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Electronically FILED by Superior Court of California, County of Los Angeles on 11/08/2019 12:26 PM Sherri R. Carter, Executive Officer/Clerk of Court, by D. Williams,Deputy Clerk
19STCV40527
,,
CM-010
INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET
To Plaintiffs and Others Filing First Papers. If you are filing a first paper (for example, a complaint) in a civil case, you must complete
and file, along with your first paper, the Civil Case Cover Sheet contained on page 1. This information will be used to compile statistics
about the types and numbers of cases filed. You must complete items 1 through 6 on the sheet. In item 1, you must check one box for
the case type that best describes the case. If the case fits both a general and a more specific type of case listed in item 1, check the
more specific one. If the case has multiple causes of action, check the box that best indicates the primary cause of action. To assist you
in completing the sheet, examples of the cases that belong under each case type in item 1 are provided below. A cover sheet must be
filed only with your initial paper. Failure to file a cover sheet with the first paper filed in a civil case may subject a party, its counsel, or
both to sanctions under rules 2.30 and 3.220 of the California Rules of Court.
To Parties in Rule 3.740 Collections Cases. A "collections case" under rule 3.740 is defined as an action for recovery of money
owed in a sum stated to be certain that is not more than $25,000, exclusive of interest and attorney's fees, arising from a transaction in
which property, services, or money was acquired on credit. A collections case does not include an action seeking the following: (1) tort
damages, (2) punitive damages, (3) recovery of real property, (4) recovery of personal property, or (5) a prejudgment writ of attachment.
The identification of a case as a rule 3.740 collections case on this form means that it will be exempt from the general
time-for-service requirements and case management rules, unless a defendant files a responsive pleading. A rule 3.740 collections case
will be subject to the requirements for service and obtaining a judgment in rule 3.740.
To Parties in Complex Cases. In complex cases only, parties must also use the Civil Case Cover Sheet to designate whether the case
is complex. If a plaintiff believes the case is complex under rule 3.400 of the California Rules of Court, this must be indicated by completing
the appropriate boxes in items 1 and 2. If a plaintiff designates a case as complex, the cover sheet must be served with the complaint
on all parties to the action. A defendant may file and serve no later than the time of its first appearance a joinder in the plaintiff's
designation, a counter-designation that the case is not complex, or, if the plaintiff has made no designation, a designation that the case
is complex.
CASE TYPES AND EXAMPLES
Auto Tort Contract Provisionally Complex Civil Litigation (Cal.
Auto (22)–Personal Injury/Property Breach of Contract/Warranty (06) Rules of Court Rules 3.400–3.403)
Damage/Wrongful Death Breach of Rental/Lease Antitrust/Trade Regulation (03)
Uninsured Motorist (46) (if the Contract (not unlawful detainer Construction Defect (10)
case involves an uninsured or wrongful eviction) Claims Involving Mass Tort (40)
motorist claim subject to Contract/Warranty Breach–Seller Securities Litigation (28)
arbitration, check this item Plaintiff (not fraud or negligence) Environmental/Toxic Tort (30)
instead of Auto) Negligent Breach of Contract/ Insurance Coverage Claims
Other PI/PD/WD (Personal Injury/ Warranty (arising from provisionally complex
Property Damage/Wrongful Death) Other Breach of Contract/Warranty case type listed above) (41)
Tort Collections (e.g., money owed, open Enforcement of Judgment
Asbestos (04) book accounts) (09) Enforcement of Judgment (20)
Asbestos Property Damage Collection Case–Seller Plaintiff Abstract of Judgment (Out of
