On April 08, 2024 a
Exhibit,Appendix
was filed
involving a dispute between
Ortiz Health And Rehab Center Inc,
and
State Farm Mutual Automobile Insurance Company,
for SC - Personal Injury Protection up to $100
in the District Court of Orange County.
Preview
Filing # 195709566 E-Filed 04/08/2024 03:17:42 PM
CIVIL COVER SHEET COUNTY COURT ADDENDUM
PARTY OR ATTORNEY FILING ACTION MUST SELECT WHICH APPLIES
Cases Subject to Administrative Order 2009-12-03 – Order Governing Small Claims First Party
Insurance Claims Cases. The designations set out below shall guide the parties and the Court in
the assignment of cases subject to Administrative Order 2009-12-03.
COUNTY CIVIL Small Claims
X
__________ Other civil (small claims Personal Injury Protection)
__________ Other civil (automobile glass insurance claims cases)
__________ Other civil (other claim for first party insurance benefits)
NOTE: A copy of the Civil Cover Sheet and this Addendum must be served with the
Complaint for all small claims First Party Insurance Claims cases.
Document Filed Date
April 08, 2024
Case Filing Date
April 08, 2024
Category
SC - Personal Injury Protection up to $100
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Preview
Filing # 195709566 E-Filed 04/08/2024 03:17:42 PM CIVIL COVER SHEET COUNTY COURT ADDENDUM PARTY OR ATTORNEY FILING ACTION MUST SELECT WHICH APPLIES Cases Subject to Administrative Order 2009-12-03 – Order Governing Small Claims First Party Insurance Claims Cases. The designations set out below shall guide the parties and the Court in the assignment of cases subject to Administrative Order 2009-12-03. COUNTY CIVIL Small Claims X __________ Other civil (small claims Personal Injury Protection) __________ Other civil (automobile glass insurance claims cases) __________ Other civil (other claim for first party insurance benefits) NOTE: A copy of the Civil Cover Sheet and this Addendum must be served with the Complaint for all small claims First Party Insurance Claims cases.