Beaver Cnty. C.P. Local Rules of Civil Procedure LR 205.2(b)

(1) Complaint/initial pleading

In addition to the state required cover sheet, a complaint or initial pleading shall be

accompanied by a Beaver County cover sheet. The cover sheet shall be in the form set forth

below:

Court of Common Pleas of Beaver County

Civil Division

Civil Cover Sheet

For Prothonotary Use Only (Docket Number)

DEFENDANT'S NAME

PLAINTIFF'S NAME

PLAINTIFF'S ADDRESS DEFENDANT'S ADDRESS

DEFENDANT'S NAME

DEFENDANT'S ADDRESS

COMMENCEMENT OF ACTION

TOTAL NO. [] Complaint [] Notice of Appeal

OF TOTAL NO. OF [] Writ of Summons [] Transfer from

PLAINTIFF DEFENDANTS Other Jurisdictions

AMOUNT IN

CONTROVERSY

[] [$35,000 or less

[] Over $35,000

_________________

ARBITRATION CASE

[] Yes CASE TYPE

[] No

[] Motor Vehicle [] Mortgage Foreclosure [] Partition

[] Medical Malpractice [] Ejectment [] Declaratory Judgment

[] Other Professional Liability [] Statutory Appeals [] Replevin

[] Product Liability [] Quiet Title [] Asbestos

[] Other: ______ [] Domestic Relations

[] Divorce

[] Custody

TO THE PROTHONOTARY:

NAME OF ADDRESS (SEE INSTRUCTIONS)

PLAINTIFF'S/PETITIONER/APPELLANT'S

ATTORNEY (OR PRO SE LITIGANT):

PHONE NUMBER

FAX NUMBER EMAIL ADDRESS

SUPREME COURT

SIGNATURE IDENTIFICATION NO

DATE

The cover sheet shall also be published on the Court website, www.beavercountypa.gov.

(2) Subsequent pleadings

All subsequent pleadings shall be accompanied by a cover sheet in the form as published on

the Court website, www.beavercountypa.gov.