Asbestos Personal Injury/ Other Promissory Note/Collections County)
Wrongful Death Case Confession of Judgment (non-
Product Liability (not asbestos or Insurance Coverage (not provisionally domestic relations)
toxic/environmental) (24) complex) (18) Sister State Judgment
Medical Malpractice (45) Auto Subrogation Administrative Agency Award
Medical Malpractice– Other Coverage (not unpaid taxes)
Physicians & Surgeons Other Contract (37) Petition/Certification of Entry of
Other Professional Health Care Contractual Fraud Judgment on Unpaid Taxes
Malpractice Other Contract Dispute Other Enforcement of Judgment
Other PI/PD/WD (23) Real Property Case
Premises Liability (e.g., slip Eminent Domain/Inverse Miscellaneous Civil Complaint
and fall) Condemnation (14) RICO (27)
Intentional Bodily Injury/PD/WD Wrongful Eviction (33) Other Complaint (not specified
(e.g., assault, vandalism) Other Real Property (e.g., quiet title) (26) above) (42)
Intentional Infliction of Writ of Possession of Real Property Declaratory Relief Only
Emotional Distress Mortgage Foreclosure Injunctive Relief Only (non-
Negligent Infliction of Quiet Title harassment)
Emotional Distress Other Real Property (not eminent Mechanics Lien
Other PI/PD/WD domain, landlord/tenant, or Other Commercial Complaint
Non-PI/PD/WD (Other) Tort foreclosure) Case (non-tort/non-complex)
Business Tort/Unfair Business Unlawful Detainer Other Civil Complaint
Practice (07) Commercial (31) (non-tort/non-complex)
Civil Rights (e.g., discrimination, Residential (32) Miscellaneous Civil Petition
false arrest) (not civil Drugs (38) (if the case involves illegal Partnership and Corporate
harassment) (08) drugs, check this item; otherwise, Governance (21)
Defamation (e.g., slander, libel) report as Commercial or Residential) Other Petition (not specified
(13) Judicial Review above) (43)
Fraud (16) Asset Forfeiture (05) Civil Harassment
Intellectual Property (19) Petition Re: Arbitration Award (11) Workplace Violence
Professional Negligence (25) Writ of Mandate (02) Elder/Dependent Adult
Legal Malpractice Writ–Administrative Mandamus Abuse
Other Professional Malpractice Writ–Mandamus on Limited Court Election Contest
(not medical or legal) Case Matter Petition for Name Change
Other Non-PI/PD/WD Tort (35) Writ–Other Limited Court Case Petition for Relief From Late
Employment Review Claim
Wrongful Termination (36) Other Other Judicial Review (39) Other Civil Petition
Employment (15) Review of Health Officer Order
Notice of Appeal–Labor
Commissioner Appeals
CM-010 [Rev. July 1, 2007] CIVIL CASE COVER SHEET Page 2 of 2
American LegalNet, Inc.
www.FormsWorkflow.com
SHORT TITLE: CASE NUMBER
Kortes v. California Hospital Medical Center, et al.
CIVIL CASE COVER SHEET ADDENDUM AND
STATEMENT OF LOCATION
(CERTIFICATE OF GROUNDS FOR ASSIGNMENT TO COURTHOUSE LOCATION)
This form is required pursuant to Local Rule 2.3 in all new civil case filings in the Los Angeles Superior Court.
Step 1: After completing the Civil Case Cover Sheet (Judicial Council form CM-010), find the exact case type in
Column A that corresponds to the case type indicated in the Civil Case Cover Sheet.
Step 2: In Column B, check the box for the type of action that best describes the nature of the case.
Step 3: In Column C, circle the number which explains the reason for the court filing location you have
chosen.
Applicable Reasons for Choosing Court Filing Location (Column C)
1. Class actions must be filed in the Stanley Mosk Courthouse, Central District. 7. Location where petitioner resides.
2. Permissive filing in central district. 8. Location wherein defendant/respondent functions wholly.
3. Location where cause of action arose. 9. Location where one or more of the parties reside.
4. Mandatory personal injury filing in North District. 10. Location of Labor Commissioner Office.
11. Mandatory filing location (Hub Cases – unlawful detainer, limited
5. Location where performance required or defendant resides.
non-collection, limited collection, or personal injury).
