (441)

(   ) 15.  Motion for Advancement on Trial List (404)

(   ) 16.  Other Motion or Petition (specify): __________

__________

                  OTHER PARTIES:
 
_________________
 
_________________
 
_________________
 

Attorney's Name (Typed) __________
 

Attorney for: __________                                          (   )  Movant                                    (   )  Respondent

   N. B.  The numbers after the Motion or Petition above are docket codes used in the Court Computer System. Please be precise when checking your Motion or Petition.

Form B

[Pa.B. Doc. No. 05-143. Filed for public inspection January 21, 2005, 9:00 a.m.]

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