6. Location of property or permanently garaged vehicle.
A B C
Civil Case Cover Sheet Type of Action Applicable Reasons -
Category No. (Check only one) See Step 3 Above
Auto (22) A7100 Motor Vehicle - Personal Injury/Property Damage/Wrongful Death 1, 4, 11
Auto
Tort
Uninsured Motorist (46) A7110 Personal Injury/Property Damage/Wrongful Death - Uninsured Motorist 1, 4, 11
A6070 Asbestos Property Damage 1, 11
Asbestos (04)
A7221 Asbestos - Personal Injury/Wrongful Death
Damage/ Wrongful Death Tort
Other Personal Injury/ Property
1, 11
Product Liability (24) A7260 Product Liability (not asbestos or toxic/environmental) 1, 4, 11
1, 4, 11
A7210 Medical Malpractice - Physicians & Surgeons
Medical Malpractice (45)
A7240 Other Professional Health Care Malpractice 1, 4, 11
A7250 Premises Liability (e.g., slip and fall)
1, 4, 11
Other Personal
Injury Property A7230 Intentional Bodily Injury/Property Damage/Wrongful Death (e.g., 1, 4, 11
Damage Wrongful assault, vandalism, etc.)
1, 4, 11
Death (23) A7270 Intentional Infliction of Emotional Distress
1, 4, 11
A7220 Other Personal Injury/Property Damage/Wrongful Death
LASC CIV 109 Rev. 12/18 CIVIL CASE COVER SHEET ADDENDUM Local Rule 2.3
For Mandatory Use Page 1 of 4
AND STATEMENT OF LOCATION
American LegalNet, Inc.
www.FormsWorkFlow.com
SHORT TITLE: CASE NUMBER
Kortes v. California Hospital Medical Center, et al.
A B C Applicable
Civil Case Cover Sheet Type of Action Reasons - See Step 3
Category No. (Check only one) Above
Business Tort (07) A6029 Other Commercial/Business Tort (not fraud/breach of contract) 1, 2, 3
Non-Personal Injury/ Property
Damage/ Wrongful Death Tort
Civil Rights (08) A6005 Civil Rights/Discrimination 1, 2, 3
Defamation (13) A6010 Defamation (slander/libel) 1, 2, 3
Fraud (16) A6013 Fraud (no contract) 1, 2, 3
A6017 Legal Malpractice 1, 2, 3
Professional Negligence (25)
A6050 Other Professional Malpractice (not medical or legal) 1, 2, 3
Other (35) A6025 Other Non-Personal Injury/Property Damage tort 1, 2, 3
Wrongful Termination (36) 1, 2, 3
Employment
A6037 Wrongful Termination
A6024 Other Employment Complaint Case 1, 2, 3
Other Employment (15)
A6109 Labor Commissioner Appeals 10
A6004 Breach of Rental/Lease Contract (not unlawful detainer or wrongful 2, 5
eviction)
Breach of Contract/ Warranty 2, 5
(06) A6008 Contract/Warranty Breach -Seller Plaintiff (no fraud/negligence)
(not insurance) 1, 2, 5
A6019 Negligent Breach of Contract/Warranty (no fraud)
1, 2, 5
A6028 Other Breach of Contract/Warranty (not fraud or negligence)
5, 6, 11
Contract
A6002 Collections Case-Seller Plaintiff
Collections (09)
A6012 Other Promissory Note/Collections Case 5, 11
A6034 Collections Case-Purchased Debt (Charged Off Consumer Debt 5, 6, 11
Purchased on or after January 1, 2014)
Insurance Coverage (18) A6015 Insurance Coverage (not complex) 1, 2, 5, 8
A6009 Contractual Fraud 1, 2, 3, 5
Other Contract (37) A6031 Tortious Interference 1, 2, 3, 5
A6027 Other Contract Dispute(not breach/insurance/fraud/negligence) 1, 2, 3, 8, 9
Eminent Domain/Inverse
A7300 Eminent Domain/Condemnation Number of parcels 2, 6
Condemnation (14)
Real Property
Wrongful Eviction (33) A6023 Wrongful Eviction Case 2, 6
A6018 Mortgage Foreclosure 2, 6
Other Real Property (26) A6032 Quiet Title 2, 6
A6060 Other Real Property (not eminent domain, landlord/tenant, foreclosure) 2, 6
Unlawful Detainer-Commercial
Unlawful Detainer
A6021 Unlawful Detainer-Commercial (not drugs or wrongful eviction) 6, 11
(31)
Unlawful Detainer-Residential
A6020 Unlawful Detainer-Residential (not drugs or wrongful eviction) 6, 11
(32)
Unlawful Detainer-Post-
A6020F Unlawful Detainer-Post-Foreclosure 2, 6, 11
Foreclosure (34)
Unlawful Detainer-Drugs (38) A6022 Unlawful Detainer-Drugs 2, 6, 11
LASC CIV 109 Rev. 12/18 CIVIL CASE COVER SHEET ADDENDUM Local Rule 2.3
For Mandatory Use Page 2 of 4
AND STATEMENT OF LOCATION
American LegalNet, Inc.
www.FormsWorkFlow.com
SHORT TITLE: CASE NUMBER
Kortes v. California Hospital Medical Center, et al.
A B C Applicable
Civil Case Cover Sheet Type of Action Reasons - See Step 3
Category No. (Check only one) Above
Asset Forfeiture (05) A6108 Asset Forfeiture Case 2, 3, 6
Judicial Review
Petition re Arbitration (11) A6115 Petition to Compel/Confirm/Vacate Arbitration 2, 5
A6151 Writ - Administrative Mandamus 2, 8
Writ of Mandate (02) A6152 Writ - Mandamus on Limited Court Case Matter 2
A6153 Writ - Other Limited Court Case Review 2
Other Judicial Review (39) A6150 Other Writ /Judicial Review 2, 8
Antitrust/Trade Regulation (03) A6003 Antitrust/Trade Regulation 1, 2, 8
Provisionally Complex Litigation
Construction Defect (10) A6007 Construction Defect 1, 2, 3
Claims Involving Mass Tort
A6006 Claims Involving Mass Tort 1, 2, 8
(40)
Securities Litigation (28) A6035 Securities Litigation Case 1, 2, 8
Toxic Tort
A6036 Toxic Tort/Environmental 1, 2, 3, 8
Environmental (30)
Insurance Coverage Claims
A6014 Insurance Coverage/Subrogation (complex case only) 1, 2, 5, 8
from Complex Case (41)
A6141 Sister State Judgment 2, 5, 11
Enforcement
2, 6
of Judgment
A6160 Abstract of Judgment
A6107 Confession of Judgment (non-domestic relations) 2, 9
Enforcement
of Judgment (20) A6140 Administrative Agency Award (not unpaid taxes) 2, 8
A6114 Petition/Certificate for Entry of Judgment on Unpaid Tax 2, 8
A6112 Other Enforcement of Judgment Case 2, 8, 9
Miscellaneous
Civil Complaints
RICO (27) A6033 Racketeering (RICO) Case 1, 2, 8
A6030 Declaratory Relief Only 1, 2, 8
A6040 Injunctive Relief Only (not domestic/harassment) 2, 8
Other Complaints
(Not Specified Above) (42) A6011 Other Commercial Complaint Case (non-tort/non-complex) 1, 2, 8
A6000 Other Civil Complaint (non-tort/non-complex) 1, 2, 8
Partnership Corporation
A6113 Partnership and Corporate Governance Case 2, 8
Governance (21)
A6121 Civil Harassment With Damages 2, 3, 9
Miscellaneous
Civil Petitions
A6123 Workplace Harassment With Damages 2, 3, 9
A6124 Elder/Dependent Adult Abuse Case With Damages 2, 3, 9
Other Petitions (Not 2
A6190 Election Contest
Specified Above) (43)
A6110 Petition for Change of Name/Change of Gender 2, 7
A6170 Petition for Relief from Late Claim Law 2, 3, 8
A6100 Other Civil Petition 2, 9
LASC CIV 109 Rev. 12/18 CIVIL CASE COVER SHEET ADDENDUM Local Rule 2.3
For Mandatory Use Page 3 of 4
AND STATEMENT OF LOCATION
American LegalNet, Inc.
www.FormsWorkFlow.com
Preview
Electronically FILED by Superior Court of California, County of Los Angeles on 11/08/2019 12:26 PM Sherri R. Carter, Executive Officer/Clerk of Court, by D. Williams,Deputy Clerk 19STCV40527 ,, CM-010 INSTRUCTIONS ON HOW TO COMPLETE THE COVER SHEET To Plaintiffs and Others Filing First Papers. If you are filing a first paper (for example, a complaint) in a civil case, you must complete and file, along with your first paper, the Civil Case Cover Sheet contained on page 1. This information will be used to compile statistics about the types and numbers of cases filed. You must complete items 1 through 6 on the sheet. In item 1, you must check one box for the case type that best describes the case. If the case fits both a general and a more specific type of case listed in item 1, check the more specific one. If the case has multiple causes of action, check the box that best indicates the primary cause of action. To assist you in completing the sheet, examples of the cases that belong under each case type in item 1 are provided below. A cover sheet must be filed only with your initial paper. Failure to file a cover sheet with the first paper filed in a civil case may subject a party, its counsel, or both to sanctions under rules 2.30 and 3.220 of the California Rules of Court. To Parties in Rule 3.740 Collections Cases. A "collections case" under rule 3.740 is defined as an action for recovery of money owed in a sum stated to be certain that is not more than $25,000, exclusive of interest and attorney's fees, arising from a transaction in which property, services, or money was acquired on credit. A collections case does not include an action seeking the following: (1) tort damages, (2) punitive damages, (3) recovery of real property, (4) recovery of personal property, or (5) a prejudgment writ of attachment. The identification of a case as a rule 3.740 collections case on this form means that it will be exempt from the general time-for-service requirements and case management rules, unless a defendant files a responsive pleading. A rule 3.740 collections case will be subject to the requirements for service and obtaining a judgment in rule 3.740. To Parties in Complex Cases. In complex cases only, parties must also use the Civil Case Cover Sheet to designate whether the case is complex. If a plaintiff believes the case is complex under rule 3.400 of the California Rules of Court, this must be indicated by completing the appropriate boxes in items 1 and 2. If a plaintiff designates a case as complex, the cover sheet must be served with the complaint on all parties to the action. A defendant may file and serve no later than the time of its first appearance a joinder in the plaintiff's designation, a counter-designation that the case is not complex, or, if the plaintiff has made no designation, a designation that the case is complex. CASE TYPES AND EXAMPLES Auto Tort Contract Provisionally Complex Civil Litigation (Cal. Auto (22)–Personal Injury/Property Breach of Contract/Warranty (06) Rules of Court Rules 3.400–3.403) Damage/Wrongful Death Breach of Rental/Lease Antitrust/Trade Regulation (03) Uninsured Motorist (46) (if the Contract (not unlawful detainer Construction Defect (10) case involves an uninsured or wrongful eviction) Claims Involving Mass Tort (40) motorist claim subject to Contract/Warranty Breach–Seller Securities Litigation (28) arbitration, check this item Plaintiff (not fraud or negligence) Environmental/Toxic Tort (30) instead of Auto) Negligent Breach of Contract/ Insurance Coverage Claims Other PI/PD/WD (Personal Injury/ Warranty (arising from provisionally complex Property Damage/Wrongful Death) Other Breach of Contract/Warranty case type listed above) (41) Tort Collections (e.g., money owed, open Enforcement of Judgment Asbestos (04) book accounts) (09) Enforcement of Judgment (20) Asbestos Property Damage Collection Case–Seller Plaintiff Abstract of Judgment (Out of Asbestos Personal Injury/ Other Promissory Note/Collections County) Wrongful Death Case Confession of Judgment (non- Product Liability (not asbestos or Insurance Coverage (not provisionally domestic relations) toxic/environmental) (24) complex) (18) Sister State Judgment Medical Malpractice (45) Auto Subrogation Administrative Agency Award Medical Malpractice– Other Coverage (not unpaid taxes) Physicians & Surgeons Other Contract (37) Petition/Certification of Entry of Other Professional Health Care Contractual Fraud Judgment on Unpaid Taxes Malpractice Other Contract Dispute Other Enforcement of Judgment Other PI/PD/WD (23) Real Property Case Premises Liability (e.g., slip Eminent Domain/Inverse Miscellaneous Civil Complaint and fall) Condemnation (14) RICO (27) Intentional Bodily Injury/PD/WD Wrongful Eviction (33) Other Complaint (not specified (e.g., assault, vandalism) Other Real Property (e.g., quiet title) (26) above) (42) Intentional Infliction of Writ of Possession of Real Property Declaratory Relief Only Emotional Distress Mortgage Foreclosure Injunctive Relief Only (non- Negligent Infliction of Quiet Title harassment) Emotional Distress Other Real Property (not eminent Mechanics Lien Other PI/PD/WD domain, landlord/tenant, or Other Commercial Complaint Non-PI/PD/WD (Other) Tort foreclosure) Case (non-tort/non-complex) Business Tort/Unfair Business Unlawful Detainer Other Civil Complaint Practice (07) Commercial (31) (non-tort/non-complex) Civil Rights (e.g., discrimination, Residential (32) Miscellaneous Civil Petition false arrest) (not civil Drugs (38) (if the case involves illegal Partnership and Corporate harassment) (08) drugs, check this item; otherwise, Governance (21) Defamation (e.g., slander, libel) report as Commercial or Residential) Other Petition (not specified (13) Judicial Review above) (43) Fraud (16) Asset Forfeiture (05) Civil Harassment Intellectual Property (19) Petition Re: Arbitration Award (11) Workplace Violence Professional Negligence (25) Writ of Mandate (02) Elder/Dependent Adult Legal Malpractice Writ–Administrative Mandamus Abuse Other Professional Malpractice Writ–Mandamus on Limited Court Election Contest (not medical or legal) Case Matter Petition for Name Change Other Non-PI/PD/WD Tort (35) Writ–Other Limited Court Case Petition for Relief From Late Employment Review Claim Wrongful Termination (36) Other Other Judicial Review (39) Other Civil Petition Employment (15) Review of Health Officer Order Notice of Appeal–Labor Commissioner Appeals CM-010 [Rev. July 1, 2007] CIVIL CASE COVER SHEET Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com SHORT TITLE: CASE NUMBER Kortes v. California Hospital Medical Center, et al. CIVIL CASE COVER SHEET ADDENDUM AND STATEMENT OF LOCATION (CERTIFICATE OF GROUNDS FOR ASSIGNMENT TO COURTHOUSE LOCATION) This form is required pursuant to Local Rule 2.3 in all new civil case filings in the Los Angeles Superior Court. Step 1: After completing the Civil Case Cover Sheet (Judicial Council form CM-010), find the exact case type in Column A that corresponds to the case type indicated in the Civil Case Cover Sheet. Step 2: In Column B, check the box for the type of action that best describes the nature of the case. Step 3: In Column C, circle the number which explains the reason for the court filing location you have chosen. Applicable Reasons for Choosing Court Filing Location (Column C) 1. Class actions must be filed in the Stanley Mosk Courthouse, Central District. 7. Location where petitioner resides. 2. Permissive filing in central district. 8. Location wherein defendant/respondent functions wholly. 3. Location where cause of action arose. 9. Location where one or more of the parties reside. 4. Mandatory personal injury filing in North District. 10. Location of Labor Commissioner Office. 11. Mandatory filing location (Hub Cases – unlawful detainer, limited 5. Location where performance required or defendant resides. non-collection, limited collection, or personal injury). 6. Location of property or permanently garaged vehicle. A B C Civil Case Cover Sheet Type of Action Applicable Reasons - Category No. (Check only one) See Step 3 Above Auto (22) A7100 Motor Vehicle - Personal Injury/Property Damage/Wrongful Death 1, 4, 11 Auto Tort Uninsured Motorist (46) A7110 Personal Injury/Property Damage/Wrongful Death - Uninsured Motorist 1, 4, 11 A6070 Asbestos Property Damage 1, 11 Asbestos (04) A7221 Asbestos - Personal Injury/Wrongful Death Damage/ Wrongful Death Tort Other Personal Injury/ Property 1, 11 Product Liability (24) A7260 Product Liability (not asbestos or toxic/environmental) 1, 4, 11 1, 4, 11 A7210 Medical Malpractice - Physicians & Surgeons Medical Malpractice (45) A7240 Other Professional Health Care Malpractice 1, 4, 11 A7250 Premises Liability (e.g., slip and fall) 1, 4, 11 Other Personal Injury Property A7230 Intentional Bodily Injury/Property Damage/Wrongful Death (e.g., 1, 4, 11 Damage Wrongful assault, vandalism, etc.) 1, 4, 11 Death (23) A7270 Intentional Infliction of Emotional Distress 1, 4, 11 A7220 Other Personal Injury/Property Damage/Wrongful Death LASC CIV 109 Rev. 12/18 CIVIL CASE COVER SHEET ADDENDUM Local Rule 2.3 For Mandatory Use Page 1 of 4 AND STATEMENT OF LOCATION American LegalNet, Inc. www.FormsWorkFlow.com SHORT TITLE: CASE NUMBER Kortes v. California Hospital Medical Center, et al. A B C Applicable Civil Case Cover Sheet Type of Action Reasons - See Step 3 Category No. (Check only one) Above Business Tort (07) A6029 Other Commercial/Business Tort (not fraud/breach of contract) 1, 2, 3 Non-Personal Injury/ Property Damage/ Wrongful Death Tort Civil Rights (08) A6005 Civil Rights/Discrimination 1, 2, 3 Defamation (13) A6010 Defamation (slander/libel) 1, 2, 3 Fraud (16) A6013 Fraud (no contract) 1, 2, 3 A6017 Legal Malpractice 1, 2, 3 Professional Negligence (25) A6050 Other Professional Malpractice (not medical or legal) 1, 2, 3 Other (35) A6025 Other Non-Personal Injury/Property Damage tort 1, 2, 3 Wrongful Termination (36) 1, 2, 3 Employment A6037 Wrongful Termination A6024 Other Employment Complaint Case 1, 2, 3 Other Employment (15) A6109 Labor Commissioner Appeals 10 A6004 Breach of Rental/Lease Contract (not unlawful detainer or wrongful 2, 5 eviction) Breach of Contract/ Warranty 2, 5 (06) A6008 Contract/Warranty Breach -Seller Plaintiff (no fraud/negligence) (not insurance) 1, 2, 5 A6019 Negligent Breach of Contract/Warranty (no fraud) 1, 2, 5 A6028 Other Breach of Contract/Warranty (not fraud or negligence) 5, 6, 11 Contract A6002 Collections Case-Seller Plaintiff Collections (09) A6012 Other Promissory Note/Collections Case 5, 11 A6034 Collections Case-Purchased Debt (Charged Off Consumer Debt 5, 6, 11 Purchased on or after January 1, 2014) Insurance Coverage (18) A6015 Insurance Coverage (not complex) 1, 2, 5, 8 A6009 Contractual Fraud 1, 2, 3, 5 Other Contract (37) A6031 Tortious Interference 1, 2, 3, 5 A6027 Other Contract Dispute(not breach/insurance/fraud/negligence) 1, 2, 3, 8, 9 Eminent Domain/Inverse A7300 Eminent Domain/Condemnation Number of parcels 2, 6 Condemnation (14) Real Property Wrongful Eviction (33) A6023 Wrongful Eviction Case 2, 6 A6018 Mortgage Foreclosure 2, 6 Other Real Property (26) A6032 Quiet Title 2, 6 A6060 Other Real Property (not eminent domain, landlord/tenant, foreclosure) 2, 6 Unlawful Detainer-Commercial Unlawful Detainer A6021 Unlawful Detainer-Commercial (not drugs or wrongful eviction) 6, 11 (31) Unlawful Detainer-Residential A6020 Unlawful Detainer-Residential (not drugs or wrongful eviction) 6, 11 (32) Unlawful Detainer-Post- A6020F Unlawful Detainer-Post-Foreclosure 2, 6, 11 Foreclosure (34) Unlawful Detainer-Drugs (38) A6022 Unlawful Detainer-Drugs 2, 6, 11 LASC CIV 109 Rev. 12/18 CIVIL CASE COVER SHEET ADDENDUM Local Rule 2.3 For Mandatory Use Page 2 of 4 AND STATEMENT OF LOCATION American LegalNet, Inc. www.FormsWorkFlow.com SHORT TITLE: CASE NUMBER Kortes v. California Hospital Medical Center, et al. A B C Applicable Civil Case Cover Sheet Type of Action Reasons - See Step 3 Category No. (Check only one) Above Asset Forfeiture (05) A6108 Asset Forfeiture Case 2, 3, 6 Judicial Review Petition re Arbitration (11) A6115 Petition to Compel/Confirm/Vacate Arbitration 2, 5 A6151 Writ - Administrative Mandamus 2, 8 Writ of Mandate (02) A6152 Writ - Mandamus on Limited Court Case Matter 2 A6153 Writ - Other Limited Court Case Review 2 Other Judicial Review (39) A6150 Other Writ /Judicial Review 2, 8 Antitrust/Trade Regulation (03) A6003 Antitrust/Trade Regulation 1, 2, 8 Provisionally Complex Litigation Construction Defect (10) A6007 Construction Defect 1, 2, 3 Claims Involving Mass Tort A6006 Claims Involving Mass Tort 1, 2, 8 (40) Securities Litigation (28) A6035 Securities Litigation Case 1, 2, 8 Toxic Tort A6036 Toxic Tort/Environmental 1, 2, 3, 8 Environmental (30) Insurance Coverage Claims A6014 Insurance Coverage/Subrogation (complex case only) 1, 2, 5, 8 from Complex Case (41) A6141 Sister State Judgment 2, 5, 11 Enforcement 2, 6 of Judgment A6160 Abstract of Judgment A6107 Confession of Judgment (non-domestic relations) 2, 9 Enforcement of Judgment (20) A6140 Administrative Agency Award (not unpaid taxes) 2, 8 A6114 Petition/Certificate for Entry of Judgment on Unpaid Tax 2, 8 A6112 Other Enforcement of Judgment Case 2, 8, 9 Miscellaneous Civil Complaints RICO (27) A6033 Racketeering (RICO) Case 1, 2, 8 A6030 Declaratory Relief Only 1, 2, 8 A6040 Injunctive Relief Only (not domestic/harassment) 2, 8 Other Complaints (Not Specified Above) (42) A6011 Other Commercial Complaint Case (non-tort/non-complex) 1, 2, 8 A6000 Other Civil Complaint (non-tort/non-complex) 1, 2, 8 Partnership Corporation A6113 Partnership and Corporate Governance Case 2, 8 Governance (21) A6121 Civil Harassment With Damages 2, 3, 9 Miscellaneous Civil Petitions A6123 Workplace Harassment With Damages 2, 3, 9 A6124 Elder/Dependent Adult Abuse Case With Damages 2, 3, 9 Other Petitions (Not 2 A6190 Election Contest Specified Above) (43) A6110 Petition for Change of Name/Change of Gender 2, 7 A6170 Petition for Relief from Late Claim Law 2, 3, 8 A6100 Other Civil Petition 2, 9 LASC CIV 109 Rev. 12/18 CIVIL CASE COVER SHEET ADDENDUM Local Rule 2.3 For Mandatory Use Page 3 of 4 AND STATEMENT OF LOCATION American LegalNet, Inc. www.FormsWorkFlow.com